Supporters of colovaginoplasty state that this method is better than use of skin grafts for the reason that colon is already mucosal, whereas skin is not. During this phase, it is also important to expand the penile skin by stretching. Some surgeons have techniques to ensure continued depth, but extended periods without dilation will still often result in reduced diameter vaginal stenosis to some degree, which would require stretching again, either gradually, or, in extreme cases, under anaesthetic. Surgeons vary considerably in their techniques and skills, patients' skin varies in elasticity and healing ability which is affected by age, nutrition, physical activity and smoking , any previous surgery in the area can impact results, and surgery can be complicated by problems such as infections, blood loss, or nerve damage. She was the subject of four surgeries: Gender affirmation surgery is not a new phenomenon and has been undertaken by numerous people around the world.
Some surgeons have techniques to ensure continued depth, but extended periods without dilation will still often result in reduced diameter vaginal stenosis to some degree, which would require stretching again, either gradually, or, in extreme cases, under anaesthetic. Because of the risk of vaginal stenosis the narrowing or loss of flexibility of the vagina ,   any current technique of vaginoplasty requires some long-term maintenance of volume vaginal dilation , by the patient, using medical graduated dilators to keep the vagina open. At this stage, the patient in a case of a male to female gender reassignment is counselled about sperm donation, should they wish to have their own genetic children at some point in the future. Other related procedures[ edit ]. The patient, an infantry soldier who identifies as a woman, had already begun a course of treatment for gender reassignment. Vaginoplasty When changing anatomical sex from male to female, the testicles are removed, and the skin of foreskin and penis is usually inverted, as a flap preserving blood and nerve supplies a technique pioneered by Sir Harold Gillies in , to form a fully sensitive vagina vaginoplasty. Other scrotal tissue forms the labia majora. Surgeon's requirements, procedures, and recommendations vary enormously in the days before and after, and the months following, these procedures. However, she died three months after her last operation. They then come to the outpatients to check that everything settles down adequately. This means that they are unable to bear children or menstruate until a uterus transplant is performed, and that they will need to remain on hormone therapy after their surgery to maintain female hormonal status. With current procedures, trans women do not have ovaries or uteri. Depending on the effect of the hormones, the patient may choose to have a breast augmentation if their breast development is not sufficient. Any extra skin from the scrotum is trimmed to create the labia lips of the vagina. She was the subject of four surgeries: Gender affirmation surgery is not a new phenomenon and has been undertaken by numerous people around the world. She transitioned and had surgery in the mids, and successfully fought to have transgender people recognized in their new sex. Surgery of female changing to male For transgender men, the most important operation is usually removal of the breast tissue Mastectomy. Once the operation has been done, the patient stays in hospital for five days until the catheter can be removed. Surgeons vary considerably in their techniques and skills, patients' skin varies in elasticity and healing ability which is affected by age, nutrition, physical activity and smoking , any previous surgery in the area can impact results, and surgery can be complicated by problems such as infections, blood loss, or nerve damage. Plastic surgery , since it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required. She was a strong advocate for the rights of transgender people. Some surgeons prefer to do most of the crafting of the outer vulva as a second surgery, when other tissues, blood and nerve supplies have recovered from the first surgery. Hormone therapy Once the assessment has been done the correct hormones can be started. The urethra is then shortened to the appropriate length and stitched to its new position in the skin. History[ edit ] Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in
Video about how is a sex change performed male to female:
Male to Female Surgery (Gender change)
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