This is equivalent to postmenopausal bleeding in a woman and may herald the development of a gynecologic cancer. Because of the risk of vaginal stenosis the narrowing or loss of flexibility of the vagina ,   any current technique of vaginoplasty requires some long-term maintenance of volume vaginal dilation , by the patient, using medical graduated dilators to keep the vagina open. Plastic surgery , since it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required. 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. This is particularly the case for trans men who: Mastectomy[ edit ] Many trans men seek bilateral mastectomy , also called "top surgery", the removal of the breasts and the shaping of a male contoured chest. 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.
Surgeon's requirements, procedures, and recommendations vary enormously in the days before and after, and the months following, these procedures. One important consideration is that any trans man who develops vaginal bleeding after successfully ceasing menses on testosterone, must be evaluated by a gynecologist. A 'partial hysterectomy' is actually when the uterus is removed, but the cervix is left intact. She transitioned and had surgery in the mids, and successfully fought to have transgender people recognized in their new sex. This relatively minor surgery, which is usually performed only under local anaesthetic, is called labiaplasty. The procedure, which the treating doctor deemed medically necessary, was performed on November 14 at a private hospital, since U. With current procedures, trans women do not have ovaries or uteri. Bilateral salpingo-oophorectomy BSO is the removal of both ovaries and fallopian tubes. 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. Some undergo this as their only gender-identity confirming 'bottom surgery'. Trans men with moderate to large breasts usually require a formal bilateral mastectomy with grafting and reconstruction of the nipple-areola. If the cervix is removed, it is called a 'total hysterectomy. 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. Lubrication is needed when having sex and occasional douching is advised so that bacteria do not start to grow and give off odors. In addition, there is less denervation damage to the nerves supplying the skin of the chest wall with a peri-areolar mastectomy, and less time is required for sensation to return. The aesthetic, sensational, and functional results of vaginoplasty vary greatly. However, she died three months after her last operation. She was a strong advocate for the rights of transgender people. Plastic surgery , since it involves skin, is never an exact procedure, and cosmetic refining to the outer vulva is sometimes required. First, the contents of the breast are removed through either a cut inside the areola or around it, and then let the skin retract for about a year. In a second surgery the excess skin is removed. Mastectomy[ edit ] Many trans men seek bilateral mastectomy , also called "top surgery", the removal of the breasts and the shaping of a male contoured chest. This is equivalent to postmenopausal bleeding in a woman and may herald the development of a gynecologic cancer. Other scrotal tissue forms the labia majora. Completely removing and grafting often results in a loss of sensation of that area that may take months to over a year to return, or may never return at all; and in rare cases in the complete loss of this tissue.
Video about have a sex change:
post-op unpacking srs/grs// operation was Jan 26/2013
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