I met Dr. Narendra Kaushik to discuss vaginoplasty.
He explained the different techniques available: Zero-Depth, PIA, PIB, Sigmoid (Sigma-Lead), and Peritoneal.
Choosing the right technique is a personal decision, but according to the doctor, PIA and Peritoneal are not his preferred options.
Zero-Depth – Suitable if you only want the external vulva with no vaginal canal. Lowest surgical risk, but no depth.
PIA (Penile Inversion Type Alpha) – Uses only penile skin to create the vaginal canal. Expected depth is around 2–3 inches. Dilation is 1 hour in the morning and 1 hour in the evening for 6–9 months. External lubricant is required during intercourse.
PIB (Penile Inversion Type Beta) – Uses both penile and scrotal skin, with an attempt to preserve the prostate. According to the doctor, this may provide some natural moisture externally, although lubricant is still recommended during intercourse. Expected depth is 5–8 inches. Dilation schedule is the same as PIA. Regarding internal hair, he said consistent dilation creates friction that may reduce hair over time, but laser hair removal before surgery is still the better option (though not mandatory). Current waiting period at Olmec is 2–3 months.
Sigmoid (Sigma-Lead) – Uses a section of the colon to create the vaginal canal. It requires abdominal surgery. The vagina is self-lubricating but naturally produces mucus and may have an odor, which cannot be eliminated surgically. The doctor also mentioned that if you have a family history of ulcerative colitis, this option carries additional considerations because future colon disease could affect both the intestine and the neovagina. Requirements include BMI around 21, being a non-smoker, and HIV-negative. Depth can be created as desired. Dilation is 15 minutes morning and evening for 6–9 months. Current waiting period is 4–5 months.
Peritoneal – The doctor felt the peritoneal lining is too thin and believed it may not tolerate vigorous sexual activity well, so he advised against this technique.
My personal preference is PIB. I don't want to take potential colon-related risks in the future. For me, even a small chance of complications outweighs the benefit of a self-lubricating vagina.
I'd love to hear from others who have undergone any of these techniques or have done their own research. Sharing experiences always helps the community make more informed decisions.
Happy reading! 🙂
