MtF-wiki/content/en/docs/srs/thailand/kamol.md

title
Kamol

{{< tag/pos "WPATH member" >}}

Doctor's name: Kamol Pansritum

Hospital: Kamol Cosmetic Hospital

Email: customercare@kamolhospital.com

Telephone: {{< telephone "+66 2559-0155" >}}

WhatsApp: {{< telephone "+34 676-956-831" >}}

Cost of surgery

• PI flap {{< currency from="THB" value="245000" >}} ~ {{< currency from="THB" value="257250" >}}
• Non-PI flap {{< currency from="THB" value="286000" >}} ~ {{< currency from="THB" value="300300" >}}
• Non-PI + groin flap {{< currency from="THB" value="320000" >}} ~ {{< currency from="THB" value="336000" >}}
• Colon {{< currency from="THB" value="400000" >}} ~ {{< currency from="THB" value="420000" >}}
• Colon (laparoscopic) {{< currency from="THB" value="550000" >}} ~ {{< currency from="THB" value="577500" >}}
• Peritoneal (laparoscopic) {{< currency from="THB" value="592800" >}}

Hotel costs: approx. 3 ~ 4 weeks.

• K Garden Serviced Apartment: {{< currency from="THB" value="1800" >}} per day

The cost of the surgery includes

• Surgical and anaesthetic fees
• Inpatient accommodation
• Prescribed medication
• Post-operative care (wound care dressing/dilatation, suture removal and medical follow up by specialist 2 times a day) 6 dilators and dressing sets are provided.
• Free transfer service Airport - Hospital - Airport
• Consultation fee

The cost of the procedure does not include.

1. examination costs. Price: {{< currency from="THB" value="3300" >}} ~ {{< currency from="THB" value="6300" >}} Tests: CBC, electrolytes, HIV, HBV, HCV, EKG, chest x-ray, etc.
2. Certificate from two Thai psychiatrists. Price: {{< currency from="THB" value="4400" >}}

Introduction to surgery

Kamol offers 0 depth, PI flap, colonic and peritoneal SRS.

After general anesthesia, a neovaginal dissection is performed along Denonvilliers fascia between the rectum and the urinary tract to a depth of approximately 5 to 7 inches. The flap SRS uses the skin of the penis and scrotum as the vaginal lining and the vaginal opening, or, if insufficient material is available, a slice of inguinal skin. Peritoneal SRS uses laparoscopic removal of the peritoneum as the vaginal lining and penile skin as the vaginal opening. Relatively adequate secretion can be achieved, while requiring less dilation. The core and fascia of the penis will be removed and the sensory nerves will be preserved for the creation of the clitoris and clitoral hood. With the testicles removed, the urethra will be shortened and deformed and the spongy tissue will be removed to allow urine to flow out like a woman.

For colonic and peritoneal SRS where laparoscopy is used, significant scarring at the surgical site can be avoided, but 4 wounds the size of a small thumbnail will be created on the stomach. As this technique is relatively new, there is a greater risk of complications.

Visually, the shape of the labia and clitoris in the Kamol technique is relatively unnatural, especially as the vaginal opening is often completely below the labia minora, the vaginal vestibule is contiguous with the surrounding skin, or even the labia minora meet above the vaginal opening.

The peritoneal technique is recent and there are cases of polyps, atrophy or other sequelae, and the peritoneum is not as malleable, so the dilator has to be passed vigorously and can be more painful.

Official website: https://www.kamolhospital.com/en/service/MTF-sex-reassignment/

Appointment details

1. must be at least 20 years of age. 18-20 years of age will require a legal parent or guardian to authorise them for the procedure.
2. must have been taking female hormones continuously for at least one year.
3. must have considered themselves female for a prolonged period of time.
4. have spent at least one year of their lives as a woman. 1.
5. must feel disgusted with their sexual organs as if they were not part of their body.
6. be certified by a psychiatrist as being in a normal mental state and suitable for gender reassignment surgery
7. cannot perform colonic SRS on HIV positive clients
8. Colon SRS requires a BMI < 25

Additional charges will be incurred if

• HIV: 50% of the total cost
• Hepatitis C: 30% of the total fee
• Hepatitis B: 30% of total cost
• Deep Vein Thrombosis: 30% of total cost
• BMI over 27: 30% of the total cost
• Customers ≥ 50 years or ≥ 40 years with underlying medical conditions (e.g. asthma, hypertension, heart disease, diabetes, DVT, etc.): Exercise Stress Test (EST) Price: {{< currency from="THB" value="7700" >}}
• Cardiologist visit Price: {{< currency from="THB" value="1000" >}} ~ {{< currency from="THB" value="5000" >}} The cost of medication or any treatment required for these conditions is not included in the cost of the procedure (sleep study, CTA coronary, lung test, thyroid test, etc.)

Pre-operative matters

1. A certificate from two psychologists is required for the operation Price: {{< currency from="THB" value="4400" >}}
2. tests: CBC, electrolytes, HIV, HBV, HCV, EKG, chest x-ray, etc. Price: {{< currency from="THB" value="3300" >}} ~ {{< currency from="THB" value="6300" >}}

Surgery Schedule

Non-colonic. {{< csv-table >}} Day,Progress -2,fluid food 1,surgery 3,drainage tube removed 6,Removal of urinary catheter and discharge {{< /csv-table >}}

• Fasting for 3 days after colorectal surgery and avoiding large amounts of food for 1 month.
• Light activity is allowed after 3 weeks until 3 months.

Post-operative notes

(from the official website)

1. To maintain the width and depth of the vagina, the client will need to dilate the vagina with a dilator for approximately half an hour twice a day.
2. The client will need to keep the surgical wound clean until it has healed well.
3. must refrain from sexual intercourse for at least three months.
4. A review appointment with the surgeon must be made once a week for one month to ensure satisfactory results of the surgery.

Post-operative evaluation

• Peritoneum 2021 {{< expand "expand view" >}} ! srs-photo {{< /expand >}}