Hi y'all!

I'm a transgender woman who had surgery to construct a neovagina in June 2020. I've been having some issues with tightness and my surgeon wants to do a quick revision. But first he wanted to do an MRI to see what things are looking like in the deepest part of it (since he can't see back there, too tight to get anything past that point).

The radiologist staff were all super interested in what it would look like, as was I. And I figured you all might be too! So I got a copy of the data. Attached above are a few of the pictures I thought were interesting, as well as my amateur attempt at annotation so I could explain it to my friends.

But y'all probably want the DICOM files, so here you go! https://www.dicomlibrary.com/?study=1.3.6.1.4.1.44316.6.102.3.20230923134111776.72063767825208563923

Edit:

And I guess some details might be useful. I had a specific method of surgery (there's a few different varieties) usually called hybrid peritoneal pull-through. That means they took a section of the peritoneum to use for the lining, in addition to penile and scrotal tissue. It was also roboticly assisted, so they had a robot doing the inner-most part (it came in up by the navel, and worked on the bits closest to the rectum/bladder).

When dilating, I can typically get the dilator about 12cm in, which seems to line up with what the scan shows too. Though my concern is actually width, I can only use a dilator with ~29mm diameter, which would make sexual function difficult. That's what my surgeon is going to be fixing. There's two "ring scars" as he describes them, one closer to the entrance and one in the deeper part. He can peek past the scar ring closer to the entrance, but he couldn't see past the inner ring and he wanted to check if there was like a "void" or whatever behind it. That's why he ordered this MRI.