Dr. Theerapong Poonyakariyagorn, MD, is a renowned plastic and reconstructive surgeon based in Bangkok, Thailand, specializing in gender-affirming surgeries. With extensive experience in primary and revision vaginoplasty procedures, Dr. Theerapong offers revised sigmoid colon vaginoplasty to address complications, dissatisfaction, or functional issues from previous surgeries. His expertise ensures that patients receive aesthetic, functional, and durable results, improving quality of life and personal satisfaction.
What is Sigmoid Colon Vaginoplasty?
Sigmoid colon vaginoplasty uses a segment of the sigmoid colon (part of the large intestine) to create the vaginal canal. This method is well-regarded for providing continuous natural lubrication and is often used in cases where primary penile inversion vaginoplasty is not possible or has resulted in complications.
When is Revised Sigmoid Colon Vaginoplasty Recommended?
A revision surgery may be necessary for patients who have undergone a primary vaginoplasty (either penile inversion or another sigmoid procedure) and are experiencing:
- Insufficient depth or narrowing of the vaginal canal.
- Vaginal stenosis (scar tissue causing tightening of the canal).
- Persistent dryness or functional issues affecting comfort or intimacy.
- Dissatisfaction with the aesthetic appearance or surgical outcome.
- Post-surgical complications such as fistulas, strictures, or infections.
Procedure Overview: Revised Sigmoid Colon Vaginoplasty
In the revision process, Dr. Theerapong carefully evaluates the existing anatomy and previous surgical outcomes to develop a personalized surgical plan. Depending on the individual case, the surgery may involve:
- Removal of scar tissue or correction of strictures.
- Using a new segment of the sigmoid colon to augment vaginal depth and lining.
- Reshaping or refining the external genitalia for improved aesthetics and function.
- Correction of fistulas or other complications from prior surgeries.
This technique not only restores depth, shape, and natural lubrication but also offers long-term durability.
Advantages of Sigmoid Colon Vaginoplasty for Revision
- Continuous natural lubrication from the intestinal lining enhances comfort.
- Increased depth and durability, addressing issues of previous surgeries.
- Reduced need for frequent dilation compared to other methods.
- Ideal for patients experiencing vaginal stenosis or insufficient canal depth.
- Provides aesthetic refinement when previous outcomes do not meet patient expectations.
Recovery and Post-Operative Care
- Hospital Stay: 7-10 days to monitor healing and prevent complications.
- Recovery Time: Most patients can resume light activities within 6-8 weeks, with full recovery in 3-4 months.
- Dilation: Regular dilation may be required initially to maintain the new vaginal canal.
- Follow-Up Care: Dr. Theerapong provides personalized follow-up plans, including instructions on wound care and scar management.
- Monitoring for Complications: Regular post-surgery check-ups to prevent or address issues such as infections or fistulas.
Ideal Candidates for Revised Sigmoid Colon Vaginoplasty
- Individuals with complications or dissatisfaction from previous vaginoplasty procedures.
- Patients requiring increased vaginal depth or improved lubrication.
- Those experiencing vaginal stenosis or scar tissue issues.
- Individuals seeking aesthetic improvements to the external genitalia.
Why Choose Dr. Theerapong Poonyakariyagorn for Revised Sigmoid Colon Vaginoplasty?
- Expert in Gender-Affirming and Revision Surgeries: Dr. Theerapong has extensive experience in complex revision procedures, ensuring both functional and aesthetic results.
- Personalized Surgical Plans: Each procedure is customized to the patient’s previous surgical history and desired outcomes.
- Commitment to Safety and Innovation: Dr. Theerapong uses the latest techniques to minimize risks and maximize patient satisfaction.
- Comprehensive Pre- and Post-Operative Care: He provides detailed follow-up support to ensure a smooth recovery and long-term success.
Contact Information
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