I had peritoneal pull through vaginoplasty with Dr Kieran Hart in February this year. As a whole I've not been very satisfied with the results for the 50 grand AUD it cost me out of pocket for the initial surgery but the main issue I've been experiencing is a tight band around 2 inches deep into my vagina.
The 3 main dilators I use at this point are 32mm 37mm and 41mm thick. The tight spot exists for the 32mm dilator but I can get through it without trouble. For the 37mm I do need to put some effort into it and it can be a little painful to leave in there for more than a minute or so. The 42mm dilator takes an immense amount of effort to get past the tight spot and is incredibly painful. I can only leave it in for a few seconds at a time. I'd describe the pain as similar in sensation to jamming your finger in a door.
I raised this issue plus a couple others with Dr Hart and he recommended a revision to cut a muscle that's too tight, which cost me another $7k out of pocket (he didn't charge me but the hospital he uses is obscenely expensive for Australia, plus travel expenses). For the tightness issue he inserted a 37mm wide dilator under general anaesthetic, said that's good and didn't do anything further in that regard, even though I had mentioned the issue was with the 41mm one.
Upon asking about this he said it's probably because my pelvis is too small and mentioned there's a doctor in the US who might be able to break my pelvis to fix it. I'm not convinced this is the case though as I can still insert the 41mm dilator with great effort and pain.
I'm kind of at a loss as to what to do now. I need that width to accommodate my partner and with the tight spot that brings my 4.5 inches depth down to a usable 2 inches. I continue to try to dilate with the 41mm dilator but no improvement. It feels like my partner is hitting a wall during intercourse and we haven't been able to even force through it.
While I'll never regret bottom surgery I'm unhappy with these results. Nearly $60k spent for meh aesthetics, scrotum skin left over on the exterior that apparently can't be fixed without horrible scarring, I can't pee straight (Imagine putting your thumb over a garden hose. He made a cut for this during the revision that made no difference) and I can't have sex. Sorry for the rambling but does anyone have any advice here? Anything I can try? I just have no idea what I can do at this point.
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