SEX RE_ASSIGNMENT SURGERY
Sex Re-assignment Surgery
Sex reassignment surgery for male-to-female involves reshaping the male genitals into a form with the appearance of, and as far as possible, the function of female genitalia.
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SEX CHANGE SURGERY OR GENDER REASSIGNMENT SURGERY
There are certain patients born with the thought that they are of the opposite sex but have the physical feature of the sex which they don’t want. It is like they are entrapped in the body of the opposite sex. These patients require sex-change operations like a female to male surgery and male to female surgery, this is also called gender reassignment surgery and sex change surgery. These surgical procedures are performed in a patient who has under thorough evaluation by psychiatrist and psychologist and who have been living with clothes worn of the opposite sex.
Once the psychiatrist gives affirmation that the patient is a clear cut case of gender identity disorder we perform the sex change operation There can be Male to Female or Female to Male assignment. This is a staged operation in both the cases.
FEMALE TO MALE SURGERY (SEX CHANGE SURGERY)
Stage 1
The first step in sex change surgery, female to male surgery is Mastectomy or Breast Removal Surgery.
Procedure: In this, the Female breast is removed and nipple repositions done. The procedure is done by doing liposuction in axillary areas and excision of breast subcutaneously. The procedure takes about 2 hrs.
Anaesthesia: it is done under General Anaesthesia
Recovery Time: it is a day care procedure and the patient is discharged the same day and advise to rest at home for 5 – 6 days before resuming normal activity.
Stage 2
Stage 1 and 2 can be combined
Removal of Uterus and ovaries The procedure is done laparoscopically.
In this procedure the vagina is closed and the urethra is advanced anteriorly so that in next stage penile reconstruction it becomes easier.
Stage 3
In female to male surgery reconstruction of Penis by use of free tissue transfer either by Forearm or from the thigh or the back. In this procedure, the urethra is connected and the sensory nerves also buried at the base or connected to the sensory nerves of the flap. The procedure takes about 7 hrs and is done under General anesthesia Recovery time: it is 7 to 10 days
Stage 4
In this, The testes can be placed in the preserved labia majora to give the appearance of scrotum. And also the implant is placed in the reconstructed Penis. It can be static silicon or dynamic three part implant.
Time: the procedure time is 1-2 hrs
Recovery: The recovery is within 3 to 5 days.
MALE TO FEMALE SURGERY (SEX CHANGE SURGERY)
In male to female surery, the male feels that he is female and entrapped in the male body. After a thorough evaluation by psychiatrist and endocrinologist and after clearance we take the patient for Sex Change Surgery It is a Staged procedure
Stage 1:
Breast Augmentation: In sex change surgery male to female, the breast implant is the first step. Breast Implant is Placed under the Muscle in the chest to give the appearance of the breast. It is 1 hr procedure and immediately the results are visible. Sometimes we can just do fat grafting for the breast augmentation.
Stage 2
The second step of male to female surgery for a sex change is Penile Removal and reconstruction of NeoVagina. In this procedure the penis is removed and the penile skin is used to reconstruct the Neo vagina.
The glans which is sexually sensate organ is reduced in size and placed just above the urinal opening as the clitoris. It is sensate organ and patient can reach orgasm due to this. The depth of vagina is adequate and now we don’t need colon for vagina. It is normally deep enough for all sexual purpose.The procedure requires about 2 hrs.
Recovery time: Male to female surgery (sex change surgery) takes 5 to 7 days. The patient can start having sexual activity after about 2 to 3 weeks
Supplemental procedures are Laser Hair removal. Hair implantation for hairline designing to achieve femine look and jaw correction and cheek augmentation Dimple creation and voice change.,Buttock augmentation