These photographs were graciously provided by
the patient; they were taken only six weeks postoperatively, and some swelling
is still apparent. In this photo, the vagina is the only visible central
structure. The overall appearance is satisfactory.
With the labia separated, we can see the central
structures clearly. The clitoris is well-formed but is not hooded; the labia
minora appear rudimentary; and the urethral meatus is located well up from the
vagina and appears to be angled forward. The patient reports, "When I pee, it
sprays all around my lips and drips off my leg unless I lean very far forward –
almost with my head between my knees while I am sitting on the toilet. Currently
I am dilating somewhat comfortably to a depth of about 4 to 4.5 in. (10 to 11.5
cm) using a 1-3/8 in. (3.5 cm) diameter stent."