Vaginoplasty revision is required when the primary MtF GCS has had significant complications resulting in the new vagina not being of satisfactory depth or size. Our preferred method for revision vaginoplasty is using a segment of your large intestine – colon, in a colovaginoplasty procedure to provide a good functioning vagina.
REASON FOR SURGERY
The goal is to create natural looking female genitalia and restore good vaginal depth and calibre to permit vaginal intercourse. It is also to positively address genital dysphoria associated with gender dysphoria, allowing you to feel more confident in your female gender.
Vaginoplasty revision aims to provide a good functioning neo-vagina with good depth and size to enable normal sexual intercourse.
How much does it cost?
The price of a revision vaginoplasty varies depending on the complexity of the procedure required to achieve your goals. Most commonly it will require a colovaginoplasty which is approximately £29,300. Quotations include all of your pre and post operative aftercare up to 1 year. 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 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 your hormone therapy, however if you are taking oral oestrogen we will ask you to change to a transdermal patch or gel 4 weeks before 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 wake up in the hospital as you will have been admitted the night before. You will be assessed again by your surgeons 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 your surgeons and the hospital medical team. They will assist you with anything you need. You will be tired and spend most of this time resting.
What aftercare will be provided for me?
LTC provides a premium aftercare service. Your primary surgeon will visit you in hospital daily for the first week. You will then be assessed in clinic 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 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.
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).