James Bellringer offers only Male to Female surgery. (He is unfortunately not able to answer queries about FtM surgery) For primary surgery, he almost always recommends a skin tube vaginoplasty; either using a penile inversion technique, where the penile skin tube is used to line the vagina, or a scrotal inlay technique (also known as peno-scrotal flap), where a vascularised flap of scrotum is used to augment the penile skin to create the vaginal lining. More recently, the use of a scrotal island flap has been introduced, and the use of peritoneal tissue (the "tunica vaginalis" from around each testis) has been validated in clinical use, and may be offered to selected patients. The choice of technique is discussed with each patient, but if the patient has been circumcised, it is most probable that a pure penile inversion technique will not be possible. In patients who do not want a vagina, an aesthetic only procedure may be offered.
Mr. Bellringer no longer offers either bowel segment or peritoneal vaginoplasty.
In addition, Mr. Bellringer is happy to see patients requesting minor revision surgery, for example to reduce a urethral bulge from an earlier operation, or to address other aesthetic and functional issues.
