I am a transgender woman in the UK and I had a peritoneal pull-through vaginoplasty 3 years ago at the Kamol Hospital in Thailand. My surgery results were bad. My clitoris protrudes such that it rubs against my underwear, and there are several other issues. I had difficulty dilating while I was there and subsequently dilated far less than I should then not at all. I lost a great deal of depth. I have been severely depressed and not had stable housing throughout that time- these issues are ongoing. Quite early on I noticed some things that were quite worrying but, having a lot on my plate already, I ignored them.
I didn’t check regularly to see if things were getting worse either, but things seemed quite stable. Today in the shower I discovered a piece of flesh from my vulva hanging off, looking dead and seemingly slowly peeling off. I hadn’t even looked at my external genitalia for a very long time before this, and this made me check and things are worse than I remember all over. I still haven’t checked myself internally, though I don’t think I will be able to get much information that way anyway as I can’t even get my finger in far.
I’ve been sweeping this under the rug for a very long time (I’m asexual, it doesn’t affect much practically) but I’ve realised I can’t do that any longer, and need to get medical attention. I don’t even know where to go, though. My GP presumably isn’t going to know anything about vaginoplasty surgery. They might be able to identify if something is infected I guess, but I don’t think that’s the issue, and I want to know more broadly what I can do to fix this long term, rather than to just check if things are getting worse right now. I don't have money for private healthcare and the only reason I'm housed is because a friend is paying my rent.
I know I have handled this very poorly, but even writing this has been very difficult for me as I am not comfortable talking about these things, so please be kind in the comments. Sorry for the lack of medical details. If there is anything specific you need to know I can try to answer.
I don’t have a clue where I can proceed from here, and don’t know what resources are available online that could help me. Can someone give me a plan of what steps I need to take to fix things?