Detailed Process of Creating Each Part of the Female Genital Organ

1. Mons Veneris

The mons veneris, also known as the mons pubis in females, is a rounded mound over the pubic bone. Its size varies with the amount of fat tissue, sensitive to estrogen. Post-SRS, the mons veneris contains the neurovascular pedicle, responsible for making the clitoris and parts of the vulva vestibule sensitive.

2. Clitoral Hood

The clitoral hood is a fold of skin that surrounds and protects the clitoris, playing a vital role in achieving pleasure during sexual arousal. Dr. Chettawut preserves the special sensory nerve innervating this structure, using the pink-colored foreskin (prepuce) for a natural appearance.

3. Clitoris

Made from the most sensitive part of the glans penis, the clitoris is set in the correct anatomical position. It is designed to resemble a female clitoris, with the option for a slightly larger size if requested. Dr. Chettawut guarantees the ability to achieve orgasm due to the preservation of the dorsal nerve of the clitoris.

4. Clitoral Frenulum

This tiny fold of tissue, made from prepuce skin, unites the labia minora and the bottom part of the clitoris, remaining sensitive due to the dorsal nerve endings from the clitoris.

5. Vestibule of the Vulva

The upper part of the vulvar vestibule is constructed using sensate skin innervated by branches of the pudendal nerve, while the lower part uses pink urethral tissue for a more appealing look.

6. Labia Minora (Inner Labia)

The labia minora are two flaps of skin on both sides of the vaginal opening. Their color can be light pink, depending on the prepuce. Dr. Chettawut uses penile and foreskin to form the best possible inner labia, rich in sensory nerve endings for sexual pleasure.

7. Labia Majora (Outer Labia)

The labia majora, homologous to the male scrotum, are constructed using scrotal skin and fatty tissues. The remaining scrotal skin can be used as a skin graft for the vaginal canal lining.

8. Urethral Opening

The urethral reconstruction, combined with the removal of surrounding corpus spongiosum, ensures a normal pattern of female urination and prevents tissue engorgement during sexual arousal.

9. Vaginal Opening and Posterior Fourchette

The vaginal opening is made from penile and perineal skin, designed to be vertically oriented for the best possible shape. The posterior fourchette, a half-moon-shaped area, is also created.

10. Vagina

The vagina, a tubular structure lined with skin graft from the scrotal or groin skin, can potentially self-lubricate due to remnant para-urethral glands and intact Cowper’s gland. The G-spot stimulation can lead to vaginal orgasm. Dr. Chettawut’s technique ensures a 6-7 inches vaginal depth regardless of penile size.

Key Techniques and Considerations

• Non-Penile Inversion SRS: A unique approach by Dr. Chettawut providing natural-looking results.
• Skin Graft Technique: Utilizes scrotal and groin skin for hairless and functional vaginal lining.
• Clitoral Sensation: Ensures preservation of sensory nerves for sexual pleasure and orgasm.
• Aesthetic and Functional: Combines aesthetic appeal with physiological function for optimal SRS results.

Post-Surgery Care and Recommendations

• Genital Hair Removal: Dr. Chettawut’s recommendations for pre-surgery preparation.
• Medical Care: Essential post-surgery care for recovery and maintaining results.
• Vaginal Dilation Routine: Importance of regular dilation to maintain vaginal depth and function.
• Complications Prevention: Tips on avoiding potential complications after SRS.

By following Dr. Chettawut’s detailed and patient-focused approach, individuals undergoing SRS can expect excellent anatomical and functional results, enhancing their quality of life and well-being.