Peritoneal Vaginoplasty in Madrid

Peritoneal Vaginoplasty in Madrid

Peritoneal Vaginoplasty in Madrid

Peritoneal vaginoplasty has established itself in recent years as one of the most advanced surgical techniques for creating a neovagina in trans women. It is an innovative option that uses the peritoneum, a tissue that lines the abdominal cavity, to form the vaginal lining.

At Dr. Jesús Lago’s 3 de Mayo Clinic, we have a team specializing in gender affirmation surgery, offering safe, personalized procedures tailored to each patient’s needs.

What is peritoneal vaginoplasty?

Peritoneal vaginoplasty is a reconstructive surgery that aims to create a functional and aesthetic neovagina in transgender women who wish to complete their transition process. Unlike other techniques, such as penile inversion, this procedure uses peritoneal tissue, which has unique characteristics:

  • It is a thin, resistant, and flexible membrane.
  • It has a natural capacity for secretion and lubrication, which improves the functionality of the neovagina.
  • Its structure is similar to the vaginal mucosa.

Who is it recommended for?

This procedure is usually recommended for trans women who:

  • Do not have enough penile or scrotal tissue to perform a conventional vaginoplasty.
  • Have had previous surgeries that limit tissue availability.
  • Are looking for a technique that provides better results in terms of vaginal depth and lubrication.

Each case must be assessed individually in consultation, following a comprehensive medical and psychological evaluation.

Benefits of peritoneal vaginoplasty

  • Spontaneous lubrication thanks to the properties of the peritoneum.
  • Greater depth and elasticity of the neovagina.
  • Lower risk of retraction compared to other techniques.
  • Improved sexual function and quality of life.
  • More natural aesthetic results.

Peritoneal Vaginoplasty Surgery

in Madrid

Duration Surgery

9 hours

Time of Admission

Three-day hospitalization

Type of Anesthesia

General

Type of surgery

Combined perineal and laparoscopic

Recovery time

1 month

What do our customers say about us?

The surgical procedure

The procedure requires a team highly specialized in urological and reconstructive surgery. It generally includes the following steps:
  1. General anesthesia and surgical preparation.
  2. Creation of the vaginal canal in the pelvic area.
  3. Obtaining peritoneal tissue using a minimally invasive approach.
  4. Molding and fixing the peritoneum in the neovagina.
  5. Cosmetic adjustments to the labia minora, clitoris, and vulva, as appropriate.
The surgery usually lasts approximately 9 hours, although this may vary depending on the patient’s anatomy and whether additional procedures are required.

Recovery and post-operative care

Recovery after peritoneal vaginoplasty requires close medical follow-up. Care includes:
  • Initial hospitalization for several days.
  • Pain management and infection prevention.
  • Regular vaginal dilations, which are essential for maintaining depth and elasticity.
  • Regular medical check-ups at the clinic.
Returning to daily life can take between 6 and 8 weeks, although full recovery can take several months.

Expected results

Most patients experience a significant improvement in their quality of life, with a neovagina that allows them to have satisfying sexual relations and has a very natural appearance. The satisfaction is usually high, provided that the patient correctly follows the medical recommendations and the post-operative care plan.

Risks and possible complications

As with any major surgery, there are risks that must be taken into account:
  • Bleeding or infection.
  • Stenosis (narrowing) of the vaginal canal.
  • Fistulas or urological complications.
  • Need for revision surgery.
Choosing an experienced team, such as that at Dr. Jesús Lago’s Clínica 3 de Mayo, is key to minimizing these risks and ensuring a safe outcome.

Peritoneal vaginoplasty: Explanatory video

Dr. Jesús Lago explains peritoneal vaginoplasty.

Does peritoneal vaginoplasty produce natural lubrication?

Yes. Peritoneal tissue has secretory capacity, which provides spontaneous lubrication and greater comfort during sexual intercourse.

Is it safer than penile inversion vaginoplasty?

Peritoneal vaginoplasty carries the same risk as penile inversion but achieves greater depth and greater long-term depth stability.

How long does recovery take?

Initial recovery takes several weeks, but full adaptation can take between 3 and 6 months, depending on each case.

Is it necessary to perform dilations after surgery?

Yes. Dilatations are an essential part of the postoperative period to maintain depth and prevent retractions.

Are the results permanent?

With good post-operative care and regular medical check-ups, the results are long-lasting and allow for a fulfilling sex life.

The best professionals for your peace of mind

In addition to applying our knowledge in the field of aesthetics, which is the result of our training, we strive to always provide the best personal treatment to our patients, achieve the best results in each case, and thus ensure their maximum satisfaction.

IMPORTANT: The information contained on this website is for general guidance only. It is not intended to replace a personal consultation where your particular case will be assessed and an accurate diagnosis will be made. If you wish, you can request a consultation without obligation so that we can assess your case. We take care to ensure that your information is correct, but if you do not understand any word or explanation, please do not hesitate to contact us.

You can contact us by calling +34 918 513 317 – +34 620 482 200, sending an email to consultas@institutojesuslago.com or filling out the following form.

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Rescue surgeries are surgical treatments intended to treat or modify complications or negative outcomes from a previous surgical treatment performed at another center.

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