Vaginoplasty

Vaginoplasty is a surgery that allows one to obtain the most natural female genitalia possible.

Our team of surgeons uses a surgical technique comprised of a single step: penile inversion (the skin of the penis is grafted to the interior of the vagina) coupled with an autograft of a neurovascular flap of the glans that will serve to create a sensitive clitoris. By improving this technique, Dr. Brassard has redefined the standards of vaginoplasty, earning GRS Montréal consideration as one of the world’s best centres in the field of male-to-female gender affirming surgery.

Vaginoplasty surgery can be performed at the same time as other procedures.

Expected results:

  • A vagina with enough depth to allow for sexual relations with penetration;
  • A clitoris made with the sensitive skin of the glans;
  • A clitoral hood;
  • A vulva equipped with labia minora;
  • Erogenous zones (clitoral and vaginal) with the possibility of sexual pleasure.

Vaginoplasty requires care that you will integrate into your daily routine for the rest of your life. This care includes a regular routine of vaginal  dilations and hygiene. Following this routine will have a significant impact on the results of your procedure.

Highlights of the surgical technique used:

The surgeon will verify that there is enough penis and scrotum skin to create a fairly deep vaginal cavity. If the total amount of skin from the current genitals is insufficient to line the inner wall of the vaginal cavity, an additional skin graft can be taken from another body part (back, thigh, buttock) and grafted into the vagina. Your surgeon will advise you following your physical examination if it will be necessary to have a skin graft. The area of the skin graft may show slight discolouration once healed.

During the procedure, the surgeon will:

  • Remove the scrotal skin, which will be thinned and freed of hair through cauterization of the roots;
  • Remove the testicles;
  • Dissect the penis – the skin will be inverted to be grafted to the interior of the vaginal cavity;
  • Dissect the internal structures of the penis taking care to separate the urethra, the corpus cavernosum, and at the same time release a flap consisting of blood vessels and nerve endings:
    1. The corpus cavernosa will be removed;
    2. The distal end of the retained flap, in the form of a “custom-made” island, will be removed directly from the glans to form the clitoris. The size of the clitoris can therefore be adjusted according to the patient’s preference. The flap and the clitoris will be positioned and fixed;
    3. The urethra will be dissected; the remaining tissue will be preserved to coat the inside of the labia minora, providing a more natural result than with a skin graft.
  • Create the labia majora;
  • Create the vagina by dissecting, to a depth of 5 to 6 inches, the tissue below the meatus and along the Denonvilliers fascia (the space between the prostate and the rectum). The prostate is left in place: to remove it would cause irreversible urinary incontinence;   

It is possible to perform a vaginoplasty without creating a vaginal cavity.

Benefits of this surgical technique:

  • A surgical technique in one single surgery;
  • In the case where skin removed from the penis and scrotum is in sufficient quantity to create the vaginal cavity, no skin graft will be taken from a visible part of the body, such as the abdomen, thigh, or buttock;
  • The addition of the scrotal skin to the skin of the penis provides a deeper vaginal cavity;
  • The use of existing tissue to construct the minutiae of the vulva (labia, clitoris, clitoral hood) eliminates strain on the tissue forming the new genitals.

* Due to multiple factors that are unique to each individual, results may vary from one person to another. Be assured that our surgical team works with each patient individually to achieve the best results possible. In some cases, our surgeons can offer a corrective surgery if certain results do not meet your expectations.

Postoperative care:

During your convalescence, you will be provided with the document Information and Postoperative Care – Vaginoplasty. This document contains your surgeon’s instructions and will serve as a guide.

Download the document Information and Postoperative Care – Vaginoplasty.

 

The surgical procedure, your stay and convalescence

Average lenght of the surgery

Admission to the CMC

Anesthesia

Hospitalization

Convalescence at Asclépiade

Convalescence at home

Resumption of physical activities and sports

2 hours The day of the surgery Regional or General

2 nights postoperatively

6 nights postoperatively 6 weeks 6 to 8 weeks

Medical follow-ups and appointments: Asclépiade provides personalized postoperative follow-ups to all patients. You will be getting a follow-up appointment with your surgeon one month after your surgery. If you cannot come to your appointment, your attending physician can follow-up with our surgeons by contacting the Asclépiade.