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



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


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

1. Self-Lubricating Vaginal Canal

The peritoneal lining produces natural moisture, mimicking biological lubrication. This eliminates the need for external lubricants, ensuring comfort during daily activities and intimacy.

2. Reduced Scarring with Natural Depth

Because the vaginal canal is created using internal tissues, PPV offers greater depth with minimal external scarring compared to techniques like penile inversion.

3. No Risk of Hair Growth

Unlike penile inversion, peritoneal tissue is hairless, eliminating the risk of hair growth inside the canal and reducing complications such as granulation (excess tissue formation).

4. Faster Recovery with Less Discomfort

Patients undergoing PPV often experience faster recovery times and less post-operative discomfort than other vaginoplasty options. This allows for a quicker return to normal activities.


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 surgeries, particularly PPV. He focuses on delivering natural-looking and functional results, ensuring patient safety and satisfaction with every procedure.

2. Thailand: A Global Leader in Medical Tourism

Thailand is internationally known for its world-class healthcare system and affordable transgender care. Patients traveling to Thailand receive top-tier medical services at a fraction of the cost compared to Western countries, making it one of the leading destinations for gender-affirming surgeries.

3. Personalized, Patient-Centered Care

Dr. Theerapong ensures that each surgical plan is customized to meet the patient’s unique anatomy, goals, and lifestyle. Patients benefit from comprehensive consultations, personalized surgical planning, and ongoing support throughout their recovery journey.


Is PPV the Right Option for You?

PPV may be ideal for individuals who:

  • Prefer a self-lubricating vaginal canal for reduced maintenance and enhanced comfort.
  • Require significant vaginal depth for functional or personal reasons.
  • Wish to avoid complications such as hair growth or granulation, common in penile inversion.

Considerations:

As a relatively new technique in gender-affirming surgery, it’s important to consult with Dr. Theerapong to understand the benefits, risks, and expected outcomes. This ensures that PPV aligns with your body, goals, and personal expectations.


Surgery Overview and Recovery Process

Step 1: Consultation and Planning

  • Comprehensive consultations to assess individual anatomy and define personal goals.
  • Development of customized surgical plans, including pre-operative preparation guidelines.

Step 2: Surgical Procedure

  • The peritoneal lining is grafted to construct the vaginal canal, offering natural lubrication and functionality.
  • Minimal external incisions ensure reduced scarring and faster healing.

Step 3: Recovery and Aftercare

  • Hospital Stay: Patients typically stay for 7-10 days for observation and initial recovery.
  • Light Activity: Most patients can resume light activities within 4-6 weeks.
  • Full Recovery: Complete recovery and optimal results are typically achieved within 3-4 months.
  • Dilation: Regular dilation may be necessary during the early stages 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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