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Originally Posted by abaya
Gilda, can I ask what dilating is?...
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Sorry, sometimes I forget that this is outside most people's store of knowledge.
The new vaginal cavity is created by the surgeon and initially packed with cotton and sewn shut. After about a week, the packing is removed and dilation is begun. The body treats the new vaginal canal like a wound, and tries to close it up if it isn't periodically stretched with dilators, or smooth plastic stents, which look like this:
The patient starts with the smallest one, putting a lubricant on it and inserting it into her new vagina, holding it in place with slight pressure for a set period of time, about two hours a day for ther first couple of weeks, gradually building up to the larger stents and dilating less often over a period of months as the vaginal canal becomes stretched out better, the patient learns to relax her muscles, and the body becomes accustomed to its new organ. It eventually gets to the point where the patient only has to dilate for a short period of time every couple of weeks to maintain depth and volume, and that can even be a bit lessened a bit if she's dilating naturally through intercourse or masturbating with a large enough dildo, though some kind of formal dilation is required for life, even with regular sexual activity. Otherwise, she risks loss of depth, volume, elasticity, or even collapse.
It's especially important the first few four or five months while she's still healing. An MTF doesn't have periods of the same sort we get, but she does go through a healing period during which her newly formed vagina is discharging a pus-like fluid and bits of tissue daily for quite some time. We like to joke with Sissy that she got to have her entire life's worth of periods all jammed together into one five-month long megaperiod instead of spread out four days a month for thirty-some years.
Out of curiosity, we figured it out for comparison, and we menstruate for about four to five years of our lives.
A vagina is definitely a high maintenance organ, whether natural or surgically created.
Here are two links with detailed instructions (the second is NSFW):
http://www.tsroadmap.com/physical/va.../dilation.html
http://www.intelleng.com/zen.html
And here's a picture of a patient being dilated (so not safe for work that it defies description) The end of the ruler there indicates where the tip of the dilator, and thus, the end of the vaginal canal is:
http://www.supornclinic.com/HTML/SRS..._25_17.8cm.jpg
The best SRS surgeons (like Dr. Suporn, whose site I've linked to), can give their patients more vaginal depth than most genetic women have, unlike the miserably shallow results of the earliest successful surgeries in the 1950's.
Gilda