Dr. Theerapong During MtF SRS Surgery

For individuals undergoing Sex Reassignment Surgery (SRS), one of the most frequently asked questions is about the depth of the neovagina. When using the PPV (Peritoneal Pull-Through Vaginoplasty) technique, the depth of the neovagina can typically range from 13 to 18 cm (5 to 7 inches). This depth is comparable to the average vaginal depth in natal females, providing both functional and aesthetic satisfaction for many patients.

What Affects the Depth?

The depth achieved during PPV can vary based on several factors:

• Individual Anatomy: The patient’s existing tissue and anatomy may influence the final depth.
• Surgeon Expertise: The skill and experience of the surgeon can play a significant role in determining the depth and overall outcome of the surgery.
• Patient Preferences: Some patients may have preferences regarding the depth, and these can be taken into consideration during the procedure.

Why Choose PPV?

The PPV method stands out for several reasons. It uses the peritoneal lining—the membrane that naturally lines the abdominal cavity—to create the neovagina. This tissue offers several key advantages:

• Greater Depth: The peritoneal tissue allows for creating deeper neovaginas, making it a great option for those with limited penile or scrotal tissue.
• Natural Lubrication: Unlike other techniques, PPV provides the benefit of some natural lubrication, making post-surgery sexual activity more comfortable for many individuals.
• Tissue Elasticity: The peritoneal lining is durable and elastic, which can contribute to long-term functionality and comfort.

Who is PPV Ideal For?

PPV is particularly beneficial for patients who may not have enough penile or scrotal tissue to create an adequate neovagina using traditional methods like penile inversion. It is also a preferred choice for patients seeking a deeper vaginal canal and those who may value the added benefit of natural lubrication.

The depth of the neovagina in SRS using the PPV technique generally achieves a functional range of 13 to 18 cm, closely mirroring that of a natal female vagina. Combined with the potential for natural lubrication and a durable, elastic vaginal canal, PPV offers an excellent option for those seeking an optimal depth and comfortable post-surgery experience.

If you’re interested in learning more about the PPV technique or have specific questions, don’t hesitate to reach out to us. Our specialists are here to guide you through every step of the process!