Part 2: Penile preservation vaginoplasty two days post-op

72
u/TransThrowAway482618
Thu Dec 16 17:30:44 2021 UTC
*
(16 comments)

Part 1: https://www.reddit.com/r/Transgender_Surgeries/comments/revtj4/part_1_penile_preservation_vaginoplasty/

First day post-op:

I'm doing pretty well, not much pain (I was expecting a lot more). I also walked around the hospital floor earlier today, which apparently is more than most people do at first. I've got some neat calf massager things to prevent clots while I'm still in the hospital.

The walking was really nice after all this lying down, but I was definitely feeling more pain afterwards. It's subsided though. I think getting in or out of bed puts strain on the stitches, and that's where the pain is coming from.

If I manage to get up and walk around three times today, I can restart my estrogen at the full dose.

Second day post-op:

I was discharged from the hospital yesterday, and made it home to the Airbnb in a cab. The donut pillow helped a lot. I got into bed immediately and watched some TV with my partner before deciding to take a nap around 4pm. I did not wake up until around 2am.

I was able to get up out of bed to change my ice packs on my own, a total of three times. I'm lying in bed right now waiting for my partner to get us both breakfast.

Part 3: https://www.reddit.com/r/Transgender_Surgeries/comments/rl9k2s/part_3_penile_preservation_vaginoplasty_1_week/

all 16 comments


8
u/servicefriends
Thu Dec 16 18:23:50 2021 UTC
(2 children)

I'm curious how things are/go. I'm considering this as well

3
OP
Fri Dec 17 04:04:21 2021 UTC
(1 child)

Thanks for your interest! I'll definitely be posting more updates over the coming weeks. Next big step will be to take the wound vac and packing off so I can start dilating, but I'll still need the catheter in for another week because of where Dr Wittenberg needed to put things (closer to my bladder apparently, I didn't quite follow).

So far the healing is going quite well, and there's not much pain.

3
Fri Dec 17 14:09:26 2021 UTC
(0 children)

Thanks, I really appreciate hearing from someone who has already had the procedure. I'm nonbinary AMAB, who wants to present as male. This is really perfect for me. I was going to go with a vaginoplasty but the penis preservation is a better option. Glad to hear your feeling better. Have a nice holiday with your partner, Hugs!!

6
u/NonDairyYandere
Thu Dec 16 22:06:24 2021 UTC
(3 children)

Congrats, I'm also following any info I can get on this type of surgery

3
OP
Fri Dec 17 04:06:52 2021 UTC
(0 children)

I'll definitely be posting more updates over the coming weeks.

2
Fri Dec 17 17:31:59 2021 UTC
(1 child)

You can find some more info on the wiki associated with this subreddit, and also on r/salmacian . I'm open to questions as someone who's post op as well.

1
OP
Fri Jan 14 22:57:03 2022 UTC
(0 children)

I'm sorry to hear what happened! Best of luck with the insurance and revision and everything 💜

4
u/HiddenStill
Fri Dec 17 00:46:06 2021 UTC
(1 child)

Just fyi, in a url you can generally remove the ? and everything past it. Its usually tracking codes. This is sufficient

https://www.reddit.com/r/Transgender_Surgeries/comments/revtj4/part_1_penile_preservation_vaginoplasty

2
OP
Fri Dec 17 04:05:25 2021 UTC
(0 children)

Thanks for the tip!

3
u/Androgynoplasty
Fri Dec 17 00:12:52 2021 UTC
(3 children)

Sounds like your recovery is going well so far. I'm always amazed reading about how quickly folks progress with the peritoneal technique as opposed to the original skin graft method my experience was with.

4
OP
Fri Dec 17 04:13:21 2021 UTC
(2 children)

I imagine the swelling just hasn't started yet, but the healing does seem to be going well so far at least!

This is also a specific peritoneal technique that leaves the peritoneal tissue attached to its original blood supply, rather than harvesting and grafting (like Dr Avanessian does). I think this also contributes to faster healing and lower complication rate.

2
Sat Dec 18 15:09:54 2021 UTC
(1 child)

Yep, I'm familiar with the technique. I did a bunch of research on it back when I was originally going to go for a plain vaginoplasty, and then when I went for the PPV instead the peritoneal methods were not yet offered by any surgeon for PPV so I didn't have it done myself.

As far as I am aware the 4th or 5th (not sure which number they were) PPV recipient had a form of that peritoneal technique done, and it's been getting refined since. Your recovery is likely to be quite quick, barring any complications.

3
OP
Sun Dec 19 17:43:21 2021 UTC
(0 children)

Ah, glad you're already familiar. Dr Avanessian offered a different method that involved a peritoneal graft (that does get removed from the blood supply for a while) so I figured I'd be specific.

I'm glad to hear it sounds like recovery will be quick!

u/[deleted]
Thu Dec 16 19:27:08 2021 UTC
(1 child)

[deleted]

1
OP
Fri Dec 17 04:04:37 2021 UTC
(0 children)

Thank you!! 💜

2
u/princess_raven
Fri Dec 17 05:40:19 2021 UTC
(1 child)

Thanks for posting; am also considering this and am excited to see any future updates. Wish you the best with your recovery! 😁

2
OP
Fri Dec 17 07:30:02 2021 UTC
(0 children)

Thank you very much! And good luck on your journey to figuring out what you need 💜