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Service Information
Recovery
The
neovagina can function within 6 weeks.
Results
After
6 weeks, the patient should be able to engage in neovaginal intercourse.
During sexual arousal, there is some vaginal lubrication - though
in most cases the patient should apply lubricant jelly at the vaginal
opening prior to intercourse (as with dilation). Typically during
arousal, mild swelling of the urethral meatus from excess corpus spongiosum
may occur which can be corrected for cosmetic improvement without
additional cost if the patient returns to Thailand. During sex, sensation
at the vaginal opening, inner labia, and neoclitoris can be comparable,
and certainly more sustained after climax, than previously in the
male sex. It is essential to avoid any strenuous activity which can
complicate recovery.
Hospital Admission
Five
nights admission
Anesthetic
General
anesthesia (you are asleep)
Post Operative
Care
After
release from Bangkok Phuket Hospital the patient will recover with
the aid of liaison at the hotel. During recovery in the hotel, the
patient must follow patient instructions, including:
(1)
Dilating is the most important thing you can do to ensure the success
of your surgery. If the patient does not dilate responsibly, this
can result in the shortening of depth and width of the newly made
vagina because of the scar contracture.
(2)
Failure to dilate properly can result in serious injury. You will
be instructed to gently dilate into the right direction after the
vaginal packing is removed.
(3)
Dilation can be painful for the first weeks, but is essential for
developing maximum depth and ensuring postoperative functioning of
the neovagina.
During
the recovery period, after each dilation session:
The wound should be washed gently with Hibiscrub (pink colour) in
the shower followed by douching while seated in the toilet:
(1)
douche proportion = 5-10 ml (cc) of Betadine solution mixed with bottled
water until container is full;
(2)
insert the douche to full depth, squeeze, and hold tightly the container;
(3)
while holding tightly the container, extract the douche;
(4)
keep the wound dry and apply Betadine solution with cotton balls;
and
(5)
apply Kemicitine ointment with a cotton applicator. If there is some
bleeding, press or apply pressure with a dry cotton ball to the site
for 15 minutes. During the first weeks after surgery, feminine napkins
(tampons) should be changed several times per day due to normal vaginal
bleeding during recovery.
After
one month of SRS operation you will be required to start applying
Premarin cream to your neo-vagina. Apply two times a day to soften
your neo-vagina. This would generally take around six months.
Patient
can return to female hormones as before surgery after two months.
You should consult your endocrinologist to re-adjust the dosage. A
sudden change in hormone levels, for some individuals, may result
in the fluctuation of emotion. |
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