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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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