Dr. Theerapong Poonyakariyagorn, MD, for Peritoneal Pull-Through Vaginoplasty (PPV) in Thailand

 

Dr. Theerapong Poonyakariyagorn, MD, offers Peritoneal Pull-Through Vaginoplasty (PPV), a cutting-edge gender-affirming procedure in Thailand. This innovative technique uses the peritoneum, a thin, moist membrane that lines the abdominal cavity, to construct the vaginal canal. Adapted from the Davydov procedure—originally designed to treat congenital conditions like Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome—PPV provides trans women with a self-lubricating, durable, and aesthetically refined vaginal canal.


Key Features of Peritoneal Pull-Through Vaginoplasty (PPV):

1. Self-Lubricating Vaginal Canal

The peritoneal lining naturally produces moisture, closely mimicking biological vaginal lubrication. This minimizes the need for external lubricants and ensures greater comfort in both daily activities and intimate moments.

2. Reduced Scarring with Natural Depth

Since the vaginal canal is constructed with internal tissues, PPV results in greater depth and leaves minimal external scars compared to other methods, such as penile inversion.

3. No Risk of Hair Growth

Because peritoneal tissue is hairless, there is no risk of hair growth inside the vaginal canal, reducing complications such as granulation (excess tissue formation).

4. Faster Recovery and Less Discomfort

Patients undergoing PPV report faster recovery times and less post-operative discomfort than those opting for other vaginoplasty techniques. This allows them to return to normal activities more quickly.


Why Choose Dr. Theerapong Poonyakariyagorn for PPV in Thailand?

1. Expertise and Precision in Gender-Affirming Surgery

Dr. Theerapong is recognized for his expertise in advanced gender-affirming techniques, including PPV. His focus is on achieving functional, aesthetically pleasing, and natural-looking results, while maintaining a high standard of patient safety and satisfaction.

2. Thailand: A Global Hub for Medical Tourism

Thailand is renowned for its high-quality transgender healthcare and affordable medical services. As one of the world’s top destinations for gender-affirming surgery, Thailand offers access to state-of-the-art facilities and world-class expertise at a fraction of the cost found in Western countries.

3. Personalized, Patient-Centered Care

Dr. Theerapong customizes every surgical plan to align with the individual anatomy, lifestyle, and goals of each patient. Patients benefit from comprehensive consultations, personalized surgical planning, and post-operative care designed to ensure the smoothest possible recovery.


Is PPV the Right Option for You?

PPV may be a suitable choice for:

  • Individuals seeking a self-lubricating vaginal canal for improved comfort and reduced maintenance.
  • Patients requiring significant vaginal depth for functional or personal reasons.
  • Those wishing to avoid potential complications, such as hair growth or granulation, which are more common with penile inversion.

Considerations:

PPV is still relatively new in the field of gender-affirming surgery. It’s important to discuss your options thoroughly with Dr. Theerapong during a consultation to fully understand the benefits, risks, and expected outcomes. This ensures the technique aligns with your body, needs, and personal goals.


Surgery Overview and Recovery Process

Step 1: Consultation and Planning

  • Comprehensive consultations to assess individual anatomy and define patient goals.
  • Customized surgical plans, including pre-operative guidelines to prepare for surgery.

Step 2: Surgical Procedure

  • The peritoneal lining is grafted to create the vaginal canal, providing natural lubrication and functionality.
  • Minimal external incisions help ensure reduced scarring.

Step 3: Recovery and Aftercare

  • Hospital Stay: Patients usually stay 7-10 days for monitoring and initial recovery.
  • Light Activity: Most patients can resume light activities within 4-6 weeks.
  • Full Recovery: Optimal results are typically achieved within 3-4 months.
  • Dilation: Regular dilation may be necessary initially to maintain depth and prevent narrowing of the vaginal canal.

Contact Information for Consultations and Inquiries

If you are considering Peritoneal Pull-Through Vaginoplasty (PPV) in Thailand, contact Dr. Theerapong Poonyakariyagorn for personalized guidance on surgical planning, preparation, and recovery expectations.

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