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. 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. Bilateral salpingo-oophorectomy BSO is the removal of both ovaries and fallopian tubes. Some undergo this as their only gender-identity confirming 'bottom surgery'. A clitoris is formed through cutting the glans, the head of the penis, to a smaller size. In one study, at the University of Tuebingen, Germany, all 24 patients were able to have an orgasm.
The video shows how the patient is first placed lying on the operating table flat on their back with their feet turned outwards. The aesthetic, sensational, and functional results of vaginoplasty vary greatly. Daily dilation of the vagina for six months in order to prevent stenosis is recommended among health professionals. If the cervix is removed, it is called a 'total hysterectomy. 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. This relatively minor surgery, which is usually performed only under local anaesthetic, is called labiaplasty. This technique results in far less scarring, and the nipple-areola doesn't need to be removed and grafted. Could not subscribe, try again laterInvalid Email A gruesome and compelling video has revealed the great skill and precision involved in carrying out a male to female sex change. While the rates of endometrial and cervical cancer are overall higher than ovarian cancer, and these malignancies occur in younger people, it is still highly unlikely that this question will ever be definitively answered. History[ edit ] Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in Now, with the patient's legs raised, the shaft or corpora cavernosa is cut away, leaving only the urethra left. 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. A catheter is placed in their urethra to drain urine and collect the fluid. The operation is then finished. With current procedures, trans women do not have ovaries or uteri. 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. Like us on Facebook. If the patient has been circumcised removal of the foreskin , or if the surgeon's technique uses more skin in the formation of the labia minora , the pubic hair follicles are removed from some of the scrotal tissue, which is then incorporated by the surgeon within the vagina. 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. The testes are removed Surgeons then make a cut in the scrotum, the flap of skin is pulled back, and both testicles are removed. 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. 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. The incisions are strategically placed to look like natural skin closes in the vaginal lips. It is then attached to the genitals with fine stitches. Other related procedures[ edit ].
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