Dr Kanhai performs the total vaginectomy which is removing the entire vagina.
During vaginal sheath removal, Dr Kanhai removes the entire vagina. This is called a total vaginectomy. Some transgender men get a vaginectomy as part of gender affirmation surgery, this can help reduce gender dysphoria. This is also called female-to-male (FTM) “bottom surgery”. Vaginal sheath removal is usually performed simultaneously or before/after metoidioplasty or phalloplasty, but always after hysterectomy has been done.
What to expect
Pre-operative:
- Bring a list of your questions and concerns to your pre-operative visits. Understanding the expectation for recovery, based on your plan, is essential.
- You will need surgery referral letters from two qualified mental health professionals.
- You will be given guidelines on eating, drinking and adjusting current medications before the surgery can take place.
- Smoking is a relative contra-indication to subcutaneous mastectomy. Because of the increased risk of infection i.a., you are advised to stop smoking as soon as possible.
- After you have discussed which surgery technique is best for you, Dr Kanhai will draw up a plan for the operation.
- The anaesthesiologist will provide information on the anaesthesia, and doctor Kanhai about the type of the operation, and the follow-up procedures that might be necessary.
- Dr Kanhai will also ask about any risk factors for blood clotting issues (past deep vein thrombosis or pulmonary embolism), bleeding problems (like haemophilia), or family/personal history of issues with anaesthesia.
- You will undergo a physical examination to ensure readiness for the operation.
Peri-operative
- We will give you general anaesthesia through a vein in your arm. You will be asleep throughout the procedure and won’t feel any pain during surgery.
- Dr Kanhai will perform this procedure vaginally (through your vaginal opening). He will take out the complete vaginal tube and close the vaginal opening.
- The entire vagina is removed, making sure to avoid injuring nearby parts.
Post-operative:
- After the procedure, you will need to stay in the hospital. Usually only for a few days.
- We will will monitor you and give you medications to relieve pain. These medications also reduce swelling and lower the risk of infection.
- When you are able to go home, we will tell you how to care for yourself and your incisions.
- Follow our instructions carefully. You should limit physical activity for at least a few weeks.
- Avoid lifting or carrying anything heavy. We will tell you for how long you should rest and give you post-care instructions.
