This can also be used in patients who have never undergone sex reassignment surgery. The vagina which is part of the colon will have good lubricant and optimal depth. At Kamol Cosmetic Hospital, there are 2 options for Sigmoid colon srs:. Open technique the sigmoid colon is cut as a pedicle flap with intact neuro-vascular bundle via the low transverse abdominal incision as the bikini line. The average length of sigmoid colon segment is approximately 7 inches. The rest of colon is re-anastomosis (connection) to make normal passage of the large intestine, separate way from the sigmoid-neovagina. The operation time is approximately 7 hours.
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Srs with scrotal skin graft: This technique involves using the skin covering the penis to construct the inner labia, parts of glans penis to construct the neoclitoris and scrotal skin graft to cover the vaginal wall. This results in a sufficiently deep and functional vagina as required by the patient. If after the scrotal skin graft, the vagina depth is still not satisfactory to the patient and then the plastic surgeon will consider using skin graft from other towns areas such as the groin or lower abdomen to further increase the depth of the vagina. the advantage is that this essay technique provides a one stage operation with full function and aesthetic. Most patients do not need more additional touch up procedure. The procedure enables them to possess the desired deep vagina as well. the disadvantage is that the surgery is difficult and complex, and is not suitable for those who have deficient skin. For this technique, experienced and specialized plastic surgeons in sex reassignment surgery will take about 4-6 hours to complete. The advantage is that this technique takes less operation time and less complications. The sigmoid Colon Vaginoplasty: This technique is used in the case where patients have short penises, or to assist patients whose vaginas have become obstructed.
The disadvantage is that it is not suitable for men with penises shorter than 4 inches because this will result in a vagina that is not deep enough (in general, the vagina depth is equivalent to the length of the skin covering the penis minus. Moreover, some patients may need secondary labiaplasty. Because most parts of penile skin is inverted into the vagina for the whole depth, there is insufficient skin to construct the inner labia and clitoral literature hood. In this way, patients may need secondary labiaplasty and clitoral hood reconstruction. Srs without skin graft: The technique involved using penile skin and scrotum to construct the external genitalia such as inner and outer labia, neoclitoris and clitoral hood, and female urethra. Because penile skin is used to construct the innerlabia and clitoral hood, the vaginal depth is very insufficient unless skin graft is covered intra vagina. This procedure is suitable for who those do not need transvagina sexual intercourse and unwanted vaginal dilation for life.
The exterior parts such as the major Labia, minor Labia, urinary tract, and clitoris are reconstructed to look beautiful and perfect as a female sexual organ which can still experience sexual sensations as before. Sex reassignment Surgery methods available in Kamol Cosmetic Hospital accordance with the construction procedures of the new vagina and clitoris as follows:. Srs with optional procedures: In case of deficient penile and scrotal skin or secondary srs that limitation of skin in the genital area, optional procedures may needed. Penile skin Inversion: This surgery involves inverting the skin of the penis to create and beautify the vagina. This is a widely popular method. The advantage is that this method is relatively simple, not complicated. For experienced and specialized surgeons, this technique of sex reassignment surgery lasts about 4 hours.
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The surgery will enable the patient to have as deep a vagina as his skin would permit. All sexual sensory nerves would remain intact in the female clitoris so as to have normal sexual sensations in this area. Plastic surgery must be undertaken to hide the wound so that there is the least chance of it being visible. Kamol's Sex, reassignment, surgery techniques:. General anesthesia is applied to the patient by an anesthesiologist.
A new vagina is formed between the anus and the urinary tract, approximately 5-7 inches deep. The skin covering the penis is used to construct the inner labia, and a vaginal wall is consequently covered with skin graft manitoba from scrotum. The core of the penis is removed, and the sexual sensory nerves are kept for use in creating the clitoris. The testicles are removed to decrease of male hormones. The male urinary tract is shortened and shaped so that urine can flow out in the same manner as other women. If the surgery has not been properly undertaken, urine may shoot up when urinating in sitting position.
Therefore, in order to undergo sex, reassignment, surgery which is considered the most important surgery of all, paving the way to a new way of life, it is necessary to prepare one self by seeking pertinent information about the surgery before making a decision. This is especially important when selecting the right surgeon equipped with appropriate experience and expertise in Sex, reassignment, surgery who can then create a female sexual organ which looks beautiful and natural, with a deep vagina, proportionate to the physical condition, capable of better perceiving. This will help the patient who has undergone surgery connect his physical and mental state of mind, and be capable of leading a normal happy life. Characteristics of those who qualify for Sex, reassignment, surgery from male to female are as follows:. The patient must be at least 20 years of age. For those below the age of 20, it is required that the legal parents or guardian authorize their permission to the surgery.
The patient must have continuously taken female hormone for at least one year. The patient must have had feminine feelings for a long time or since initial/first recollections. The patient must have led a womans life for at least 1 year. The patient must feel disgusted with his sexual organ as if it were an excess part of his body. The patient has undergone a mental test, and been certified by a psychiatrist as in normal mental state, and suited for the sex, reassignment, surgery. The patient must be in physically fit condition. The plastic surgery undertaken to reassign the patients sex from male to female involves the use of skin, tissues and sexual sensory nerves of the patient to transform the male sexual organ into a female sexual organ that is perfect in the following ways:. Transform the sexual organ to that which is most similar to the female sexual organ.
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Sadly, the transplant is only available to men injured in combat and not transgender men. Jeffrey kahn, a bioethicist at Johns Hopkins, told the. New York times that once these surgeries have proven to be successful, it's very possible it will be made available to transgender men, provided the donors will allow. "What do you say to the donor?" Kahn said. . "A 23-year-old wounded in the line of duty has a very different sound than somebody who is seeking gender golf reassignment. hopefully by the time the surgery is hailed as a success, the world's view of transgender people has improved as well. Follow Lane on, twitter and, instagram. Sex, reassignment, surgery is the final step in the process proposal of assisting people who have experienced conflicts between their sexual perceptions and their physical characteristics since birth, which in medical terminology. The sex reassignment surgery will transform the sexual organ to conform to the desired inner state of mind in order for the person to lead a happier life with the new chosen gender.
The complication can usually be solved by dilations but sometimes additional minor surgery is needed easy to correct. A 20, non-refundable down payment is required to schedule an appointment for any MtF procedure. Next: Male to female Transformation. Advertisement - continue reading Below, a new video uploaded by the, european Society of Urology shows a detailed example of how male-to-female gender reassignment surgery works and yes, it's far more complex than simply removing the penis. The animation shows a surgeon opening up the scrotum, removing the testicles, and removing the head of the penis (hello, nerve endings) to create a clitoris. The shaft and the scrotum are then used to create the labia and vaginal canal that will allow a lot of patients to have a perfectly healthy and great sex life. Obviously, these are only the surgical changes and additional hormone therapy is necessary for a variety of other changes in the body, but watching a little animated hand transform one biological gender to another is truly fascinating. On the other hand, recent developments have also happened with female to male surgery, with the first penis transplant in the. Slated to happen at Johns Hopkins University School of Medicine on a wounded soldier who sustained a genital injury.
from a part of the rectosigmoid colon (bowel) which is isolated and moved into the previously created pelvic space. The outer part of the neovagina is joined to the previously created labia minora and majora and the other end is closed. The separated parts of the bowel at the donor site area are joined using an automatic stapling device. Vaginas created this way have natural lubrication as well as excellent sensitivity. Unlike some surgeons, Dr Djinovic does not use the scrotum to make the vagina during any vaginoplasty. He does transgender orchidectomy (bilateral orchiectomy) at the time as the vaginoplasty. Preoperative preparations and postoperative care for this male to female surgery are the same as for the penile inversion procedure. (It is recommended that you read that article also.) More patients experience constriction or narrowing of the vaginal opening and passageway — about.
This surgery is performed through a combined trans-abdominal and trans-perineal approach. The perineum portion of the body in the pelvis occupied by urogenital passages and the rectum. This, mtF, srs also requires careful disassembly of the penis to fully preserve all blood and lymph vessels and keep the sensitivity of all penile parts, particularly the glans. You can expect your ability to have an orgasm before surgery to be the same after surgery although the method or technique of erotic stimulation will be different and like a natal woman. All parts of the external female genitalia are created at the same time. Similar to the penile inversion technique, the clitoris is created by reducing the glans. Psychiatric approval for transsexual surgery is always required.
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Vaginoplasty using the rectosigmoid colon provides a superior male to female change and costs more than the penile inversion procedure. Male to female surgery using the rectosigmoid colon. MtF transsexual surgery suitable for: patients with less than average penis length, or those with a circumcised penis, or persons who want to be able to have sex with men who have a larger than average penis. The surgery takes about 5-6 hours. It costs about 20 more than vaginoplasty using penile skin inversion. You can choose vaginal depth to match the penis size of guaranteed your partner regardless of how long — even up to 9, 10 or 11 inches. General anesthesia is always required. Stop, mtF hormone therapy at least two weeks before gender change surgery.