Revision genital surgery varies depending on the original technique used to perform the MtF GCS/SRS. It may involve a labiaplasty, clitoroplasty, vaginoplasty or other.
Summary of Revision Genital Surgery
Average 2 hrs
Normally 1 night
2-6 weeks depending on surgery required
24 hours, shower only
Reason for Surgery
- To address areas of concern following primary MtF GCS/SRS surgery
- To positively address genital dysphoria associated with gender dysphoria
The majority of transgender individuals at LTC will achieve a natural looking vagina that they are comfortable with, regardless of the barriers presenting following primary MtF GCS/SRS surgery.
Revision Genital Surgery FAQ’s
How much does it cost?
The price of revision genital surgery will vary depending on what must be done to achieve your goal. All our quotations include pre and post-operative aftercare up to one year, as well as your stay in hospital. For an exact quotation please book a consultation with a member of our team.
What happens at the consultation?
You will meet your surgeon and one of our nurses who will ask you about your goals and concerns. A full medical history and examination will be done, before agreeing on a plan for you and discussing the surgery and recovery and risks in detail.
You may be required to undergo medical investigations such as blood tests, ECG or other, as medically advised by your surgeon.
How do I prepare for my surgery?
Once you have your consultations and your surgery is booked, you will have a pre-operative assessment with your nurse 2 weeks before surgery, during which any outstanding questions will be answered. Your preparation for surgery will be reviewed and information will be provided regarding medications, diet, and post-operative care.
You will not need to stop hormone therapy. If you are taking oral estrogens, you will need to switch to patches or gels 4 weeks prior to your surgery.
You must stop smoking a minimum of 2 weeks before your surgery and up to 12 weeks postoperatively.
What happens on the day of my surgery?
On the day of your surgery you will attend the hospital where your surgery is taking place. You will be reassessed by your surgeon and your anaesthetist before going to the theatre. The hospital team will complete the necessary pre-operative health checks.
Following your surgery, you will be bed bound and closely monitored by the hospital medical team. They will assist you with anything you need. You will be tired and spend most of this time resting. You will be provided with something to eat when you are alert and slowly mobilised with assistance.
Once you are awake and mobile, you will be discharged from the hospital to your home. You must have a chaperone to bring you home and stay with you for a minimum of 24 hours.
What aftercare will be provided for me?
LTC provides a premium aftercare service. You will be assessed 2 weeks, 6 weeks, 12 weeks, 6 months and 1 year post operatively to monitor your progress.
You will be provided with post operative manual lymphatic drainage-MLD therapy to reduce swelling and promote better healing.
LTC also has a nurse on call 24/7 in the event you have any emergencies following discharge from hospital. You will be seen immediately if medically required or appropriate advice will be provided.
What happens if there is a complication?
In the event of a complication you will be medically assessed as soon as possible by your surgeon or a qualified member of our nursing team. In the unlikely event you need to return to the theatre this will be arranged for you by our team. Hospital and anaesthetist fees may be charged, however there will be no surgical fee. Further information is outlined in our terms and conditions.
Written onJune 4, 2019
Dilation problems after MTF genital reconstruction surgery
I had my MTF full genital reconstruction surgery (penile inversion including scrotal tissue) with a well-known surgeon (not at the London Transgender Clinic). While I had experienced no problems with the surgery itself, the surgeon’s specialist nurses had only given me a very short training session with dilation and I didn’t feel their advice had been clear. And I was finding dilation so so difficult and painful! After a couple of weeks post-surgery, in sheer desperation I booked an appointment with a nurse at the London Transgender Clinic. She was amazing! She sat me on the couch, I showed her what I was doing and she quickly corrected my posture, gave me some great tips and for the first time I experienced the feeling of reaching the end-point of my vagina! Almost immediately I was getting to the optimal depth, with very little discomfort! I couldn’t hold back the tears of relief on the couch. She really listened to my concerns and radiated the knowledge and confidence that I needed. She also checked my wounds and stitches and put my mind at rest there as well. I can’t recommend these people enough. Wish I had gone to them earlier!
We support and endorse the Guidelines for the Standards of Care for transgender, trans-individuals set out by the World Professional Association for Transgender Health (WPATH).