overview

Secondary Sigmoid Colon surgery is to regain a depth of vagina canal caused by tightness affecting ability to engage intercourse from shorten vaginal or closure vaginal.

From previous gender reassignment surgery, there are reasons by secondary sigmoid colon . For examples, regain more depth vagina canal caused by tightness, closure vaginal affecting ability to engage intercourse, happy with previous results but because the depth of vagina is sort of small, not proper maintain dilate from Penile Skin Inversion (PSI) and Penile Peritoneum Vaginoplasty (PPV) and other may looking for self lubricate.

Secondary Sigmoid Colon is the revision surgery from those who underwent Sex Reassignment Surgery by Penile Inversion, Scrotal Skin Graft and Penile Peritoneum Vaginoplasty (PPV). Lacks of unsuccessful from previous male to female surgery, unsatisfied with depth, shorten vagina and unable to satisfied with partner due from length his penis.

A positive outcome by Secondary Sigmoid Colon (SRS) is to regain more depth by using part of sigmoid reconstruct the line vaginal cavity to be achieve vaginal canal between 6 to 7 inches (15 to 18 centimeters) with self lubricate. Labia repair or Labia revision can also performed at the same time with secondary sigmoid colon.

Successful sexual intercourse should be the primary end point when choosing secondary sigmoid colon method including vaginal substitute with a vault of sufficient size, adequate introital opening and cosmetically acceptable external appearance with minimal morbidity and excellent long-term functions.

Preecha Aesthetic Institute and Method of Secondary Sigmoid Colon for trans women are performed by one of following surgeons Assoc. Prof. Preecha Tiewtranon MD, Burin Wangjiraniran MD FRCST and Sutin Khobunsongserm MD (Board of Plastic & Reconstructive surgery Thailand) at our affiliated international standard hospital – JCI accredited.

It is important that the person should be in a realistic limitation about what cosmetic & reconstructive surgery can and can not do. Your doctor is in the best position to address these issues and for that reason frank and open dialogue is recommended to avoid any misunderstanding.

More information on Sex Reassignment Surgery and Facial Feminization Surgery by PAI’s clinic.

Successful SECONDARY SIGMOID COLON

  • Adequate introital opening
  • Appearance and overall realistic
  • Cosmetically acceptable with minimal morbidity
  • Gain more depth of vagina canal
  • Self lubricate 
  • Preserve orgasmic capabilities (if no damage from previous surgery)
  • Long-term functions

 

secondary sigmoid colon maletofemale before surgery l preecha aesthetic institute

Secondary Sigmoid Colon (Before surgery), Previous surgery from other clinic. Only 2 inches depth

secondary sigmoid colon labia repair after six month maletofemale l preecha aesthetic institute

Secondary Sigmoid Colon and Labia Repair (Post op 6 weeks). Cont' dilator # 2 with 6 inches depth.

sigmoid colon dilator size for male to female surgery

Dilator set for Sigmoid Colon (4 sizing)

Secondary SIGMOID COLON IN BRIEF

Assoc.Prof. Preecha Tiewtranon MD, Sutin Khobunsongserm, MD and Burin Wangjiraniran MD FRCST.

Secondary Sigmoid Colon is the surgical to regain more depth of vagina canal as result ability to engage intercourse. Successful sexual intercourse should be the primary end point when choosing the method.

Gender Reassignment Surgery by Secondary Sigmoid Colon's technique.

The method reconstructive secondary sigmoid colon are included vaginal substitute with vault of sufficient size (at least 16.5 centimeters, 6.5 inches depth), adequate introital opening, cosmetically acceptable external appearance with minimal morbidity and excellent long-term functions. 

Self lubricate ⇔ Lubricate during intercourse.

CANDIDATE FOR Secondary SIGMOID COLON

Best candidate Secondary Sigmoid Colon by Sex Reassignment Surgery (SRS)

  • Retains information and recalls the advantages and disadvantages
  • Physically healthy
  • Emotionally stable with realistic expectations
  • Good health conditions
  • No HIV+ 
  • Body Mass Index (BMI) must less than 24.50 by open technique on medical health checks
  • Needing lubricate during sexual activity
  • Experience pain shorten canal during sexual activity
  • Who had done zero depth veginoplasty and now to regain depth of vaginal
  • Problem/Shorten vagina canal after previous sex reassignment surgery
  • No previous surgery around waist area

PACKAGE's INCLUDEd for Secondary SIGMOID COLON

Package is included for Secondary Sigmoid Colon by Preecha Aesthetic Institute.

  • Accommodation for 9 days in hospital private room by Secondary Sigmoid Colon (one night before surgery and seven nights after surgery) - JCI accredited
  • Operating room charges: OR room use, recovery room, scrub & circulate nurses
  • Regular menu food breakfast, lunch and dinner during recovery period in hospital (vegetarian or vegan is also available)
  • Laboratory testing: necessary for the procedure as CBC, EKG, UA, Anti HIV, Chest X-Ray
    (If age over 45, an extra charge for cardiology test is 100 US Dollars + - )
  • Medical equipment and Medical supplies
  • General Anesthesia – Pre anesthetic drugs, anesthesia and medical gas (oxygen, nitrous oxide)
  • A pack of sanitary napkin ring
  • Basic standard dilators size #1 and #2
  • Mirror
  • BETADINE Solution one bottle and Saline water solution
  • Cushion sitting
  • Lubricate gel dilation or BETADINE scrub
  • Anti-biotic powder
  • Condom 2 boxes
  • Kidney shape tray/bowl
  • Rubber ball douching
  • Bed sheet a pack
  • Medical treatments
  • Doctor fees
  • General Anesthesia fees
  • Nursing services
  • Take home medication and supplies
  • Post op cares
  • Transportation pick up

PREECHA AESTHETIC INSTITUTE AND AFFILIATED HOSPITALS - JCI ACCREDITED INTERNATIONAL HOSPITALS

Preecha Aesthetic Institute (PAI) is the first multidisciplinary Aesthetic and Reconstructive center also best well known the pioneer Sex Reassignment Surgery (Male to Female and Female to Male) Thailand since 1980. The center has the most advanced 10 consultation rooms, 6 operation rooms (local anesthesia), equipment to any leading Aesthetic Plastic Surgery completed with recovery rooms and the internationally accepted standard of hygienic system.

All consultation, medical health checks, preparation and follow up are appoints within Preecha Aesthetic Institute.

  • SRS Secondary Sigmoid Colon is performed under General Anesthesia. These are required nine days in hospital for recovery period).

All cases under General Anesthesia, Preecha Aesthetic Institute's using two affiliated major private international standard hospitals under  JCI accredited for healthcare promoting center located in Bangkok under the philosophy of "World class quality with Thai hospitality", private patient rooms, 230 - 500 beds, modern medical technology, equipment, emergency 24 hours and hospital receive accreditation for high-quality. All direct consultations and follow up appointments are set at Preecha Aesthetic Institute.

  • All consultation, medical health checks, preparation and follow up are appoints within Preecha Aesthetic Institute.
  • Two international standard hospitals - JCI accredited International Hospitals 
  • Surgical will perform an affiliated hospital ⇒ General Anesthesia ⇒ International Standard Hospital.
preecha aesthetic institute (PAI)

Preecha Aesthetic Institute (main's clinic)

Affiliated hospital

International Standard Hospital (JCI accredited)

Affiliated hospital

QUESTIONS & SCHEDULE

Well innovation researcher, oversea academic medical university guest speakers, we are performed sex reassignment surgery all ages and well reputation for a specialized reconstructive center. Secondary Sigmoid Colon is performed by Doctor Preecha Tiewtranon MD, Doctor Burin Wangjiraniran MD FRCST and Doctor Sutin Khobunsongserm MD (Board of Plastic & Reconstructive surgery Thailand).

Preecha Aesthetic Institute (PAI) is the leading in sex affirmation surgery (Pioneer Sex Reassignment Surgery Thailand) located at Bangkok Thailand by Assoc.Prof. Preecha Tiewtranon MD, Sutin Khobunsongserm MD and Burin Wangjiraniran MD FRCST. We have been developed the surgical technique for vaginoplasty. Many refinements have been introduced during the past 40 years with 6000+ operated on SRS Penile Skin Inversion, Penile Skin Inversion with Scrotal Skin Graft and Sigmoid Colon “(Source by Male-to-female vaginoplasty: Preecha’s surgical technique, NCBI Literature Resources, 2022 Oct 30)

Dr.Preecha Tiewtranon MD, Dr.Burin Wangjiraniran MD FRCST and Dr.Sutin Khobunsongserm MD, all Board of Plastic and Reconstructive surgery Thailand.

All your questions will be direct answers from PAI's doctors.

  1. Write your question, interest
  2. List your expectations or procedure that you are interest and give us your detail as possible
  3. Email to us at consult@pai.co.th
  4. We will get back to you shortly after receive your question

Once all are confirmed. To set up direct consultation and schedule surgery date.

  • Plan your available date to be surgery and departure from Bangkok
  • We will confirm you for surgery date
  • You may start to book your airline ticket
  • We will confirm you all detail and hotel booking, if require
  • For transportation to be pick up from the airport, we need you to confirm your airline flight itinerary

SERVICE ACCOMMODATION

  • Transportation pick up from airport - hotel - hospital - clinic - airport as well as follow up period (optional)
  • Hotel reservation within 2 KM from PAI's clinic
  • Interpreter services with any language

RISK AND SAFETY Secondary Sigmoid Colon

While complications may occur. Most are self-limited or can be treated with minor interventions. Minor complications include issue such as the formation delay wound healing but can minimize by closely follow surgeon’s advice on follow up cares during the healing process. Specific complications such as colon fistula, vaginal fistula, prolapes colon and colitis in neovagina.

HEALTH CONCERN

  • No HIV +
  • No previous surgery around waist area
  • Limitation of Body Mass Index (BMI) is required on surgery date

SAMPLE RESULT

 

secondary sigmoid colon with labia repair maletofemale before and after surgery l preecha aesthetic institute

Secondary Sigmoid Colon (Pre-op with only 2 inches) and Post op six weeks by Secondary Sigmoid Colon with Labia Repair.

sample result

secondary sigmoid colon maletofemale before and after surgery leading m2fsurgery thailand l preecha aesthetic institute

Secondary Sigmoid Colon (Pre-op with only 2 inches) and Post op six weeks by Secondary Sigmoid Colon with Labia Repair.

sample result

incision sigmoid colon after seven day and one month surgery leading sex change surgery male to female center preecha aesthetic institute

Incision after seven days and one year surgery Sigmoid Colon.

sample result

Before and after secondary sigmoid colon by preecha aesthetic institute bangkok thailand. leading sex reassignment surgery center

Pre op and Post op ten days by Secondary Sigmoid Colon with Labia Repair.

sample result

secondary sigmoid colon before and after ten days surgery leading sex reassignment surgery

Before (no labia, shortness depth) and After ten days by Secondary Sigmoid Colon + Labia Repair.

 

sample result

secondary sigmoid colon before and after ten days surgery leading sex reassignment surgery preecha aesthetic institute

Before (no labia, shortness depth) and After ten days by Secondary Sigmoid Colon + Labia Repair.

Set up an appointment with us

1. Write your question, interest at consult us in program form

enquiry

2. Via email consult@pai.co.th

2.1 list your expectations or procedure that you are interest and give us your detail as possible
2.2 email to us
2.3 We will get back to you shortly after receive your question with recommendation from specialize surgeon

Once you know your planning date for surgery. Here is the next step:

1. Consultation with us via email for details and procedure
2. Plan your available date to be surgery and departure from Bangkok
3. We will confirm you for surgery date
4. You may start to book your airline ticket
5. We will confirm you all detail and hotel booking, if require
6. For transportation to be pick up from the airport, we can do for you as optional

surgical details:

Pre-screen by Secondary Sigmoid Colon surgery

1) Fill out medical form. Inform us about any allergies, any serious medical condition(s), list problems and all medications you are -taking (both prescription and non-prescription).

2) Attach current vagina images

3) Attach waist (tummy) images

4) No HIV+


Schedule consultation, surgery, question secondary sigmoid colon (SRS).

  • Write your question, interest at Consult@pai.co.th
  • We will get back to you shortly after receive your question 
  • Plan your available date to be surgery and departure from Bangkok
  • We will confirm you for surgery date
  • You may start to book your airline ticket
  • We will confirm you all detail and hotel booking, if require
  • For transportation to be pick up from the airport, this is an optional. Required hotel nearby PAI's clinic

 

Things should bring from home for Secondary Sigmoid Colon (MtF surgery)

  • Button-up shirts in large sizes
  • Skirts (not too tight)
  • joggers or loose pants
  • Slip-on shoes or slippers
  • Phone charger, long phone charger
  • Books, magazines
  • Travel neck pillow
  • Personal medicines / HRT
  • Regular sanitary napkins, if prefer specific brand
  • Underpads

Secondary Sigmoid Colon MtF surgery using periods Bangkok

(Transportation service during recovery period in Bangkok will be accompanied by PAI but must be within 2 KM from Preecha Aesthetic Institute.

Day 0 - Pick up from airport and check in hotel.

Day 1 - Direct consultation at Preecha Aesthetic Institute.

Day 2 - Prepare for Laboratory Testing, Medical health check up and drink liquid laxative bowel clearance

Day 3 - In hotel for good rest

Day 4 - Check out hotel 

Day 4 - Surgery date move to hospital private room

Day 10 - Discharge from hospital after doctor visits
Day 10 to 22 - Check in hotel for recovery period and follow up on doctor appointments

Day 22 - Final checkup and prepare for letter fit to fly

Day 23 - Safe to fly and PAI’s escort to airport


 

Pre-Operative Instructions for Secondary Sigmoid Colon 

  1. Take light meals 3 days before surgery date. No vegetable 3 days before surgery date.

            1.1 No Vegetables even well cook.

            1.2 No food with high fiber (grains, cereal and pasta, fruits, Legumes, nuts and seeds, Vegetables)

            1.3 No junk foods such as Hamburger, French fries.

To eat before 3 days operation:

-           Clear soups

-           Well cook from pork, fish and beef with very good mastication. But not be full stomach.

  1. Take breakfast as normal on consultation date. But light meals.
  2. Do not eat or drink anything from the midnight prior to your surgery including water, or chewing gum but little cup of water before 8:00AM is acceptation.
  3. Do not wear any make up.
  4. Wear clothes that are loose and comfortable. A button down shirt, flat shoes and loose pants are recommended.
  5. If you wear glasses, contact lens or dentures, bring a case with you.
  6. Take shower and wash your hair the night before or the morning of your surgery. Do not apply hair gel, hair spray.
  7. Do not smoke at least 2 weeks, if you can. This may interfere with healing.
  8. Stop multiple vitamins at least two days before surgery.
  9. Stop Aspirin two weeks before surgery.
  10. Pre-admission testing will be required before surgery.
  11. Stop hormone, if taking 5 days before surgery date and able to continue 5 days after surgery date.
  12. Bring Cloth napkins (Certainty bed pads). You might need to be use on hotel bed.
  13. Plan to be in Thailand at least 23 days (Before and after) surgery.

 

Procedure of Secondary Sigmoid Colon SRS procedure at Preecha Aesthetic Institute primary outcome is re-operation for patient perceived quality of life, functional, esthetic with self -evaluation.


The procedure Secondary Sigmoid colon vaginoplasty is surgical lower transverse abdominal incision, harvested Sigmoid Colon segment, closed distal end of harvest Sigmoid colon segment, pull proximal end of colon segment through pelvic cavity and connect to vaginal skin, closed abdominal incision. The patient who consider secondary Sigmoid colon may also include labia reconstruction + clitoris reconstruction at the same time.


 

  • All consultation, medical health checks, preparation and follow up are appoints within Preecha Aesthetic Institute.
  • Secondary Sigmoid Colon is performed under general anesthesia (required six days in hospital).
  • Surgery time required: 5 hours +.
  • Anesthesia: General Anesthesia.

Affiliated hospitals : International Standard Hospital (JCI’s Accredited, HA)

Recovery Sex Reassignment Surgery Secondary Sigmoid Colon is required to be in Bangkok at least 18 days after surgery

Back to work: after 20 days more 

Strenuous activity: 6 - 8 weeks

Fading of scars: several months to a year  


 

The pioneer Sex Reassignment Surgery and The first multidisciplinary plastic surgery center Thailand.

front door preecha aesthetic institute bangkok thailand

Post-op recovery for secondary sigmoid colon.

After Secondary Sigmoid Colon pain is easily controlled by medication usually will subside in a few days. Patients need to be in hospital for 6 days to prevent wound disruption.

Dressings have been applied and replaced a few days.

Sutures will be removed within a week of surgery with remain dissolve stitches.

Follow up in clinic will appointment after discharge from hospital.

All will train in self-irrigation of the neovagina using saline to prevent diversion colitis and foul odor. Patients are encouraged to start using a vaginal dilator to prevent stenosis at the colon-cutaneous junction as well as for pelvic floor muscle rehabilitation. Dilations will be given from doctor with instruction during follow up visits.

Patients may allow resuming sexual intercourse at 12 weeks post-surgery.


Healing process may occur for weeks or even months following surgery. The decision on when to return to work and normal activities depends on how fast you heal and how you feel.  To permit proper healing, you should avoid over activity and refrain from overhead lifting 3 months.

 Although the surgeon has made every effort to keep scars as inconspicuous as possible. Minimal swelling and discoloration will disappear rapidly.


 

sigmoid colon dilator size for male to female surgery

Sigmoid Dilator by PAI

  • Range from 25 mm, 28 mm, 32 mm and 36 mm
  • Lengths from 15.3 cm (6 inches and up by 0.5 inch)
  • Special designed for women following GRS specially by Sigmoid Colon

For local’s patient - You may resume to work after eighteen days surgery but must avoid heavy lifting object over the head or fast movement during 8 to 12 weeks after surgery date.

For international patient - Please plan to be in Bangkok at least 23 days all together. Stitches will remove day 7 to day 10 after surgery date with remaining dissolve stitches.

After departure from Thailand, you may resume to work within a few days but must avoid heavy lifting object over the head or fast movement during 8 to 12 weeks after surgery date.

◊ Any bruising and swelling will usually dissipate within 4 to 8 months after sex reassignment surgery Secondary Sigmoid Colon.


 

 

During the recovery period in Bangkok and after each dilation session and more details will be giving by doctor case by case.


 

Recovery Timeline Secondary Sigmoid Colon (SRS)

  • The day after surgery, the PAI's surgeon will visit as daily until discharge from hospital.
  • Able to walk slowly after day 3.
  • You can return to female hormones after a week surgery.
  • Removing incisions will appointment 7 to 10 days after surgery.
  • Other dissolve stitches will also remove in times.
  • No heavy exercise 8 to 12 weeks after surgery.
  • To maintain with more depth of vaginal canal, continue dilation everyday at least twice a day, 15 minutes each time during eight to twelve months after surgery by switching size dilators.
  • Sigmoid colon dilators are highly recommend at least once a day after one year to maintain current and more depth vaginal canal.More information will provide by the surgeon during follow ups surgery at Preecha Aesthetic Institute.
  • Sexual intercourse is recommend after 3 months surgery. Start with gentle, relaxation movements and apply lubrication gel before intercourse. No dilation is need, if sexual intercourse.

 

Secondary Sigmoid Colon and Labia Repair.

Pre and Post operation six weeks.

secondary sigmoid colon labia repair male to female surgery revision sex change mtf surgery


 

 

 

Treatment after surgery
during the first 7 days

Secondary Sigmoid Colon’s dilation instructions.

After discharge from hospital, PAI's driver will assist you to check in hotel. Follow up by appointment within PAI's clinic. You must follow instructions including dilating. This is the most important thing to ensure the success surgery. Failure to dilate properly can result of the scar contracture. By follow up appointment, you will be instructed to gently dilate into the right direction after the vaginal packing is removed.

However,  the first day using dilation may feel some pain for during first week, but essential for developing maximum depth and ensuring post-operative function of the neovagina.

More instructions will be given after surgery by doctor.


 

Commons after Male to Female surgery (Secondary Sigmoid colon)

Light or Discomfort - This may experience pain during the first few weeks.

Bleeding - Some may experience bleeding in the days following procedure. The bleeding may vary.

Swelling - it is normal to see swelling in the vulva. This may take at least four weeks before subsides. Vaginal discharge such as bloody, then yellowish may occur during the first 2 months and will become clearer eventually stop completely.

Bruises - Ecchymosis can extend navel to hips to thighs. They take at least three to four weeks to heal.

Labia and clitoris, if combine with secondary sigmoid colon - Improvements will be seeing after swelling decrease. Fully heal may take between 6-10 months. Clitoris can difficult to see during one to four weeks because swelling and presence of a blood clot. The clitoris can also hide under the labia minora. Color of labia minora and clitoral hood will change from red to pink about ten month after surgery.

Sensations - This is depend on previous surgery.

secondary sigmoid colon mtf surgery after fourteen days surgery at leading sex change center bangkok

surgery info:

logo preecha aesthetic bangkok
Secondary Sigmmoid Colon

is a special technique for patients who prefer to reconstructive to regain more depth vagina canal, which caused by tightness or closure in vaginal area, affecting ability to engage intercourse.

services icon 1 150x150 1
TIME REQUIRED

5 Hours +

services icon 2 150x150Anesthesia
ANESTHESIA

General Anesthesia

BACK TO WORK

20 days

services icon 4 150x150 Strenous Activity
STRENUOUS ACTIVITY

3 months

FADING OF SCARS

Several months to a year

Surgery Schedule

Pre-screen by Secondary Sigmoid Colon surgery

1) Fill out medical form. Inform us about any allergies, any serious medical condition(s), list problems and all medications you are -taking (both prescription and non-prescription) or email: consult@pai.co.th

2) Attach current vagina images

3) Attach waist (tummy) images


Once you know your planning date for surgery.

The next step.

3.1   Consultation with us via email for details and procedure

3.2   Plan your available date to be surgery and departure from Bangkok

3.3    We will confirm you for surgery date

3.4    You may start to book your airline ticket

3.5    We will confirm you all detail and hotel booking, if require

3.6    For transportation to be pick up from the airport, we can do for you as optional

testimonials

useful information

ADDRESS

PAI (Preecha Aesthetic Institute)
898/1 Sukumvit 55 Wattana, Bangkok
10110 Thailand

Tel: +662-715-0111

Fax: +662-715-0113

Email: consult@pai.co.th

MEETING POINT (AIRPORT)

The driver will be waiting for you at door number 4 (Meeting point) after exit from customs. The driver will stand by with your name and PAI  logo. [Suvarnabhumi International Airport (BKK)]

HOTEL

Hotels are under cooperate and nearby PAI, starting from 50 USD to 100 USD. Rates are quoted in THB, USD/net/included of taxes and service charges. All non-commissionable rate. VISA/Master card is accepted.

  • Special apartment 68 sq.m-131 sq.m with one to two bedroom/1 queen/master size bed, 1 bathroom (shower and bathtub), pantry and dining area, 2 Bottled water – complimentary for daily contract, bathroom (separated shower & bath tub), cable / Satellite TV, free wifi, dining Table/Chairs, Internet Access (wireless), kettle, LCD TV, refrigerator, slipper, toaster, air Conditioner, bath amenities - complimentary for daily, electronic Door Lock, iron & Ironing Board (on request), kitchenette - Full Equipment, microwave, safety box.

 

  • Hotel - studio room 46 - 58 sq.m - Features & Amenities: 40-in LED, sofa, in-room safe, minibar refrigerator, refillable tea/coffee/water, blackout curtain, free wifi, slippers, bathroom with rain shower, 100% natural therapeutic spa toiletries Mt. Sapola, hair Dryer, toothbrush and toothpaste, shower cap as well as a washing machine.

LANGUAGE

Thai, Chinese, Japanese, Italian, Spanish, French, German, Turkish and other languages upon request.

PASSPORT AND VISA

PAI can issue the letter to clarify with your local Embassy or Passport.

COST OF MEAL

Cost of living meal per day is 15-20 USD.

PAYMENT

The payment can be prepared in Cash by US dollar, Euro, Japanese Yen, Hong Kong Dollar, Singapore Dollar, Australia dollar. If using credit cards (VISA/Master card), the hospital will charged 3% for international transaction fee. This is only for surgery fees. Hotels are not charged for international transaction fee. An extra charged for HIV is 50% from total cost.

TOURIST VISA EXEMPTION (30 DAYS WITHOUT VISA)

Australia, Austria, Belgium ,Brazil ,Bahrain , Brunei Darussalam ,Canada, Denmark ,Finland ,France, Germany ,Greece ,Hong Kong ,Iceland ,Indonesia ,Ireland ,Israel ,Italy ,Japan ,South Korea ,Kuwait ,Luxembourg , Malaysia ,Monaco ,Netherlands ,New Zealand ,Norway ,Oman ,Peru ,Philippines ,Portugal , Qatar , Singapore ,Spain ,South Africa ,Sweden ,Switzerland ,Turkey ,United Arab Emirates, United Kingdom ,United States of America ,Vietnam.

AIRPORT IMMIGRATION AND CUSTOMS

Please present the supporting documents confirming the scheduled operation upon request. Please do not carry any unnecessary drugs or dangerous objects in your luggage.

Frequently Asked Questions (FAQs)

Q: This is my planning secondary surgery, I had srs (PPV) already from clinic in Bangkok back year 2020 and they claim that PPV’s technique is the best. Unfortunately, I just do not have enough depth as said. I have already email to them and their staff’s no response. So after more research and friends of mind, they told me to contact PAI’s clinic for future my reconstruction. Will the price be the same as sigmoid colon? I am 6.2 and weight 175 lbs.?

A: Since this is your second time of SRS and planning to come for secondary sigmoid colon. In general requirement secondary sigmoid colon, your body mass index (BMI) 22.50 is in a good range. So please remain on your body weight not to over than 175 lbs on direct consultation. Secondly, you have fill out your medical form, forward your tummy pictures, and forward your current vagina result with dilator hold in maximum limit. Our doctors must prescreen and will move along details.

Q: I have it done my srs other hospital in Thailand 10 yrs. ago. I am not still happy with my vaginal depth. My depth is 4 inches and I would like to have more. Is it possible to fix it? I send you also some pictures.

A: For revise vagina appearance, if you are coming for Secondary Sigmoid Colon. Labia repair can be perform together. However, clitoris, skins labia look more natural, these need to see during direct consultation (doctor need to exam skin elastic)

Q: I have undergone SRS by other clinic in 2017, but I was not satisfied with, so I had my revision from other hospital in Bangkok in 2018 which he did skin grafting to make the depth deeper. He took skin on my lower stomach. But then there was no change at all with the depth. I was depressed because I paid for the promise of making the depth of my vagina deeper and went under the knife but it seems like the promise of deeper vagina was a lie. Now I am planning to have another revision under your hospital because some say you are one of the best surgeons in Bangkok. What procedure shall I undergo to make my vagina real deep and not just a promise?

A: Assuming this is your third surgery (if coming to PAI’s revision), we need to know firstly. Please fill out your medical form in an attachment file back to us, attach current vagina pictures without zooming, attach your tummy pictures, how depth of vagina do you have right now, how depth of revision do you wish to get more, attach your vagina with dilator inside at maximum depth picture to us.

Q: I would like to inquire about your methods of SRS Secondary Sigmoid Colon Surgery. I would like to ask about the SRS mentioned in your site. Will me able to get 7 inches of Colon (MtF) to neo Vagina. I presently date a man that possesses over 6.5 inches of penis and I don’t want to have him leave part of himself outside during intercourse. Could you please advice on the best methods to handle this concern? I am now 3 inches by PPV’s technique, which done from a hospital in Bangkok.

A: Since your boyfriend is bigger than 6.5inches length. SRS Secondary Sigmoid Colon technique is the best answer for you because much longer depth of vagina canal, lubricate (no apply gel) and able to get at least 6.5 inches of colon male to female surgery. To gain more than 6.5 inches, the doctor must see during surgical time.

Q: I read that in order to get SRS (secondary sigmoid colon surgery) no previous abdominal surgery must be done. I had the normal SRS procedure done 4 yrs. ago. Does that I mean I can’t have the Secondary sigmoid colon done after all?

A: Must provide more details about your previous abdominal surgery.

Q: What is requirement for SRS (Secondary Sigmoid Colon)?

A: In general, no previous abdominal surgery and Good health. Your Body Mass Index (BMI) must less than 24.99 or doctor decision, No HIV+.

Q: Can Colonvaginoplasty lead to a large number of unpleasant complications including colon fistula, and faecal incontinence?

A: It is possibly. Within our experiences 30 years, we have to make sure that they are safe to fly.

Q: Do I have to aware of external medical expenses?

A: Our price includes all post-operative medical and hospital costs arising from the surgery. However, where additional medical symptoms arise in a patient that are not directly related to the surgery undertaken, but are because of a known or unknown prior medical condition that manifests itself while under the care of Preecha Aesthetic Institute the costs involved with treatment of these is are expressly excluded from the prices quoted.

Q: Do I have orgasm since this is my second SRS?

A: We cannot guarantee because your previous surgeon. But if previous surgery not damage nerves. All sensations will be orgasms.

Q: Can I combination packages that would involve secondary sigmoid colon surgery and more facial feminization surgery?

A: Yes.

Q: Secondary Sigmoid Colon any risk?

A: Secondary Sigmoid Colon is more advance method. But patient still need to understand general risk such as colon fistula, vaginal fistula, prolapse colon and colitis in neovagina.

Q: How to be prepared for Secondary Sigmoid Colon?

A: The doctor will provide all information before arriving as well as how to preparation before/after surgery while direct consultation.

Q: I could please ask a couple of questions about the surgery cost. If there is a complication, is the medical cost of correction covered with the total quoted to me?

A: Since this is your secondary sigmoid colon, which need to reconstruction and revision from your previous surgery. In case of complication due from surgery, we won’t charge for doctor fee. But the patient might need to pay for some hospital expenses.

Q: I am Spanish transgender woman. I would like to know if it is possible to carry out an aesthetic retouching for the labia minora secondary vaginoplasty surgery, and the entire procedure to follow, prices, stay, etc.

A: Yes. This can be perform at the same time. You should plan to be with us at least 20 days all together.

Q: I had my penile inversion vaginoplasty 2 years ago from a surgeon in Bangkok but lost dept. Now down to 3-4 inches deep with some degree of narrowing in my vaginal opening. Hoping to have a revision vaginoplasty. Thinking of doing the sigmoid colon revision vaginoplsty. Does any surgeon at PAI’s do revision vaginoplasty by sigmoid colon graft? If yes, does he offer the choices of laparoscopic and open approach for the revision? I am 55 years old, 148 lbs. and 5’9”. How much is the procedure?

A: Since you had penile skin inversion from other hospital and considering to come for revision (gain more depth of vagina) this procedure is called Secondary Sigmoid Colon. There're also many questions to ask to pre-screening. Dr.Burin or Dr.Sutin is the one who perform Secondary Sigmoid Colon. * Please fill out medical form back to us * Attach your tummy pictures * Where did you do SRS penile skin inversion * Please also take picture while dilator inside vagina. We need to see about your current maximum depth

Q: I HAVE DONE VOICE SURGERY from my country long agos .IS THERE ANY PROBLEM FOR secondary sigmoid colon (SRS) ?

A: It is importance to double check with your voice surgeon or written in the letter. Please inform your voice surgeon that we (PAI), our general anesthesia will use tube size 6.5-7 or a little bigger. No smaller size. Is there any side effect ? If not, secondary sigmoid colon can be perform.

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