Penile Inversion Vaginoplasty: The Most Common Technique

When it comes to gender-affirming surgeries, vaginoplasty plays a significant role in helping individuals align their physical bodies with their gender identity. There are various types of vaginoplasty procedures available, each with its own considerations and outcomes. In this blog, we will explore one of the most common techniques used at Reconstructive Surgical Arts, known as penile inversion vaginoplasty. We'll delve into the details of this procedure, highlighting its benefits, potential complications, and why it is a popular choice for many individuals seeking gender-affirming surgeries.

Understanding Penile Inversion Vaginoplasty

Penile inversion vaginoplasty is a surgical technique used to create a neovagina by repurposing the existing penile tissue. It is considered the most common technique for vaginoplasty and has been refined over the years to provide optimal aesthetic and functional outcomes.

Here are the key steps Dr. McClung and his team take during the procedure:

Step 1: Removing the Testes

The first step in penile inversion vaginoplasty is the removal of the testes, also known as orchiectomy. This is often performed as a separate procedure but can be done concurrently with vaginoplasty. The removal of the testes helps eliminate testosterone production and aids in achieving a more feminine appearance and hormonal balance.

Step 2: Penile Skin Preparation

During penile inversion vaginoplasty, the penile skin is meticulously prepared for inversion and utilized to construct the neovagina. The excess penile skin is carefully dissected, and the erectile tissue (corpora cavernosa) within the penis is excised while preserving the sensitive nerve endings.

Step 3: Creating the Neovagina

Once the penile skin is prepared, it is inverted and used to line the newly created vaginal cavity. The penile skin acts as the inner lining of the neovagina, providing a natural texture and appearance. The urethra is also repositioned to allow for proper urinary function.

Step 4: Clitoral Hood Formation

The clitoral hood is created using the penile skin and other tissue from the scrotum. This enables the preservation of sensory nerves and enhances the aesthetic outcome. The clitoral hood ensures a more natural appearance and can contribute to sexual pleasure and sensitivity post-surgery.

Step 5: Labia Construction

The labia, essential for achieving a feminine appearance, are formed using the remaining scrotal skin. The scrotal tissue is carefully reshaped and sutured to create labia majora and labia minora. The result is a visually appealing and functional vulva.

The Benefits of Penile Inversion Vaginoplasty

Penile inversion vaginoplasty offers several benefits that make it a popular choice among individuals seeking gender-affirming surgeries:

Aesthetics

By utilizing the penile skin to line the neovagina, the procedure aims to create a natural-looking vaginal canal. The use of existing penile tissue helps achieve a satisfying aesthetic result that closely resembles biological female genitalia.

Sensation and Sexual Function

One of the advantages of penile inversion vaginoplasty is the preservation of sensitive nerve endings. This can potentially result in maintained or enhanced sexual sensation post-surgery. Although individual experiences may vary, many individuals report having a fulfilling sex life after the procedure.

Minimal Scarring

Since penile inversion vaginoplasty utilizes existing penile skin, scarring is generally limited to the groin area and can be easily concealed. The incisions are strategically placed to minimize visible scarring and promote optimal healing.

Lower Risk of Complications

Penile inversion vaginoplasty has been extensively studied and refined over the years. As a result, it is considered a well-established technique with a lower risk of complications compared to some other methods. However, it is essential to consult with Dr. McClung and his team to ensure safety and optimal outcomes.

Potential Complications and Considerations

While penile inversion vaginoplasty is generally safe, it is important to be aware of potential complications that can occur with any surgical procedure. Some possible complications include:

Infection

As with any surgical procedure, there is a risk of infection. It is crucial to follow post-operative care instructions diligently, including proper wound care, to minimize the risk of infection.

Hematoma or Seroma Formation

Hematoma refers to the collection of blood outside blood vessels, while seroma refers to the accumulation of fluid. These can occur post-surgery and may require drainage or intervention.

Urinary Issues

In some cases, individuals may experience temporary urinary issues, such as difficulty urinating or urinary tract infections. These are typically addressed through proper post-operative care and monitoring.

Narrowing of the Neovagina

Some individuals may experience a narrowing of the neovagina, known as vaginal stenosis, following penile inversion vaginoplasty. This can occur due to scar tissue formation or inadequate dilation practices during the healing process. Regular and proper dilation exercises, as prescribed by the surgeon, can help prevent or manage this complication.

Emotional and Psychological Considerations

Undergoing any type of gender-affirming surgery is a significant decision that can have emotional and psychological implications. It is essential to be prepared for the emotional journey that comes with the procedure, as well as the potential impact on relationships, self-image, and mental well-being. Prior to undergoing penile inversion vaginoplasty, it is recommended to seek counseling or support from professionals experienced in gender identity and affirmation.

Reconstructive Surgical Arts: Your Partner in Gender-Affirming Surgeries

If you are considering penile inversion vaginoplasty or any other gender-affirming surgery, Reconstructive Surgical Arts is here to support you throughout your journey. Our team of skilled and compassionate surgeons specializes in gender-affirming procedures, providing personalized care and guidance to ensure your safety, comfort, and satisfaction.

At Reconstructive Surgical Arts, we understand the unique needs and sensitivities of individuals seeking gender-affirming surgeries. We prioritize creating a safe and inclusive environment where you can openly discuss your goals, concerns, and expectations. Our surgeons have extensive experience in performing penile inversion vaginoplasty and are dedicated to achieving excellent aesthetic and functional outcomes.

To take the next step towards your gender-affirming surgical journey, we invite you to book an appointment with Reconstructive Surgical Arts. Our team is ready to listen, educate, and support you in making informed decisions regarding your desired procedures. Additionally, don’t forget to check out all our resources and information around vaginoplasty to keep yourself in the know. Together, we can help you achieve the physical alignment that reflects your true self.