This is a totally new approach that happens in two steps. Actually the best results I have ever seen. It's incredible how different results are - compare to Dr. Rumer. Amazing what actual urological surgeons can do. These guys were not able to receive any grants/funding for their work, and they advocate for better controls and longer wait times and multiple steps for better results. Still horrifying but notably better than so many other fucked up results we've seen.

Foreskin markings at the beginning of surgery. Correct incision: red arrow.

Dissection (red arrow) between outer (blue) and inner (green) layers of foreskin and their respective neurovascular bundles.

Separation of penis tissues. A: penile skin flap, B: glans penis with inner foreskin layer and neurovascular bundle, C: spatulated urethral flap.

Close-up image of the glans penis with inner foreskin layer and neurovascular bundle.

Incision of skin at penile base and transfer of the glans penis and inner foreskin layer to their new positions: creation of clitoris with its prepuce (the tissue that covers the clitoris).

Intraoperative photography of constructed neovagina. A: scrotal skin transplant, B: penile skin flap, C: spatulated urethral flap.

Insertion of vaginal construction into pelvic cavity between prostate and rectum.

Insertion of vaginal construction into pelvic cavity between prostate and rectum.

Frontal image of reconstructed vagina at the end of first-stage SRS. Urinary catheter visible at the top.

Representative genital result no. 1. Patient 7 months after first-stage SRS. The large labia spread to demonstrate the small labia.

Figure 13. Representative genital result no. 2. Patient 13 months after first-stage SRS and 6 months after second-stage SRS. Frontal view and view from above.
Want to compare?

Single stage result.

Instructional image of a neovagina for gynecologists (who are supposed to do the exams of the cavity and prostate).