"Dr. Sanguan advised:



You are not able to increase vaginal depth by dilation any longer.



For those considering Secondary Vaginoplasty, or redo the vaginal canal, there are two options.



The first choice is Colon Vaginoplasty using a section of the rectosigmoid or ascending colon which will provide a total of 6-8 inches vaginal depth. It is a good choice if the patient currently has at least 3-4 inches of vaginal depth and the vagina opening is wide and not tight. In this case, the junction of the colon and the previous vaginal skin would not be seen when the legs are opened. Also, there would be no constriction at the junction which can lead to difficult penetration. If the vagina opening or canal is very tight, a skin graft might be incorporated with the Colon Vaginoplasty.



The second option is a total skin graft Vaginoplasty. This method is suitable for the patient who has some redundant tummy skin. Then a tummy tuck will be considered to contour the patient's body and at the same time we can use the tummy skin to reconstruct the vagina, providing 5-6 inches of vaginal depth. Alternatively, if there is any other part of the body from which we can harvest the graft such as the waist, thighs or groin, we might use that skin.



Secondary Colon Vaginoplasty requires 7-9 days hospitalisation and costs US$13,000, inclusive of surgeon and hospital fees, and transportation from and to Phuket International Airport. If additional skin grafts are necessary the fee is US$15,000



Skin graft vaginoplasty with tummy tuck costs US$10,000 and involvers 9-11 days hospitalisation.



Skin graft Vaginoplasty, using skin from other parts of the body costs US$8,000 with 7-9 days hospitalisation.



Labiaplasty and Urethroplasty are procedures aimed at improving the external appearance of the genitalia and involve the removal of excess spongy Bulbospongiosus tissue from around the urethra. Labiaplasty costs US$4,000 and Urethroplasty costs US$3,000."

Hello All,Well I got a reply from my surgeon:At least I now know that if I went back to see him, this is what I'd be facing, and the costs. I must admit they have gone up a lot in the past 13 years!As to which type of surgery I should go for out of his options above, well I just don't know how to decide.I don't have much "redundant tummy skin", so I guess that any operation would take skin from thighs or somesuch area, meaning a large skin graft scar visible on my body, which I must admit does not appeal at all.I guess that I'd probably elect to have some kind of Labiaplasty as well, as my genitalia is not symmetrical at all, one side 'hangs down' much further than the other, it's pretty nasty actually, as that causes the inner sensitive area of the labia on the lower side to be exposed, and causes more painful rubbing. I wanted to feel proud of my vagina, but to be honest it's more of a disaster site. Another reason not to want to rush back to Thailand, or even to rush back into any kind of surgery, anywhere, really.@Dena, I know what you mean about disconnecting from the TG community after surgery. I did the same, for 12 years.This site is full of information, you are right. And I have been reading through it. Thanks for the link to the gender correction area, I will look there too.One thing I struggle to find is if you are looking at a number of different surgeons, which one should you pick. Although I guess this is one of those moot questions, like which brand of car should you choose? They all have their pro's and con's, and advocates and critics. None are perfect.By the way, I was joking about the plaster cast bit! I wouldn't embarrass my fella in that way. But I would certainly look for a dilator that was around his size, for sure.My posts jump up and down in mood, just like me really.@Jenna, thank you, as you and Dena suggested, I will keep looking through this site.@Karen, thanks for the reply. I really do think that my body has rejected what was done to it, and it has responded badly to the changes I had hoped for. I will look up Vaginal Stenosis, although I think it's more to do with leftover erectile tissue. But of course it may be both, or neither of those. If I had been given the choice of changing my brain to match my body, or changing my body to match my brain, (knowing what I know now) I would choose the former over the latter, as my body really really wants to stay as a guy, no matter what I may want in my headI guess I will never know if I was or wasn't hygienic enough all those years ago, not much I can do about that now.But my main thoughts are that if I subjected my body to more (invasive) surgery, it may just be as difficult and un-co-operative as it was before. And I'd just be signing up to more debt, pain, and ultimately, failure?At least I now have food for thought, and somewhere to go and read more.Thank you for all your kind help,V.