Hysterectomy and bilateral salpingo-oophorectomy[ edit ] Hysterectomy is the removal of the uterus. See Male Chest Reconstruction. Performed under general anaesthetic, the operation to change the male genital organs into female genital organs takes around four hours.
The procedure involves effectively skinning the penis and removing most of it, though the skin, the main nerve supply and blood supply are retained. Hysterectomy and bilateral salpingo-oophorectomy[ edit ] Hysterectomy is the removal of the uterus. This process involves removing breast tissue and excess skin, and reducing and properly positioning the nipples and areolae. The uterus and the ovaries are removed. 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. In a second surgery the excess skin is removed. Plastic surgery , since it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required. The lining of the vagina is created from a pocket of skin. The testes are removed. The procedure, which the treating doctor deemed medically necessary, was performed on November 14 at a private hospital, since U. Supporters of colovaginoplasty state that this method is better than use of skin grafts for the reason that colon is already mucosal, whereas skin is not. Reliable statistics are extremely difficult to obtain. Female-to-male surgery has achieved lesser success due to the difficulty of creating a functioning penis from the much smaller clitoral tissue available in the female genitals. If the cervix is removed, it is called a 'total hysterectomy. 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. Some undergo this as their only gender-identity confirming 'bottom surgery'. 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. 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. This relatively minor surgery, which is usually performed only under local anaesthetic, is called labiaplasty. But some people who have undergone this surgery say sexual intercourse can result in a sensation intense enough to produce an orgasm. For trans men with smaller breasts, a peri-areolar or "keyhole" procedure may be done where the mastectomy is performed through an incision made around the areola. Converting male anatomy to female anatomy requires removing the penis, reshaping genital tissue to appear more female and constructing a vagina. It takes about three weeks to recover from the surgery, depending on the patient, and we advise they wait six weeks before undertaking any form of exercise. It is unknown whether the risk of ovarian cancer is increased, decreased, or unchanged in transgender men. Many sexual-reassignment procedures are conducted in private facilities that are not subject to reporting requirements. In these rare cases, a nipple can be reconstructed as it is for surgical candidates whose nipples are removed as part of treatment for breast cancer. Kellie cannot wait to complete her transformation Image:
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