Is it safe to go through with a peritoneal vaginoplasty ?

The community is extremely excited for peritoneal vaginoplasty. But is it a safe procedure and is it really invasive? What does Dr Richie Gupta say?
A new technique
As always there is a craze for a new technique and the same thing is happening for peritoneal vaginoplasty. Modified penile inversion and sigmoid colon are gold standard techniques- the consequences of this surgery and the differences it brings in the patient’s body can be mapped out over days, weeks, year and even decades because of the fame of these techniques. This has been happening for years but peritoneal vaginoplasty does not have that history. This is a new technique and so there is no bubble anastomosis compared to sigmoid but there is a lot of dissection that happens to the peritoneal.
What is a Peritoneum?
This is the inner lining of the abdominal cavity. And all our vital organs are inside this so the Fortis GI team does a laparoscopy or a robotic dissection of this peritoneum. The peritoneum membrane reduces, it is also very thin. If you compare it to a sigmoid then its walls have thin linings and then it is brought down to the introitus area and then a vaginal cavity is formed. There are other methods too of this and some people call it the peritoneal pull-through. and all surgeons have different methods for this.
Dr Richie Gupta relays that after talking to a lot of doctors who perform this surgery. There is a famous Thai surgeon who mobilises the peritoneum take it down and the remaining cavity is made by the scrotal skin. So the 2 inches above the vaginal cavity are lined with peritoneal. And 4-inch scrotal skin graft is used for lining. Most surgeons interdigitate the tissues. So a little bit of penile flap is used because we don’t want mucosa invitus should not be visible in the end. So there are a lot of techniques. So this is a new technique and there haven’t been many long-term results that we have to notice.