Sex reassignment surgery

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MTF genital reconstruction
1. Vaginoplasty The term vaginoplasty includes several procedures which transform the male external genitalia into female genitalia. The goals of vaginoplasty include creation of a sensate and aesthetically acceptable vulva (including clitoris, labia minora and majora, and vaginal introitus) shortening of the urethra, with creation of a urethral opening that allows a downward urinary stream creation of a stable and sensate neovagina with adequate dimensions for penetrative sexual intercourse, ideally lined with moist, elastic, hairless epithelium elimination of erectile tissue (to avoid narrowing of the introitus and protrusion of the urethral meatus/clitoris during sexual arousal) preservation of orgasmic capability
Augmentation mammaplasty

Leabharlann It will usually be delayed until after hormonal therapy has been under taken for a period of 18 months to allow time for maximal hormonal breast development. Compared to non-transgender women, the breast developement of the MTF patient is often undeveloped and tight and there may be less lipomatous tissue. A staged approach involving initial tissue expansion (as in reconstruction following mastectomy) is sometimes used for optimal results. there is no clinical consensus on the best way to promote nipple and breast development in transgender Results vary, but in general, the nipple-areola complex appears underdeveloped and lateralized even after years of hormone treatment. Even after two years of feminizing hormones MTF breast development typically corresponds to the conical shape seen in young adolescents, without the ptosis normally seen as a result of aging. The patient should be made aware that implants cannot perfectly imitate adult breasts. In particular, the age-related changes seen in non-transgender women and cleavage between the breasts is very difficult to create The decision of whether to augment or not is very similar for a TS women as for any other woman - a complex one with many tradeoffs of appearance vs sensation vs risks of complications.
♀ It also can be called gender reassignment surgery, or sex-change
operation ♀ It is a term for the surgical procedures by which a person's physical appearance and function of their existing sexual characteristics are altered to resemble that of the other sex. ♀ It is part of a treatment for gender identity disorder/gender dysphoria in transsexual and transgender people. It may also be performed on intersex people, often in infancy. ♀ Other terms for SRS include gender reassignment surgery, sex reconstruction surgery, genital reconstruction surgery, gender confirmation surgery, and more recently sex affirmation surgery. The commonly used terms sex change or sex change operation are considered factually inaccurate. The terms feminizing genitoplasty and masculinizing genitoplasty are used medically. ♀ The best known of these surgeries are those that reshape the genitals, which are also known as genital reassignment surgery or genital reconstruction surgery (GRS). ♀ However, the meaning of "sex reassignment surgery" has been clarified by the medical subspecialty organization, the World Professional Association for Transgender Health (WPATH), to include any of a larger number of surgical procedures performed as part of a medical treatment for "gender dysphoria". transsexualism" or "gender identity disorder”
WHAT DOES IT INCLUDE?
♂According to WPATH, medically necessary sex reassignment
surgeries include "complete hysterectomy, bilateral mastectomy, chest reconstruction or augmentation including breast prostheses if necessary, genital reconstruction (by various techniques which must be appropriate to each patient and certain facial plastic reconstruction. In addition, other nonsurgical procedures are also considered medically necessary treatments by WPATH, including facial electrolysis.
surgical construction of a vagina, whereas in the case of transmen, genital reconstruction may involve either construction of a penis or metoidioplasty/construction of a penis. For some transwomen, facial feminization surgery and breast augmentation are also medically necessary components of their surgical treatment.
Feminizing Surgery
Male to Female (MTF) Sex Reassignment Surgery
Surgical procedures




Augmentation mammaplasty (breast augmentation) MTF genital reconstruction Facial feminizing surgery Voice pitch-elevating surgery Other (lipoplasty, removal of rib, injection of free silicone)
♂ The array of medically necessary surgeries differs for
transwomen (male to female) rather than transmen (female to male).
♂ For transwomen, genital reconstruction usually involves the
Sex reassignment surgery
KEY WORD: Sex reassignment/reconstruction surgery gender identity disorder Genital Genitoplasty Dysphoria
WHAT IS THE Sex reassignment surgery (SRS)?
♂ For transmen these may include mastectomy (removal of the
female breasts) and chest reconstruction (the shaping of a malecontoured chest), or hysterectomy and bilateral salpingooophorectomy.
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