WHAT DOES THE SURGERY CONSIST OF?
1 - Creation of the vaginal cavity
The first step the surgeon will take is to create the vaginal cavity; between the prostate and the urethra at the top and the rectum at the bottom.
2 - Lining of the vaginal cavity
The vaginal cavity created is lined with the skin of the penis or, in the case of a colon vaginoplasty, with the intestinal flap.
3 - Orchidectomy
The next step will be orchidectomy, the operation to remove the testicles.
4 - Penectomy
The penis is then removed, preserving a piece of the glans and foreskin, to be the clitoris and clitoral hood and labia minora, and the urethra is shortened.
5 - Aesthetic finish of the neovagina
Finally, with the remnants, the surgeon will construct labia majora, labia minora and a clitoris with a clitoral hood.