Dr. Theerapong Poonyakariyagorn, MD for Revised Sigmoid Colon Vaginoplasty in Thailand

Dr. Theerapong Poonyakariyagorn, MD, is a renowned plastic and reconstructive surgeon based in Bangkok, Thailand, specializing in gender-affirming surgeries. With extensive expertise in both primary and revision vaginoplasty procedures, Dr. Theerapong offers revised sigmoid colon vaginoplasty to address complications, functional challenges, or dissatisfaction from previous surgeries. His focus is on delivering aesthetic, functional, and long-lasting results, enhancing patient comfort, confidence, and overall satisfaction.

What is Sigmoid Colon Vaginoplasty?

Sigmoid colon vaginoplasty involves using a segment of the sigmoid colon (part of the large intestine) to form the vaginal canal. This method provides continuous natural lubrication, making it an ideal choice for patients requiring a durable, well-lubricated canal. It is often used when penile inversion vaginoplasty is not possible, has failed, or resulted in complications.

When is Revised Sigmoid Colon Vaginoplasty Recommended?

Patients who previously underwent vaginoplasty—either penile inversion or an earlier sigmoid colon procedure—may benefit from a revision if they experience:

  • Insufficient depth or narrowing of the vaginal canal.
  • Vaginal stenosis (tightening or blockage caused by scar tissue).
  • Persistent dryness or discomfort affecting intimacy and daily life.
  • Dissatisfaction with the aesthetic appearance or overall surgical outcome.
  • Complications such as fistulas, strictures, or infections from prior procedures.

Procedure Overview: Revised Sigmoid Colon Vaginoplasty

Dr. Theerapong creates a personalized surgical plan by thoroughly evaluating the patient’s anatomy, surgical history, and current concerns. Depending on the case, the revision process may involve:

  1. Removal of scar tissue or correction of strictures to restore function.
  2. Using a new segment of the sigmoid colon to enhance vaginal depth and lining.
  3. Reshaping and refining the external genitalia for improved appearance and functionality.
  4. Repairing complications such as fistulas, infections, or structural defects from prior surgeries.

This comprehensive approach restores the depth, shape, and natural lubrication of the vaginal canal, while also providing improved long-term durability.

Advantages of Sigmoid Colon Vaginoplasty for Revision

  • Continuous natural lubrication improves comfort and reduces dryness.
  • Increased depth and durability address limitations from prior surgeries.
  • Reduced need for frequent dilation compared to other methods.
  • Effective for vaginal stenosis or scarring-related issues.
  • Offers aesthetic refinements, enhancing the cosmetic outcome.

Recovery and Post-Operative Care

  • Hospital Stay: 7-10 days for close monitoring and to ensure proper healing.
  • Recovery Time: Light activities can usually be resumed within 6-8 weeks, with full recovery in 3-4 months.
  • Dilation: Regular dilation may be required initially to maintain the vaginal canal.
  • Follow-Up Care: Dr. Theerapong provides detailed, personalized post-operative care plans, including wound care and scar management.
  • Monitoring for Complications: Routine follow-up appointments help identify and address any issues, such as infections or fistulas, early on.

Ideal Candidates for Revised Sigmoid Colon Vaginoplasty

  • Individuals experiencing complications or dissatisfaction from prior vaginoplasty procedures.
  • Patients requiring increased vaginal depth or improved lubrication.
  • Those dealing with vaginal stenosis or significant scar tissue.
  • Individuals seeking aesthetic improvements to the external genitalia.

Why Choose Dr. Theerapong Poonyakariyagorn for Revised Sigmoid Colon Vaginoplasty?

  • Expert in Gender-Affirming and Revision Surgeries: Dr. Theerapong’s extensive experience with complex revision procedures ensures both functional and aesthetic outcomes.
  • Personalized Surgical Plans: Each procedure is tailored to meet the patient’s previous surgical history, anatomy, and personal goals.
  • Commitment to Safety and Innovation: Dr. Theerapong uses advanced surgical techniques to minimize risks and maximize patient satisfaction.
  • Comprehensive Pre- and Post-Operative Care: From consultation to follow-up, Dr. Theerapong provides detailed guidance throughout the entire process, ensuring long-term success.

Contact Information

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