For trans men with smaller breasts, a peri-areolar or "keyhole" procedure may be done where the mastectomy is performed through an incision made around the areola. 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. 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. The procedure, which the treating doctor deemed medically necessary, was performed on November 14 at a private hospital, since U. Plastic surgery , since it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required. Like us on Facebook.
This will result in two horizontal scars on the lower edge of the pectoralis muscle, but allows for easier resizing of the nipple and placement in a typically male position. 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. History[ edit ] Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in The animation, uploaded by the European Society of Urology , shows how a penis and testicles are used to create a vagina, complete with a clitoris capable of orgasm. If the cervix is removed, it is called a 'total hysterectomy. 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. 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. A clitoris fully supplied with nerve endings innervated can be formed from part of the glans of the penis. Research has shown that after surgery many patients are able to enjoy a satisfying sex life. 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. She transitioned and had surgery in the mids, and successfully fought to have transgender people recognized in their new sex. In one study, at the University of Tuebingen, Germany, all 24 patients were able to have an orgasm. This technique results in far less scarring, and the nipple-areola does not need to be removed and grafted. 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. It is then attached to the genitals with fine stitches. See Male Chest Reconstruction. Plastic surgery , since it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required. Like us on Facebook. The rest of the urethra is stitched into it to make the canal slightly wider in circumference, so the woman will be able to have sex. As the procedure is irreversible, the patient must be completely certain they want to go through with it. 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. 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. The graphic shows the whole procedure in vivid detail Next, incisions are made in the genitals where women normally have a clitoris and a urethra. Some undergo this as their only gender-identity confirming 'bottom surgery'. 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. The operation is then finished.
Video about what does a sex change look like male to female:
How Female to Male Sex Reassignment Surgery Really Works
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