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After sex change vagina

The number of patients seeking sex reassignment surgery is increasing. Approximately , adult males and 1: , adult females seek this procedure. Neovaginal-related disorders after sex reassignment surgery are increasingly more common. Vulvar condylomatosis is the clinical manifestation of HPV 6- and 11 infection in biological women. The same HPV-subtypes are associated with anogenital warts and penile intraepithelial neoplasia in biological men. We describe a case of a year-old female transexual who presented one year after male to female sex reassignment surgery by inverted penile skin vaginoplasty with condyloma accuminata of the vulva. Gynecologists should be prepared to treat neovaginal-related disorders in male-to-female transsexuals. Human papillomavirus HPV is the most common sexually transmitted disease in developed countries. The majority of patients infected with HPV have a subclinical transient infection that is limited by viral type, local environmental factors, and the host immune response. However, in some cases it may result in a broad spectrum of diseases, including genital warts, dysplasia and invasive carcinoma.
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Since November until April , a total of phalloplasties with the radial forearm free flap and vaginoclitoridoplasties with the inverted penoscrotal skin flap and the dorsal glans pedicled flap have been performed at Ghent University Hospital.
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Chettawut Plastic Surgery Center

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. Before any surgery, patients usually undergo hormone replacement therapy HRT , and, depending on the age at which HRT begins, facial hair removal. There are associated surgeries patients may elect to, including vaginoplasty , facial feminization surgery , breast augmentation , and various other procedures. Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in She was the subject of four surgeries: one for orchiectomy , one to transplant an ovary , one for penectomy , and one for vaginoplasty and a uterus transplant. However, she died three months after her last operation. Christine Jorgensen was likely the most famous recipient of sex reassignment surgery, having her surgery done in Denmark in late and being outed right afterwards. She was a strong advocate for the rights of transgender people. She transitioned and had surgery in the mids, and successfully fought to have transgender people recognized in U. S sports.
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Neo-vagina and neo-penis

Those documents told me how to care for the scars next to my labia so that they would fade over time. They told me when to see a gynecologist and how often to get a pap smear. I had to figure that out on my own. After my sex reassignment surgery two-and-a-half years ago, my doctor ensured I could locate the essentials: clitoris, urethra, and vagina. I wanted details. And learning how to climax after your genitals have been reconfigured is a lot more complicated than baking a cake. People who are transphobic spread three major myths about transgender women who have had sex reassignment surgery. All of them are false. Scientific research proves it and so does my personal experience. That conversation is already happening away from prying eyes.

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. Before any surgery, patients usually undergo hormone replacement therapy HRT , and, depending on the age at which HRT begins, facial hair removal.

There are associated surgeries patients may elect to, including vaginoplasty , facial feminization surgery , breast augmentation , and various other procedures. Lili Elbe was the first known recipient of male-to-female sex reassignment surgery, in Germany in She was the subject of four surgeries: one for orchiectomy , one to transplant an ovary , one for penectomy , and one for vaginoplasty and a uterus transplant.

However, she died three months after her last operation. Christine Jorgensen was likely the most famous recipient of sex reassignment surgery, having her surgery done in Denmark in late and being outed right afterwards.

She was a strong advocate for the rights of transgender people. She transitioned and had surgery in the mids, and successfully fought to have transgender people recognized in U.

S sports. In , Seargent Sylvia Durand became the first serving member of the Canadian Forces to transition from male to female, and became the first member of any military worldwide to transition openly while serving under the Flag.

On Canada Day of , the military changed her legal name to Sylvia and changed her sex designation on all of her personal file documents. In , the military paid for her Sex Reassignment Surgery.

Sylvia continued to serve and got promoted to the rank of Warrant Officer. When she retired in , after more than 31 years of service, she was the assistant to the Canadian Forces Chief Communications Operator. As of , Canada allowed transgender people to serve openly in its military forces.

The policy of inclusion is still in effect in In , for the first time, the United States Defense Health Agency approved payment for sex reassignment surgery for an active-duty U. The patient, an infantry soldier who identifies as a woman, had already begun a course of treatment for gender reassignment.

The procedure, which the treating doctor deemed medically necessary, was performed on November 14 at a private hospital, since U. When changing anatomical sex from male to female, the testicles are removed castration , 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. A clitoris fully supplied with nerve endings innervated can be formed from part of the glans of the penis. 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.

Other scrotal tissue forms the labia majora. In extreme cases of shortage of skin, or when a vaginoplasty has failed, a vaginal lining can be created from skin grafts from the thighs or hips, or a section of colon may be grafted in colovaginoplasty. Surgeon's requirements, procedures, and recommendations vary enormously in the days before and after, and the months following these procedures. Since plastic surgery involves skin, it is never an exact procedure. Cosmetic refining to the outer vulva is sometimes required. 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. The aesthetic, sensational, and functional results of vaginoplasty vary greatly. 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.

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. Lubrication is needed when having sex and occasional douching is advised so that bacteria do not start to grow and give off odors. Because of the risk of vaginal stenosis the narrowing or loss of flexibility of the vagina , [3] [4] 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.

Daily dilation of the vagina for six months in order to prevent stenosis is recommended among health professionals. Regular application of estrogen into the vagina, [ citation needed ] for which there are several standard products, may help, but this must be calculated into the total estrogen dose. 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.

With current procedures, trans women are unable to receive ovaries or uterus. This means that they are unable to bear children or menstruate , and that they will need to remain on hormone therapy after their surgery to maintain female hormonal status and features. Occasionally these basic procedures are complemented further with feminizing cosmetic surgeries or procedures that modify bone or cartilage structures, typically in the jaw, brow, forehead, nose and cheek areas.

These are known as facial feminization surgery or FFS. Breast augmentation is the enlargement of the breasts. Some trans women choose to undergo this procedure if hormone therapy does not yield satisfactory results. Usually, typical growth for trans women is one to two cup sizes below closely related females such as the mother or sisters.

Progesterone also rounds out the breast to an adult Tanner stage -5 shape and matures and darkens the areola. Some MTF individuals may elect to have voice surgery, which alters an individual's vocal range or pitch.

However, this procedure carries the risk of impairing a trans woman's voice forever, as experienced by transgender economist and author Deirdre McCloskey. Since estrogen alone does not alter a person's vocal range or pitch, some people take the risk that comes along with voice feminization surgery. Other options, like voice feminization lessons, are available to people wishing to speak with less masculine mannerisms. A tracheal shave procedure is also sometimes used to reduce the cartilage in the area of the throat and minimize the appearance of the Adam's apple in order to assimilate to female physical features.

Some MTF individuals will choose to undergo buttock augmentation because anatomically, male hips and buttocks are generally smaller than those presented on a female.

If, however, efficient hormone therapy is conducted before the patient is past puberty, the pelvis will broaden slightly, and even if the patient is past their teen years, a layer of subcutaneous fat will be distributed over the body, rounding contours. Trans women usually end up with a waist to hip ratio of around 0.

From Wikipedia, the free encyclopedia. Sex reassignment surgery. Gender identities. Health care and medicine. Rights issues. Society and culture. Theory and concepts. By country. See also. This article needs additional citations for verification. Please help improve this article by adding citations to reliable sources. Unsourced material may be challenged and removed. Main article: Vaginoplasty. Main article: Facial feminization surgery. Main article: Chondrolaryngoplasty. Transgender portal. Archived from the original on Retrieved NBC News.

Elsevier Health Sciences. Retrieved January 8, Goldberg Sage Publications. Bigner, Joseph L. Wetchler Retrieved February 29, Van Trostenburg stresses the need to maintain dilation and hygiene for the newly created vagina and tissues left vulnerable to infections that may result from surgery.

He further notes that transgender women and their male sexual partners have to be advised about vaginal intercourse, since the newly created vagina is physiologically different than a biological vagina.

Vaginoplasty surgery increases the size of the vagina, though not without surgical complications, and often requires repeated dilation of the vaginal opening so that it remains open. Oxford University Press. The surgeon will also provide a set of vaginal dilators, used to maintain, lengthen, and stretch the size of the vagina. Dilators of increasing size are regularly inserted into the vagina at time intervals according to the surgeon's instructions.

Dilation is required less often over time, but it may be recommended indefinitely. Transgender topics. Detransition Gender dysphoria In children Health care Pregnancy Sex reassignment therapy surgery to female to male. Discrimination Cissexism Inequality Discrimination against non-binary gender people Transphobia Transmisogyny Rights Legal recognition of non-binary gender movement marriage organizations Toilets Bathroom bills Unisex Violence Trans bashing Unlawful killings Trans panic Yogyakarta Principles.

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