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) is currently being trialled. 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 also offers bowel segment vaginoplasty; either colovaginoplasty using the caecum or sigmoid, or an ileal pouch using a segment of small intestine. Laparoscopic operations are performed in conjunction with Prof. Marcus Reddy. These procedures are usually reserved for patients who have not achieved a vagina of satisfactory capacity from a skin tube 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.
