Part 2 - Shallow/Zero-Depth Vaginoplasty Goals & Outcomes - How satisfied are patients?
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- Опубліковано 27 вер 2024
- Hi! I'm Dr. Jamie (she/they). I'm a medical doctor, psychiatrist, WPATH GEI SOC8 certified member, and gender researcher who specializes in gender affirming care.
This is part 2 in a 3 part series looking at articles on shallow/zero depth vaginoplasty.
Citation:
Stelmar J, Smith SM, Lee G, Zaliznyak M, Garcia MM. Shallow-depth vaginoplasty: preoperative goals, postoperative satisfaction, and why shallow-depth vaginoplasty should be offered as a standard feminizing genital gender-affirming surgery option. J Sex Med. 2023 Oct 31;20(11):1333-1343.
Article Link: doi.org/10.109...
Link to Part 1 - • Part 1 - Vulvoplasty a...
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Disclaimer: These videos are not meant to be considered medical advice. If you have questions about your gender identity or any topic discussed on this channel, I recommend seeking a qualified medical or mental health professional
If you need a gender affirming provider, the World Professional Association of Transgender Health (WPATH) has a provider directory search. www.wpath.org/...
I never knew this much about ladies' parts in all my life Dr. Jamie! 🤣🤣 ..."and if you want those parts, get those parts." I'm dying over here. LoL 🤣 Your euphoric level seemed to be a 10 out of 10 on this one. 🌷💖🏳️⚧️
@@time4clocks It’s because I HAVE THE PARTS 🥰😂
Great information. Thank you.
Glad it was helpful! 🏳️⚧️🏳️⚧️🏳️⚧️
❤❤❤ thank you- is good information 😊
You're welcome!
I went with zero depth. Great video 👍🏿
I hope the video provided some helpful information for you then. 😊
Hi Dr. Jamie,
Would you consider doing a video on how to choose a surgeon?
@@willsmom93 That’s a great video idea. 🥰
A big Thank You for bringing out this information about SDV since it's so rare to find compared to other facts and opinions regarding GRS in general.
You're welcome. There are far fewer studies on SDV vs. FDV. Happy to bring this information to the people. 🙂
I have a SDV and have a depth of 6.25 cms and found that is useful .I also opted for a clitorus and
both work for me I am now 82 and still active .Never regretted my decision for a second ..
@@FranceneJacques Thanks for sharing. 🙂🏳️⚧️💕 Wow! That’s a lot of depth for a shallow-depth procedure. Thankfully, clitoral construction is now standard for these procedures.
@@FranceneJacques That is very interesting to hear. I'm curious to know if you had to dilate or not after the operation.
Did not have to dilate .
I know for me this not about sexual interaction or orgasm, I've always been able to talk it or leave it.
For me its more about being real. To be able to go for a shower at the gym not feel im in the wrong body. Or to be able wear something form fitting. I am looking forward to the day where i can go out in a tee shirt and leggings.
I think those are all valid reasons to explore gender affirming surgeries. 🙂💕🏳️⚧️
@@DrJamieTalks I would use the verb "get" , but hey, we all ride this roller coast for different reasons 🤪
Feeling confident in "public spaces" and in being able to wear any women's clothing were among my top reasons for getting srs, but it didn't help when it came to picking which surgery to get. It all springs from the need to feel whole/complete, and srs is a part of that package.
I don't feel less confident in the shower or locker room (I did this for the first time a few days ago) because I have shallow depth, it all looks about the same on the surface, and I think it feels about the same, though I don't think anyone knows for sure, there is just no way to do a comparison, but it's close enough as far as I'm concerned.
Considering the SDV is the first depth to FDV with colon, I'm guessing it would feel the same to the FDV at least in terms of sensation. I'd be curious to hear from someone who got the 2-step procedure to find out how things changed (if at all) after step 2.
This was very informative and helpful, thanks Dr. Jamie.
And just in time, I just collected all the paperwork I need for my insurance. Now fingers crossed that they approve.
I'm planning for shallow depth. My main motivation is that the ability to receive penetrative sex would be more of novelty value than something I'd regularly pursue and desire (almost 50 years old, married to a eoman). On the other hand, the neovaginal canal seems to be the main area of complications (fistulas, granulated tissue, etc.), it's the part that takes longest to heal, and it comes with a lot of maintenance overhead (dilation, douching).
@@ismiregalichkochdasjetztso3232 Hello. Happy the video was helpful. You’re right, much of the risk for the ‘major’ complications are associated with the canal. I’m considering doing a 4th video in this series, which would be more of a ‘head to head’ comparison of FDV and SDV
I've been looking forward to this information. Ive wanted to have male parts gone, but have worried that my age (80) would make a surgon take pause. The zero depth seems as though it might work, with easier recovery and less maintenance. I dont foresee wanting any activity that would include a need for penetrative availability. I want clothes to fit and sexual activity with women. I am also assuming that the procedure would be close to the recovery time if an oricectomy. Thank you Dr Jamie, for this information and im looking forward to Part 3!❤❤😊😊
@@jimjones7912 You’re welcome! ☺️ I think the recovery would be a bit more intense than orchiectomy, but I don’t think that’s a reason not to consider it. 🙂 I hope Part 3 brings you inspiration! 💕🏳️⚧️
The first 8 days I was in hospital, and then I was able to take the train home with lots of pain killers in me. It took me about 4-5 additional weeks of recovery before I could do simple tasks like going grocery shopping etc without much pain. I'm at 8 months now and ride a bicycle a good distance with just a little soreness still. After a year, I think it will feel like I was born with this part of me. I was 62 when I got the shallow depth vaginoplasty.
I hope this gives you some idea, about recovery. It's a couple of days shorter hospital stay and I think the other aspects of recovery go just a couple of weeks faster than with full depth, just comparing notes with Dr Jamie here.
It's still a pretty big surgery, at any age, but if I died today, I will have at least lived a few months feeling very happy and complete as a woman, and that was a major goal for me when I started my transition 5 years ago. Anything else from here is all icing on the cake.
Thanks for your sharing your experience. 🏳️⚧️💕 This information is like gold for others.
Okay, I fear I'm missing or misunderstanding something, but on Study 2, Table 4 it says "Clinical followup period, mo" with a figure of 8 +/-9. A mean of eight months plus or minus nine months? Did the followup period in some case end a month before the surgery? How does that work? Or was that a misprint?
I think that’s +/- 9 days but I’d have to look again. That’s just a confusing statistic in general. 🤔
@@DrJamieTalks I saw that as well, I think it's a typo.
This kind of reminds of stats in product design, and built in obsolescence. 😀
@@Chloedawnknauer I think we both deserve pats on the head for showing we paid that much attention. 🙂
@whoviating I'm glad there no best before dates to worry about 😀
Okay, pats on the head for you both. :-)
It would be interesting to know how long after surgery they asked patients about ability to experience orgasm with a partner?
A lot of cis women have difficulty achieving orgasm with a partner too. It takes time and practice to figure out for sure but I'm surprised at the numbers shown here, just based on my experience. Then again I'm one of those girls who can orgasm from a decent breast massage 🙂
In this case it would have been several years post-op for most patients.
I think that’s an important point about cis women and orgasms. 🤔 I think you’re on to something! 😀
@@DrJamieTalks Yes, I think in part it's a bit of a mental game for all of us, we have to learn to play, a lot depends on partners understanding, and that is something we have to provide some feedback on.
Certainly the shallow depth vagina is unfamiliar equipment for just about any partner, pretty rare, so it takes some explaining. That is probably the least fun part about this choice of procedure, the necessary break in the spontaneity with new partners.
One piece of information I was given post surgery was to explore things down there often because it helps get everything well connected to the brain, and I think that is good advice, but you can't learn partnered sex on your own. It takes at least two to Tango!
i want depth.
It’s important for a lot of people. 😊
@@DrJamieTalks definitely is for me.
🥰
You asked 6.25 cm very deep for sdv .I have a malformed uterus and fibroids to boot and no vaginal canal and that may helped with the depth situation available during the proceedure . @@DrJamieTalks
I was against the idea of zero depth but being older i didn't expect to ever have use for a va-jay-jay.
Your video is a strong argument for it.
It’s a legitimate option for many people. 🙂🏳️⚧️
You do an excellent job giving us all of the details. I learned a lot. Thanks for another informative video.
@@davefisher1840 You’re welcome! ☺️ 💕🏳️⚧️
I was offered this, and it's what I originally intended to go with, but I think on the NHS in the UK they won't give you a second operation to get a vagina if you've already had zero depth; I thought I would more likely experience regret from shallow depth; and I was very fit to start with, so I went with full depth. Even though I haven't completely healed yet and I suspect I would have had I gone shallow depth, I have no regrets about the choice I made - and also I haven't "used" it yet, but I would like to experience toys at some point! If my health was not good, I think that would have led me to shallow depth.
Sounds like you made the right choice for you. 😊🏳️⚧️💕 My surgeon mentioned 6 months for intercourse. I’m wondering if it’s the same for toys? 🤔
@@robynrox it will be, interesting to see how the Canadian system handles these questions
@@Chloedawnknauer I think they will only pay for the first surgery, in Ontario at least. GRS Montreal might offer revisions as part of the original surgery if you have an unsatisfactory result.
@@DrJamieTalks I wasn't given any timescales as such for intercourse or toys. There was a warning not to use any vibes on the clitoris though. Some of my feeling is now back and I think I will be fully functional, so to speak!
@@JaneChristensen. thankyou this is good to know
Iam a male an I want my testicles removed. Where can get done in MN . Need doctor name . How more surgery to go all the way to be a female.
If you are interested in finding a gender affirming provider who can talk to you about your concern, you may wish to use the WPATH provider finder. I have a link at the bottom of the description of every video I post.
@@DrJamieTalks iam 70 years old iam thinking about getting my testicles removed. Reason why iam not married or got kids . I don't want kids . This is why I want them removed. So is it big thing to get it done. Do I need to go to a psychiatrist to get the paperwork done so I get that surgery done?? I want get it done in MN. Can you help me to get it done. I need the doctor name or set me up for appointment for me ok . Will medcare cover it??
Thank you ❤
You’re welcome ☺️ Hopefully some of that was helpful.
@DrJamieTalks I really appreciate all the information you when able to gather. Again greatly appreciated. 🏳️⚧️
Cheers 🥂
When we visited the surgeon last November we were told about the options for surgery. What I was surprised to hear was that the shallow depth could be reoperated on to gain full depth should one were to experience more normalized sexual relations.
At first I thought I misunderstood her statement. and asked her for more detail information.
I’m guessing they were referring to the colon/intestinal vaginoplasty as a second step. It may also be possible to use peritoneal tissue, but I’ve not yet seen data on that.
@@DrJamieTalks Yes indeed that is how it was presented to use.
I was impressed with how professional the clinic was. Now it is just a wait game.
@@davidmicheletti6292🥰
❤❤❤ am taking small steps, because of my age..70..considering options after.Not saying:" never say never" but on medication for hypertension.
@@ReikkiKyraJonsun
Do what you need to do to make your soul better