Vaginoplasty without vaginal cavity

The decision to undergo a vaginoplasty with or without a vaginal cavity is a personal one, and must be made in accordance with your needs and expectations.

Our team of surgeons uses the same surgical technique as that used in a vaginoplasty, but without constructing a vaginal cavity. Vaginoplasty without vaginal cavity is done in one surgery including the 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 without vaginal cavity surgery can be performed at the same time as other procedures.  

Expected results:

• A clitoris made with the sensitive skin of the glans;
• A clitoral hood;
• A vulva equipped with labia majora and minora;
• Clitoral erogenous zones with the possibility of sexual pleasure.

During the procedure, the surgeon will:

• Remove the scrotal skin;
• Remove the testicles;
• 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:
  • The corpus cavernosa will be removed;
  • Some of the blood vessels and nerve endings will be released to create the clitoris. A cone-shaped piece of skin will be taken directly from the glans to form the clitoris. The clitoris will be positioned and fixed. The urethra will be dissected; the remaining tissue will be preserved to line the inside of the labia minora, providing a more natural result than if a skin graft was used;
• Create the labia majora.

*A vaginoplasty without vaginal cavity is an option if you have had a prostatectomy following prostate cancer. 

Benefits of this surgical technique:

• A surgical technique in one single surgery;
• The use of existing tissue to construct the minutiae of the vulva (labia majora and minora,clitoris, clitoral hood) eliminates strain on the tissue forming the new genitals.

* The appearance of the genitals will be very different from person to person. Some people have a more rounded mons pubis, less protruding clitoris, fuller labia majora, or labia minora of varying sizes.

• Vaginoplasty Information Booklet Part A
• Vaginoplasty Information Booklet Part B

Postoperative care:

During your convalescence, you will be provided with the document Information and Postoperative Care – Vaginoplasty without vaginal cavity. This document contains your surgeon’s instructions and will serve as a guide.

Download the documentInformation and Postoperative Care – Vaginoplasty without vaginal cavity.