Colon Vaginoplasty

Colon or Vaginoplasty can be done as primary or secondary for Vaginal stenosis, shorting of vagina after SRS or very shortpenile skin in primary case

  • Need to prepare the bowel cleansing one week before surgery by daily enema, laxative
  • Liquid diet 3 days before surgery
  • Antibiotics 48 hours before surgery
  • Inform us about any allergies, any serious medical condition(s), and all medications you are taking (both prescription and non-prescription)
  • Tell your doctor if you have any serious medical condition(s)
  • Avoid aspirin, ibuprofen (Advil, etc) , and vitamin E for 2 weeks prior
  • Refrain from smoking 2 weeks before and 4 weeks after surgery
  • Plan to be in Thailand 10-14 days altogether

The bowels are prepared mechanically. The patient is placed in lithotomy. The general surgeon and plastic surgeon operate simultaneously and the general surgeon (abdominal surgeon) prepares the bowel through the short low Pfannenstiel incision. The sigmoid colon is isolated about 15-20 centimeters in length, with the vascular pedicle from the inferior mesenteric and superior hemorrhoidal system, the remaining two ends of the colon is anastomosed by the continuous, one layer closure. The plastic surgeon starts the perineal dissection by transversely incising the end pouch of the penile skin or the end of vaginal mucosa in the case of vaginal astresia. The dissection is carried out by eletrocautery, by palpating the urethral catheter anterior up to the retrobladder properitoneal space and the peritoneum is incised and enlarged. The general surgeon deliver the colon through the peritoneal opening after closing the proximal end, generally the rectosigmoid opening could be pulled down to the perineal skin without any tension, the anastomosis is made to the vaginal skin cuff at 1- 2 inches from the perineum, using the interrupted chronic catgut.

Surgery Length7-10 hours.
Side EffectsTemporary pain. Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months.
Recovery PeriodBack to work: 2 to 4 weeks. More strenuous activity: 4 to 6 weeks or more.
Stay in Hospital5-6 days
Stay in Thailand21-28 days
  • The dilator is used for 15 minutes twice daily for six months
  • Sexual intercourse is allowed after 1 month.
  • Have to wear tampon all the time for 3 months due to exercise mucous discharge
  • Vaginal douche daily