Vaginoplasty Surgeon in Bangalore
Vaginoplasty is a surgical procedure that involves the reconstruction and repair or creation of a vagina using existing vaginal tissue or graft from elsewhere. This procedure is typically Performed in patients born with absent vagina(agenesis) either isolated or along with absent Uterus (mullerian agenesis) so that they can have a normal sexual life. Transgender who want to have their external genitalia match their existing mental gender identity.
The surgery involves creating a vagina using the patient's own tissue or with the use of a graft, and the depth of the canal is typically around 6-8 inches. The surgery may also involve creating a clitoral hood and labia to achieve better cosmetic appeal.
Dr. Sunil Eshwar is a leading specialist in gynaecology, with extensive expertise in performing vaginoplasty in Bangalore. He combines advanced medical techniques with personalized care to ensure the best possible outcomes for his patients.
INDICATION FOR SURGERY
Decision to perform a vaginoplasty should be made between a patient and a qualified healthcare provider, such as a gender-affirming surgeon or a gynaecologist.
A transgender woman, may want to consider vaginoplasty if one experiences discomfort, dysphoria, or other negative feelings about their genitalia. A doctor can help to determine if vaginoplasty is the best option and can discuss the risks, benefits, and potential outcomes of the surgery.
A cisgender woman, may want to consider vaginoplasty if she is born with an absent vagina and wants to lead a normal sexual life. A doctor can help determine if vaginoplasty is the best option .
when it is to be done
Vaginoplasty is performed on cis or transgender women who desire to have their external genitalia match their gender identity.
In general, the surgery is usually performed after the individual has undergone hormone therapy and has lived in their desired gender role for at least one year. This helps to ensure that the individual is mentally and emotionally prepared for the surgery and has realistic expectations for the outcome.The timing of the surgery can vary based on a variety of factors like age, health status, and personal choice.
A period of psychotherapy may be necessary before the surgery to ensure that they have adequate support and are mentally and emotionally prepared for the procedure.
When to perform surgery Vaginoplasty is generally performed for transgender women as part of gender-affirming surgery. It is typically considered when an individual has completed at least one year of hormone therapy and has lived full-time in their affirmed gender for a minimum of 12 months.
Patient should be above 18yr, psychological readiness is a key factor.
Vaginoplasty can be an option for individuals with MRKH who wish to have a functional vaginal canal for penetrative sexual activity. This decision is highly personal and often depends on the individual’s specific desires. Vaginoplasty is usually not performed until the individual reaches the age of maturity (generally 18 or older), as the decision requires a mature understanding of the procedure, its risks, and its implications.
- It is done under general anesthesia, which means the person will be asleep during the surgery.
- The operating surgeon will make several small 0.5cm cuts in the abdomen,
through which the laparoscopic instruments will be introduced.
How to create a new vagina
Peritoneal Grafting: One common method involves using a segment of the peritoneum (the membrane lining the abdominal cavity) to create the vaginal canal.
The surgeon carefully dissects a segment of the peritoneum, typically located near the rectum, and then brings it down through the pelvis to the vaginal introitus (the vaginal opening).
The graft is positioned and secured to form a tubular structure, creating the neovaginal canal.
The newly created vaginal canal is positioned and secured into place, typically with sutures, and connected to the vaginal opening. - In the recovery period, the individual will have to use dilators to keep the vaginal canal open and prevent it from closing back. This is done several times a day for several months after the surgery.
- The person will need to stay in the hospital for a 2 to 3 days .
- Post surgery one will need to avoid strenuous activity and sexual activity for several weeks or months, depending on their individual recovery time.
Less scarring
Reduced Pain
Shorter hospital stay
Quicker recovery time
Improved cosmetic results
Normal sexual life
Laparoscopic vaginoplasty is a technically complex demanding procedure that requires specialized training and experience. Surgeons who are not experienced in this technique may not achieve optimal results, which can result in complications or the need for additional surgery.
It is a relatively new surgical technique and may not be available at all healthcare facilities.
As with any surgical procedure, there is a risk of complications with laparoscopic vaginoplasty. These can include bleeding, infection, nerve damage, or problems with healing. Injury to surrounding structure bladder, rectum. Stenosis of new vaginal, Fistula formation (abnormal connection between vaginal and adjacent organs).
Laparoscopic surgery can be more expensive than traditional surgery, which may not be covered by insurance.
Since it's a new technique, there is limited research on the long-term outcomes and potential complications.
Before choosing where to get the procedure done, it's important to search for someone who has technical experience with this particular technique and who is familiar with the unique challenges and considerations involved in performing this procedure. Consider questioning potential providers about their experience, their success rates and any potential risks or complications associated with this particular procedure.
One also has to choose a provider who is supportive, respectful of the gender identity and who understands the unique sensitive needs and concerns of transgender individuals. One may want to seek out a provider who has experience working with transgender patients. One should be willing to take the time to answer all queries and address any concerns .
If you're looking for best vaginoplasty surgeon in Bangalore, Dr. Sunil Eshwar is the trusted doctor you can rely on. Schedule a consultation today to discuss your options and take the first step towards enhancing your intimate health and well-being.