Penile Inversion Vaginoplasty Genital reconstruction

Yes, it is advisable to stop the hormonalization, mainly estrogens, for at least four weeks before the surgery due to the risk of thrombosis and pulmonary embolism. As it is a long-term pelvic procedure, there is in itself this risk and if the patient continues with the hormonotherapy, estrogens would increase this risk. Nevertheless, it is only an advise to the patient since there is not enough scientific support to make this interruption mandatory for the surgery when the trans women is under medical control and the estrogen levels are in the correct range for a women.

The time of admission is variable, although it generally does not exceed three days. The hospital admission is made for post-operative control of bleeding, possible bruising and the possibility of infection. Once the patient has risen, has correctly taken food orally, and no complications have been observed, it is advisable to be discharged to avoid infections by resistant and difficult-to-treat germs, associated with prolonged admissions in Hospital.

As in any intervention, complications can occur. The most common are hematoma and infection. Both must be controlled by the surgeon and with a proper diagnose and the appropriate treatment, can be eliminated without sequelae and without risk to the patient.

Dilations in the first weeks are not painful. These first "dilations" are carried out with fine probes since it is not necessary to dilate. The goal of using these fine probes for the first few weeks is to leave the newly created tunnel patent and to prevent sutures from opening in the vulva when dilators are used. Neither is it necessary to carry out any type of washing or exceptional antibiotic coverage since infections are controlled in the operating room with the corresponding intraoperative antibiotic prophylaxis. From the fourth to sixth week, the dilations themselves begin, with dilators whose diameter implies a dilation of the tissue of the perineum.