For trans women, genital reconstruction usually involves the surgical construction of a vagina , by means of penile inversion or the sigmoid colon neovagina technique; or, more recently, non-penile inversion techniques that make use of scrotal tissue to construct the vaginal canal. 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. Anxiety, depression and hostility levels were lower after sex reassignment surgery. For both trans women and trans men, genital surgery may also involve other medically necessary ancillary procedures, such as orchiectomy , penectomy , mastectomy or vaginectomy. Psychological and social consequences[ edit ] After sex reassignment surgery, transsexuals people who underwent cross-sex hormone therapy and sex reassignment surgery tend to be less gender dysphoric. The conditions do increase the anesthetic risk and the rate of post-operative complications. At least one of these letters must be from a mental health professional experienced in diagnosing gender identity disorder, who has known the patient for over a year.
Most surgeons require two letters of recommendation for sex reassignment surgery. She was a strong advocate for the rights of transgender people. These require additional surgery to fix and are often fixed by colorectal surgeons. Psychological and social consequences[ edit ] After sex reassignment surgery, transsexuals people who underwent cross-sex hormone therapy and sex reassignment surgery tend to be less gender dysphoric. Please help improve this section by adding citations to reliable sources. 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. An increasing number of surgeons are now training to perform such surgeries. The conditions do increase the anesthetic risk and the rate of post-operative complications. Plastic surgery , since it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required. Many surgeons operate in small private clinics that cannot treat potential complications in these populations. It is a relatively safe procedure. 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. Surgeon's requirements, procedures, and recommendations vary enormously in the days before and after, and the months following, these procedures. Hence, transgender people should be well informed of these risks before choosing to undergo SRS. Quality of life and physical health[ edit ] Patients of sex reassignment surgery may experience changes in their physical health and quality of life, the side effects of sex steroid treatment. Moreover, trans men also had a lower sexual satisfaction with their sexual life than trans women. 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. For many individuals, these may require a minimum duration of psychological evaluation and living as a member of the target gender full-time, sometimes called the real life experience RLE sometimes mistakenly referred to as the real life test RLT before genital reconstruction or other sex reassignment surgeries are permitted. For both trans women and trans men, genital surgery may also involve other medically necessary ancillary procedures, such as orchiectomy , penectomy , mastectomy or vaginectomy. Lubrication is needed when having sex and occasional douching is advised so that bacteria do not start to grow and give off odors. In these studies, most of the patients have reported being very happy with the results and very few of the patients have expressed regret for undergoing sex reassignment surgery. The female-to-male transgender individuals reported that they had been experiencing intensified and stronger excitements while male-to-female individuals have been encountering longer and more gentle feelings. Letters must state that sex reassignment surgery is the correct course of treatment for the patient. History[ edit ] Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in For trans women, genital reconstruction usually involves the surgical construction of a vagina , by means of penile inversion or the sigmoid colon neovagina technique; or, more recently, non-penile inversion techniques that make use of scrotal tissue to construct the vaginal canal. They also normally function well both socially and psychologically.
Video about sex change operation procedure:
This is What a Vagina Looks Like on a Mtf Transgender Female After Gender Re-Assignment Surgery!
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