Dr Hanna offers both single stage penile inversion vaginoplasty with native tissue graft and robotic peritoneal pull through (PPT) vaginoplasty. An ideal vagina should have maximal depth and girth for penetrative intercourse, all while maintaining an elegant appearance. The goal is to create a vagina that is about 5-7 inches in depth. Based on anatomy and technique selected, you may experience more or less depth.
Dr Hanna DOES NOT require patients to undergo painful and expensive preoperative electrolysis or laser hair removal. Instead, he will remove all hair in the operating room as part of the surgery.
Post-operatively, Dr Hanna and staff will work closely with you to ensure you achieve and maintain the best results possible. You will be given easy to understand verbal and written instructions on how to care for yourself post-operatively.
This is the gold standard procedure against which all others are compared. By utilizing a single perineal incision, scarring is minimized, while attaining a natural, and elegant appearance. You can expect to achieve an excellent outcome with maximum depth and girth, all while minimizing long term complications when compared to other approaches.
Individuals who desire an outward appearing vagina without the desire for penetrative intercourse can elect to have a vulvoplasty or zero depth vaginoplasty. This procedure involves using existing genital tissue to create a clitoris, labia majora and minora. If preferred, a small vaginal and minimal depth vaginal canal can be created. These procedures typically require less maintenance that a complete vaginoplasty for long lasting results.
This procedure utilizes a two-approach technique, one from several small abdominal incisions and one from the perineum. The lining of the lower abdomen is then tailored to suspend the neovaginal apex to create increased vaginal depth. Robotic and laparoscopic surgery are significantly more expensive than an open perineal approach and comes with several complications including those typical of any abdominal surgery: bowel injury from abdominal entry, and pathologic fibrous bands also known as abdominal adhesions. This method does not result in a self-lubricating vagina, and still requires patients to maintain a rigorous dilation schedule.
This is performed by entering the abdomen with a midline abdominal incision or utilizing a minimally invasive approach and harvesting either sigmoid or right colon to augment the vaginal canal. While patient’s can expect to achieve adequate depth and girth, there are sever additional complications to be aware of: moderate term unpleasant odor from neovagina, bowel obstruction, and bowel injury.