Sex reassignment surgery example result by Dr.Chettawut – Case 2

32 years old from China

 

Procedure Description of Sex Reassignment Surgery – Case 2

Overview

This case presents the typical result of Dr. Chettawut’s non-penile inversion technique for patients with short penile length who have not undergone circumcision. The procedure involves using the whole penile and prepuce skin, which is naturally pinkish, to form the labia minora, creating a natural-looking result.

Labia Minora Construction

The labia minora is constructed using the entire penile and prepuce skin, forming lip-like folds starting from the clitoral frenulum down to the sides of the vaginal opening. This method ensures a natural appearance and feel.

Vaginal Opening Appearance

The vaginal opening, created using the non-penile inversion technique, is vertically elongated, mimicking the natural appearance in a biological woman. The urethral opening is correctly positioned anatomically, with the spongy tissue around the urethra (corpus spongiosum) completely removed.

Labia Majora Appearance

The labia majora is proportionate and aesthetically pleasing, with no noticeable scarring despite the patient’s Asian skin complexion. The shape, size, and proportion of the labia majora are well-matched to the patient’s body, providing a harmonious overall appearance.

Post-Operative Results

At the 13-month post-op evaluation, Dr. Chettawut confirmed that the skin graft used as the vaginal canal lining was hairless and stable. With proper and regular dilation, the patient maintained her original depth of 6 inches, indicating successful surgical outcomes.

Conclusion

This case demonstrates the effectiveness of Dr. Chettawut’s non-penile inversion technique in creating natural-looking and functional female genitalia. The results highlight the importance of skilled surgical techniques in achieving aesthetically pleasing and anatomically correct outcomes for sex reassignment surgery patients.