Friday, April 19, 2024

Trans Surgery Female To Male

What Do Feminizing Surgeries Involve

Gender Affirmation Surgery Options for Female to Male Patients | UCLAMDChat

Since hormone therapy itself can lead to breast tissue development, transgender women may or may not decide to have surgical breast augmentation.

As for bottom surgery, there are a variety of feminizing procedures from which to choose. You could do an orchiectomy alone, which is just removal of the testicles, says Dr. McClung. You could do an orchiectomy and scrotectomy , he says, Other options include vulvoplasty or a full vaginoplasty .

Dr. Wittenberg notes that patients may undergo six to 12 months of electrolysis or laser hair removal prior to surgery to remove pubic hair from skin that will be used for the vaginal lining.

Surgeons have different techniques for creating a vaginal canal. A common one is a penile inversion, where the masculine structures are emptied out and inverted into a created cavity, explains Dr. Kim. Vaginoplasty may be done in one or two stages, says Dr. Wittenberg, and the initial recovery is three monthsbut it will be a full year until patients see results.

Wound healing difficulties are a common complication. Vaginoplasty patients must use a dilator to maintain the vaginal cavitys depth and width, which places stress on the surgical site, says Dr. Kim. So you have two competing goals, he says, one of trying to heal wounds and the other trying to keep the vaginal cavity as deep and wide as possible, he adds. If wounds become infected, antibiotics may be necessary or even another operation to clean out the infection.

Cosmetic Surgery And Mental Health Issues

Research suggests that people who undergo cosmetic surgery are also more likely to experience psychological issues, such as depression and body dysmorphic disorder .

People who are considering cosmetic surgery need to weigh up the options carefully before going ahead.

Here are some tips:

  • Choose a reputable surgeon and checking their credentials.
  • After obtaining the surgeons opinion, make your own decisions, and resist being persuaded to opt for something you did not previously want.
  • Get full information about the procedure and weigh up all the pros and cons beforehand.
  • Be aware of any risks and limitations, for example, will this need redoing in 6 months?
  • Choose the right moment, avoiding, for example, the time around a stressful event, such as changing jobs, bereavement, having a baby, or moving house.
  • Never seek cosmetic surgery to please or impress anyone else.
  • Do not travel too far for treatment, or if travel is necessary, ensure the arrangements are reliable, especially if opting for surgery abroad.
  • Beware of non-refundable deposits, and be prepared to change your mind.

What Doctors Wish Their Patients Knew Before Surgery

All in all, the entire transition processliving as your identified gender, obtaining mental health referrals, getting insurance approvals, taking hormones, going through hair removal, and having various surgeriescan take years, healthcare providers explained.

Yet it’s important to proceed with the utmost care. Dr. McClung said he wishes patients had a better idea of the potential risks. Complication rates related to vaginoplasties, phalloplasties, and other procedures can be as high as 25%, said Dr. McClung.

“I always tell my patients, ‘Look, I want the same thing as you: I want a cosmetically and functionally perfect set of genitals that is going to make you happy,'” said Dr. McClung. But the procedures need to be done in the safest way possible to avoid complications.

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What Is A Musculocutaneous Latissimus Dorsi Flap

The stages of the MLD phalloplasty are similar to the RFFF and ALT. However, the area from which the back tissue is taken usually does not require a skin graft and can be closed in a straight line. The scar can be covered with a shirt. Patients may experience some initial weakness raising their arm, but this improves with time.

Subjects And Study Setup

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This is a retrospective cohort study of Brazilian transgender women who underwent penile inversion vaginoplasty between January of 2000 and March of 2020 at the Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil. The study was approved by our institutional medical and research ethics committee.

At our institution, gender-affirming surgery is indicated for transgender women who are under assistance by our program for transsexual individuals. All transsexual women included in this study had at least 2 years of experience as a woman and met WPATH standards for GAS . Patients were submitted to biweekly group meetings and monthly individual therapy.

Between January of 2000 and March of 2020, a total of 214 patients underwent penile inversion vaginoplasty. The surgical procedures were performed by two separate staff members, mostly assisted by residents. A retrospective chart review was conducted recording patient demographics, intraoperative and postoperative complications, reoperations, and secondary surgical procedures. Informed consent was obtained from all individual participants included in the study.

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Uh Experts Offers A Wide Variety Of Surgical Options For Male To Female Transition

Choosing to surgically alter your body to align with your inner perception of self is a big decision and a permanent one. Although some transgender individuals may be comfortable simply living as their affirmed gender, others feel that surgery is an essential step to allow them to live the life they want as the person they know they are.

Once a decision has been made and the eligibility requirements for surgical transition have been met, it is essential to choose a care team with experience and expertise to achieve the best possible functional and cosmetic outcomes. The multidisciplinary team of surgeons at University Hospitals have the advanced training and experience to provide our transgender patients with a full range of procedures from which to choose, and the compassion to support patients throughout this unique journey.

Call our dedicated gender care patient navigator at to schedule a consultation with a UH plastic surgeon or reconstructive urologist, Shubham Gupta, MD.

Removal Of The Uterus Ovaries And Fallopian Tubes

A person may wish to undergo this type of surgery if they are uncomfortable having a uterus, ovaries, or fallopian tubes, or if hormone therapy does not stop menstruation.

In a partial hysterectomy, a surgeon will remove only the uterus.

In a total hysterectomy, they will also remove the cervix.

A bilateral salpingo-oophorectomy, or BSO, involves the removal of the right and left fallopian tubes and ovaries.

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What To Consider Before Transgender Surgery

“What I always tell patients is if you don’t have dysphoria about a body part, don’t have surgery,” Christopher McClung, MD, a urologist with OhioHealth in Columbus, Ohio, told Health.

Dysphoria refers to the distress that trans people may experience when their gender identity doesn’t match their sex assigned at birth. In some cases, surgery may be medically necessary to treat the dysphoria, according to the World Professional Association for Transgender Health , which publishes evidence-based standards for the care of transsexual, transgender, and gender non-conforming people.

What Can I Expect During Ftm Bottom Surgery

Transgender woman tells story of transitioning from male to female

FTM Bottom Surgery is often used as a blanket statement for what is actually a series of procedures. These procedures may be performed in rapid sequential order or slowly over a span of years. Typically, male patients begin the Masculinizing Bottom Surgery process with a hysterectomy, oophorectomy, and vaginectomy.

If you choose to, your eggs can be frozen at this stage of the phalloplasty process. These procedures will be carefully performed so as to not impact the lower portion of the lower abdomen, nerves, and base of the mons, in preparation for the surgical stages to follow. After the neo phallus and testicles have been created, the urethra will be connected so that you will be able to urinate in a standing position.

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Recent Events Affecting Transgender Surgeries

Fast-moving currents of both positive and negative change are affecting individuals access to gender reassignment treatments. To a growing extent, health insurance companies and large employers are covering gender-altering surgeries. A Willis Towers Watson industry survey found that an increasing number of employers are taking action to add transgender medical benefits. In December 2020, a federal prisoner in Wisconsin won her lawsuit demanding sexual reassignment surgery. And in May 2021, the Utah Supreme Court affirmed the right of transgender people to change their sex designation on their birth certificate.

On the other hand, based on reporting by The New York Times, hundreds of bills restricting the rights of transgender people have been introduced across the U.S. Treating gender dysphoria in younger people is particularly controversial.

For example, in May 2021, Karolinska hospital in Stockholm, the first in Sweden to offer gender identity assessments for children, stopped giving hormone treatment. This happened after the hospital found the treatments were causing serious, sometimes irreversible, side effects such as cardiovascular disease, osteoporosis, infertility, cancer, and thrombosis.

When Will My Spt Be Removed

Before the SPT is removed, around four weeks after surgery, a urologist will perform a retrograde urethrogram. This involves putting dye into the bladder through the new urethra. An X-ray tracks the dye to see if the new urethra is open and ready for urination. If so, the doctor will clamp the SPT and you will be allowed to urinate from your new urethra. If everything looks good after a few days, the SPT is removed.

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Breaking Down The Costs

Candidates for gender reassignment surgeries are often required to live a year in their identified gender role and undergo at least a year of hormone treatments and perhaps permanent hair removal.

Hormone treatments involve estrogen for male-to-female patients and testosterone for female-to-male patients. Most patients will pursue hormone treatments, which are generally continued for the duration of the patients life. While these drugs are not usually especially expensive, they can add up to more than $2,000 a year.

Bottom surgery, or changing the genitalia, costs an estimated $25,600 for male-to-female patients and about $24,900 for female-to-male, according to The Philadelphia Center for Transgender Surgery. The center publishes a detailed price list of surgery and hospital anesthesia costs for common procedures, though costs may vary widely.

Top surgery involving breast augmentation for male-to-female transitions costs about $9,000. For female-to-male, top surgery involving mastectomy ranges from $7,800 to $10,900, depending on the amount of skin reduction. Masculinizing or feminizing facial surgery and body sculpting surgeries add to the costs.

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Faqs For Sex Reassignment Surgery

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Will I need hormone therapy before the surgery and for how long?Yes, a 1-year course of hormone therapy or more is required, depending on recommendations made by your therapist during consultation.Other than hormone therapy, what else do I need before the procedure?There are several basic requirements. Please see the particulars listed above.When can I have the surgery?There are several basic requirements. Please see the particulars listed above.How does male-to-female surgery work?How does male-to-female surgery work?Can you fully transition from a male to a female?Some men who transition to women often undergo a series of procedures, including facial feminization surgery and breast augmentation procedures.What would the end result look like?

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Reasons For Choosing To Have Male To Female Sex Reassignment Surgery

Male to female sex change operations are for people who are biologically male, but who identify as women and wish to live their lives as women.

Many transgender people say they are uncomfortable with their biological sex and its associated gender role. They feel trapped in a body they cannot identify with. According to the American Psychiatric Association, gender identity disorder can cause duress and impair an individual on both social and personal levels.

Transgender people also report experiencing some form of stigma and discrimination, verbal and physical abuse, threats of violence and actual physical violence proportionately more than others. According to the 2007 Australian Research Centre in Sex, Health & Society publication, Tranznation: A report on the health and well being of sex and gender diverse gender people in Australia and New Zealand:

  • A large majority had experienced at least one form of stigma or discrimination
  • Over half reported verbal abuse
  • One third had received threats of violence or intimidation
  • Nearly one in five had experienced a physical attack or other kind of violence

Transgender people are also likely to experience bullying in schools, workplaces and other social situations.

Gender role changing, hormone therapy and sex change surgery are treatments for this condition.

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Postoperative Care And Follow

The patients were usually discharged within 2 days after surgery with the Foley catheter and vaginal gauze packing in place, which were removed after 7 days in an ambulatorial attendance.

Our vaginal dilation protocol starts seven days after surgery: a kit of 6 silicone dilators with progressive diameter and length is used dilation is done progressively from the smallest dilator each size should be kept in place for 5 min until the largest possible size, which is kept for 3 h during the day and during the night , if possible. The process is performed daily for the first 3 months and continued until the patient has regular sexual intercourse.

The follow-up visits were performed 7 days, 1, 2, 3, 6, and 12 months after surgery , and included physical examination and a quality-of-life questionnaire.

Figure 8. Appearance after 1 month of the procedure.

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Peels Fillers Grafts And Laser Treatment

Less invasive treatments may include peels, fillers, injections, grafting, and laser treatment.

Chemical peels may help treat acne, pock marks, scars, or wrinkles. A number of active agents may be used.

A light or superficial peel uses Alpha Hydroxy Acids such as glycolic, lactic, or fruit acids to treat the outermost layers of the skin. The treatment is not as deep as with some peels, so the recovery time is minimal.

A medium peel usually involves TCA of various concentrations. It penetrates the dermis, or deep layer of the skin, to a greater depth than the light peels. The recovery and pain are more significant than the lighter peels. Redness and flaking may persist for several days or weeks.

A deep peel, or phenol peel, penetrates the skin to the deepest extent. As a result, it has the greatest impact on resurfacing the skin, but it also has the longest recovery time, and it can causing scarring and skin lightening.

Chemical peels have been shown to be safe and effective for both light and darker skin types.

Botulinum toxin, or botox, is the brand name of a toxin produced by the bacterium Clostridium botulinum , first approved by the FDA in the 1980s for muscle spasm.

A range of cosmetic surgery procedures aim to improve appearance.

It is used to treat wrinkles and facial creases.

It is approved for treatment of frown lines on the forehead, crows feet, or lines around the eye, and axillary hyperhidrosis, or increased sweating of the armpits.

Transgender Surgery: Regret Rates Highest In Male

#PRSGrandRounds: Female-to-Male Transgender Surgery

Lizette Borreli HealthWomen’s HealthSexualityPsychology and behavior

Gender-confirmation surgeriesthe name given to procedures that change the physical appearance and function of sexual characteristicsincreased by 20 percent from 2015 to 2016 in the U.S., with more than 3,000 such operations performed last year. Rates are also increasing worldwide. Now, at least one surgeon is reporting a trend of regret.

Urologist Miroslav Djordjevic, who specializes in gender reassignment surgery, has seen an increase in “reversal” surgeries among transgender women who want their male genitalia back. In the past five years, Djordjevic performed seven reversals in his clinic in Belgrade, Serbia. The urologist explains to The Telegraph that those who want the reversal display high levels of depression, and in some instances, suicidal thoughts. Other researchers also report hearing about such regrets.

Related: Transgender teen repeatedly stabbed in genitals LGBT advocates battling for hate crime classification

“It can be a real disaster to hear these stories,” Djordjevic told The Telegraph.

Charles Kane, who identified as Sam Hashimi after male-to-female reassignment surgery, opted to become a man again after experiencing “hormonal regret.” In the BBC documentary One Life: Make Me a Man Again, Kane explained he originally wanted to become a woman after a nervous breakdown.

Related: What’s the cultural impact of transgender characters on TV?

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When Can A Person Have Sex

Recovery times after surgery can vary for each individual, so it is important that people follow the specific advice of a healthcare team.

If people have undergone a metoidioplasty, they may gradually return to their usual activities in the 6 weeks after surgery.

People may need to avoid or restrict sexual activity, heavy lifting, and exercise during this recovery time. They will need to consult a doctor about when it is safe to have sex.

People who have had a phalloplasty may be able to return to their usual activities 68 weeks after surgery. It may take longer than this before people can do certain activities, including sex, heavy lifting, and driving. A doctor will let people know when they can safely have sex.

How Do You Transition From Female To Male

Hormone therapy with testosterone, as well as other treatments, are provided to men who wish to transition from female to male. Bisexuality is defined as the transition of ones gender from male to female through the use of gender-affirming surgery, including mastectomy, gynecomastia, or bottom surgery such as hysterectomies, oophorectomy, vaginectomy, metofibrosis, and phalloplasty

At the time, my friends were mostly straight hetero cis-gendered. The first few days after beginning hormone replacement therapy were filled with renewal. It brought about a sense of catharsis, as well as relief from tension and anxiety. To become a happier person, I had to take the first step. People didnt notice I looked different for six months after I started HRT. In retrospect, I wish I had received more counseling on this topic because no one prepared me for it. My family or friends could either accept me or disown me, which was extremely nerve-racking.

If you have health insurance, you must decide whether or not to have surgery. It is not possible or advisable for every trans person to transition. Some peoples health issues may make them unsuitable. There may also be social and financial obstacles for others.

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