Historical notes, descriptions, photos, references and links. This page sketches the historical development and surgical details of vaginoplasty surgery for male-to-female sex reassignment often called sex reassignment surgery - SRS. Before reading this page, please read the introduction to the concepts of gender identity, transgenderism and transexualism elsewhere in this website, so that you'll understand why transsexuals undergo these operations. By entering this page, you hereby certify that you are 18 or over.
A blunt dissection extended downwards through the left side of the urethral meatus allowing the transposition of the neoclitoris to the supraurethral area, and fixed at the proper place with absorbable interrupted polyglactin 3. But sharing stories like his will help put faces to the hundreds of thousands of trans people and counting in the U. Eldh et al. Treatment reassigmnent was the use of larger vaginal dilatators and pelvic relaxation methods prior to intercourse. No significant disparity was reassignmeng Postoperative pictures sexual reassignment surgery retrieved data.
Honeymoon cuckold and pregnant. R29 Original Series
Whether or not people liked what Biber did, they liked the squat, balding doctor who wore jeans and flannel shirts to work and always said hello. InHage 20 stated that a complete penile reconstruction with erection prosthesis never can be performed in one single operation. In a radial forearm phalloplasty, the insertion of erection prosthesis is required to engage in sexual intercourse. Acta Chir Plast. Overall, Shorta mack porn patients Postoperative pictures sexual reassignment surgery healthy, with minimal comorbidities. How can we be so negligent? For a discussion of breast development in TS women, along with many photos of unaugmented development, see this Breast Development webpage. Support Center Support Center. There may be some kind of threshold effect involved here, whereby some women need a small amount of testosterone to maintain orgasmic capability. The sexual Postoperative pictures sexual reassignment surgery they elaborate in turn influence the fetal development, before we are even born, of our sexual characteristics, including either the penis or the vagina, thus determining what shows up at birth. Plast Reconstr Surg.
- After the sex reassignment surgery , the recovery period is on the go.
- Sex Reassignment Surgery is the final step in the process of assisting people who have experienced conflicts between their sexual perceptions and their physical characteristics since birth, which in medical terminology is Gender Dysphoria.
Sex reassignment surgery example result by Dr. Chettawut - Case 1. Procedure Description of Sex reassignment surgery case 1: This case shows a typical result of Dr. The patient kindly sent her follow-up pictures 2 months after surgery showing normal to rapid external genital healing. Her dilation routine went very well and she informs she is maintaining a stable 6.
The labia minora construction was done by using the whole penile and prepuce skin to form the lip-like fold starting from the clitoral frenulum down to the side of vaginal opening. The vaginal opening was made by non-penile inversion; the genital area and its components can be expected to function as a natural biological woman.
In the labia spread view, the vaginal opening appears to be in a vertical elongated oval shape as it normally appears in a natural biological woman - not too wide or big like a hole. The urethral opening appears to be anatomically correct in location and size.
The labia majora looks proportionate and beautiful without any noticeable scaring.
A,B Aspect of the donor site after a phalloplasty with a radial forearm flap. Many also work as prostitutes and beggars in this lowly but traditional Indian caste. It is now possible for many postop women to feel totally gender-congruent in their transformed bodies, and to be able to very comfortably and passionately enter into loving relationships either heterosexual or lesbian, as the case may be as sensual, sexually responsive women. Aleshia as an actress in stealth mode, in the early 's. Penile reconstruction using the lateral arm flap.
Postoperative pictures sexual reassignment surgery. R29 Original Series
He's now living in San Francisco and working as a roastery manager. He considers himself very fortunate to be surrounded by both an open-minded, supportive community and a loving family.
In , Steiner finally got top surgery, a gender-confirming procedure to remove his breasts. The photos, taken by Tim Soter, capture many of the daily routines Steiner has incorporated into his life post-transition and they depict a man who is finally at peace with his body and how the outside world views it.
Steiner's journey, of course, is unique to him. But sharing stories like his will help put faces to the hundreds of thousands of trans people and counting in the U.
Ahead, Steiner opens up about letting go of societal judgment, the realities of testosterone injections, and how his life changed after getting top surgery. This is the first-ever all-digital global march.
A new report indicates that e-cigarette products containing THC, a psychoactive chemical found in marijuana, could be behind a string of vaping-related dea. Every year, thousands of people remove abnormal cervical cells with a simple surgery called loop electrosurgical excision procedure LEEP. In this procedu. Open Will The U. In the male to female transsexual, removal of the testes translates hormonally into the loss of adult male levels of testosterone.
Male levels of testosterone are both defeminizing and masculinizing, keeping in mind that defeminization and masculinization are two separate issues even though they may operate synergistically, like the two engines of a twin-engine airoplane.
Because well-developed breasts are a hallmark characteristic of the female condition, people tend to think of them as targets solely for the feminizing hormones, in other words for estradiol and progesterone, but the fact is that androgens such as testosterone also have a significant impact on the breast, although in a defeminizing way that opposes the feminizing influences of estrogen and progesterone.
Why does this matter? Consider the case of a year-old woman who has had both of her ovaries surgically removed for valid health reasons. Does this surgery cause her to become dramatically masculine, overnight? The answer is that despite a dramatic loss of feminizing hormonal influences, there is no reason for her breasts to become masculinized, because she simply does not possess a male-typic level of testosterone capable of masculinizing her.
What will happen when she suddenly discontinues feminizing hormone therapy? The answer is that while it may take some months, depending on her dose of feminizing hormones and how long-acting they happen to be, sooner or later her testes will come back online. Some patients however will have an orchiectomy without GRS, in an effort to accelerate feminization while reducing the need for higher hormonal doses.
Either way, the patient in question is being castrated. The hormonal consequences will be just the same, involving severe, abrupt deprivation from testosterone. Removal of the testes in the genetic male and of the ovaries in the genetic female leads to a sudden, severe hormonal drop off with testosterone depletion in both cases.
Testosterone levels nosedive down to levels below those even characteristic of the genetic female norm. Female castration occurs following an operation known as a TAH-BSO, which is applied in young women for a variety of health reasons including endometriosis and cancer.
The bodies of these young women have been accustomed, up until the moment when their ovaries were removed, to the presence of generous levels of the sexual hormones even including testosterone, lying within the normal female range.
And the same set of problems that genetic women experience when surgically castrated tend also to crop up in trans-women following orchiectomy, unless some form of adequate hormone therapy is maintained so as to prevent hormonal deprivation. Unfortunately, replacement hormone therapy is rarely either administered or sought after in the post-operative trans-woman.
Treatment in both groups requires considerable professional expertise as well as an awareness on the part of both types of patient that even when hot flashes fade away, the body still suffers from the consequences of hormonal depletion.
For many but not all trans-women, gender reassignment is the ultimate goal, the moment when one crosses the gender river. But this moment, far from being an end, a culmination, is actually only the beginning. Once the testes have been removed, the only significant source of sex hormones is hormonal therapy arriving from the outside. This is a terrible mistake. Far too many post-operative trans-women receive little or no ongoing hormone therapy, focused medical follow-up or problem-oriented health monitoring.
This might have been a vaguely acceptable approach in the past, when we believed that sex hormones were only sexual in their influences, but now we know better. And these are just the obvious, overt problems. Considering these dire consequences of chronic hormone depletion, how can this standard of care, this deplorable deficiency continue?
Gender reassignment surgery - a 13 year review of surgical outcomes
Skip navigation! Story from Body. This story was originally published on July 1st, , and we're bringing it to your attention again in honor of Transgender Day Of Visibility. Sal Steiner can remember the first time he knew he was a man.
As a shy 6-year-old, he would watch kids on the playground, noticing the typical heteronormative dynamic between boys and girls. Thanks to less-than-stellar sex-ed and a religious home where his anatomy was never discussed, Steiner spent his early teen years expecting his penis to come in — it seemed natural to him. He didn't get his period until he was 17 and his vagina never bothered him, but once he started developing breasts in his late teens, he started to feel a real disconnect with his body.
They felt like they were outside myself. This feeling of estrangement from his body continued, even as Steiner married a man, got divorced, and eventually came out as a lesbian and finally trans at the age of He's now living in San Francisco and working as a roastery manager. He considers himself very fortunate to be surrounded by both an open-minded, supportive community and a loving family. In , Steiner finally got top surgery, a gender-confirming procedure to remove his breasts. The photos, taken by Tim Soter, capture many of the daily routines Steiner has incorporated into his life post-transition and they depict a man who is finally at peace with his body and how the outside world views it.
Steiner's journey, of course, is unique to him. But sharing stories like his will help put faces to the hundreds of thousands of trans people and counting in the U. Ahead, Steiner opens up about letting go of societal judgment, the realities of testosterone injections, and how his life changed after getting top surgery.
This is the first-ever all-digital global march. A new report indicates that e-cigarette products containing THC, a psychoactive chemical found in marijuana, could be behind a string of vaping-related dea. Every year, thousands of people remove abnormal cervical cells with a simple surgery called loop electrosurgical excision procedure LEEP.
In this procedu. Open Will The U. Ragweed is o. This Is My History: Two Mond. The year is , and it's suddenly cool to carry around a device that looks like a USB flash drive and heats up a cocktail of nicotine and chemicals.
Nothing makes you re-examine your life quite like completely surrendering to nature as you tuck-and-roll out of a plane at 10, feet.