Options for Replacement of Failed Sigmoid Colon Grafts in Vaginoplasty: Maintaining Depth and Functionality
Sigmoid colon vaginoplasty is often chosen by patients as a primary technique for sex reassignment surgery (SRS) and is also frequently used in revision surgeries to correct failed penile inversion (PPV/PPT), scrotal skin graft, or other SRS techniques. However, despite its advantages, complications such as colon leakage, vaginal fistula, vault prolapse, and colitis in the neovagina can lead to the failure of the sigmoid colon graft.
The psychological implications of such a failure can be profound, contributing to increased gender dysphoria, anxiety, depression, social isolation, and post-traumatic stress. These symptoms can lead to significant emotional distress, with patients often seeking relief from the complications they face. In such cases, it becomes critical to explore options for replacing the failed sigmoid graft while ensuring the neovagina maintains depth and functionality.
Skin Graft Vaginoplasty: The Reconstruction of the Vaginal Canal after Sigmoid Graft Failure
Patients have the option for a full depth vaginal canal through a skin graft vaginoplasty to replace a failed colon graft. It is important to note that this approach will leave a rectangular scar, typically around 6×4 inches, on the donor site (usually the thigh). The skin graft procedure requires careful postoperative wound management, including an advanced wound dressing for three weeks to aid in healing and minimize complications.
Expertise in Combined Techniques: Dr. Worapon’s Approach
Dr. Worapon’s experience with removing failed colon grafts and his proficiency in the construction full-length skin grqft surgeries make him an ideal surgeon for patients requiring this revision surgery. His approach combines the removal of failed sigmoid graft and replacing it with skin graft methods, ensuring both safety and functionality in reconstructive surgery.
Please reach out to one of our dedicated patient advocacy specialists to explore the best option for you. We are here to guide and support you every step of the way toward your desired outcome and your right to the freedom of living comfortably in your body.
Procedures for SRS Surgeries