See Male Chest Reconstruction. First, the contents of the breast are removed through either a cut inside the areola or around it, and then let the skin retract for about a year. After about one year, penile erection prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis. Genital surgery, transsexual, gender reassignment surgery, phalloplasty, subcutaneous mastectomy Transsexual patients have the absolute conviction of being born in the wrong body and this severe identity problem results in a lot of suffering from early childhood on.
Genital surgery, transsexual, gender reassignment surgery, phalloplasty, subcutaneous mastectomy Transsexual patients have the absolute conviction of being born in the wrong body and this severe identity problem results in a lot of suffering from early childhood on. This article has been cited by other articles in PMC. First, the contents of the breast are removed through either a cut inside the areola or around it, and then let the skin retract for about a year. Mastectomy[ edit ] Many trans men seek bilateral mastectomy , also called "top surgery", the removal of the breasts and the shaping of a male contoured chest. This technique results in far less scarring, and the nipple-areola does not need to be removed and grafted. In addition, there is less denervation damage to the nerves supplying the skin of the chest wall with a peri-areolar mastectomy, and less time is required for sensation to return. Some undergo this as their only gender-identity confirming 'bottom surgery'. After about one year, penile erection prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis. In these rare cases, a nipple can be reconstructed as it is for surgical candidates whose nipples are removed as part of treatment for breast cancer. Hysterectomy and bilateral salpingo-oophorectomy[ edit ] Hysterectomy is the removal of the uterus. Trans men with moderate to large breasts usually require a formal bilateral mastectomy with grafting and reconstruction of the nipple-areola. A 'partial hysterectomy' is actually when the uterus is removed, but the cervix is left intact. The authors provide a state-of-the-art overview of the different gender reassignment surgery procedures that can be performed in a female-to-male transsexual. Hysterectomy without BSO in women is sometimes erroneously referred to as a 'partial hysterectomy' and is done to treat uterine disease while maintaining the female hormonal milieu until natural menopause occurs. Abstract In female-to-male transsexuals, the operative procedures are usually performed in different stages: Within the population of transgender men on hormone therapy, many patients are at significantly decreased risk due to prior oophorectomy removal of the ovaries. Bilateral salpingo-oophorectomy BSO is the removal of both ovaries and fallopian tubes. Gender reassignment usually consists of a diagnostic phase mostly supported by a mental health professional , followed by hormonal therapy through an endocrinologist , a real-life experience, and at the end the gender reassignment surgery itself. This avoids the larger scars of a traditional mastectomy, but the nipples may be larger and may not be in a perfectly male orientation on the chest wall. The goal of the SCM in a FTM transsexual patient is to create an aesthetically pleasing male chest, which includes removal of breast tissue and excess skin, reduction and proper positioning of the nipple and areola, obliteration of the inframammary fold, and minimization of chest-wall scars. If the cervix is removed, it is called a 'total hysterectomy. Decreasing cancer risk is however, particularly important as trans men often feel uncomfortable seeking gynecologic care, and many do not have access to adequate and culturally sensitive treatment. In a second surgery the excess skin is removed. One important consideration is that any trans man who develops vaginal bleeding after successfully ceasing menses on testosterone, must be evaluated by a gynecologist. It is usually advised to stop all hormonal therapy 2 to 3 weeks preoperatively. This is equivalent to postmenopausal bleeding in a woman and may herald the development of a gynecologic cancer.
Video about female to male sex change surgery:
Phalloplasty Surgery with Dermal Grafts III
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