|
Sex Exchange Surgery Female to Male
|
|
|
|
Who is the candidate for sex change FTM surgery?
What are the requirements to have sex change FTM surgery?
Where can I take hormone treatment?
Where can I get the psychology certificate?
What are the effects of testosterone treatment ?
How is the sexual life after the surgery?
How long should I stay in Malaysia for sex change surgery?
How is surgery performed?
What is the post-surgical care?
What are the possible risks and complications?
|
| |
|
Who is the candidate for sex change FTM surgery?
|
A
suitable candidate for sex change FTM surgery is a person who has been
diagnosed with at least one of the following disorders:
|
•
|
gender identity disorder
|
|
•
|
gender dysphoria
|
|
•
|
associated conditions
|
|
|
|
What are the requirements to have sex change FTM surgery?
|
As our doctors follow Trans gender sex change guidelines from "The Harry Benjamin International Gender Dysphoria Association's Standards Of Care For Gender Identity Disorders" a patient must meet the following requirements before having the surgery:
1.) Legal age of maturity age in the patient's nation.
2.) Psychology certificate stating that you are a suitable candidate
for sex reassignment surgery by a psychiatrist or clinical psychologist
who is a professionally qualified specialist in the field of gender
dysphoria.
3.) Hormone therapy certificate stating that you have been on hormone for at least 1 year.
|
|
|
|
Where can I take hormone treatment?
|
|
|
|
|
|
Where can I get the psychology certificate?
|
|
|
|
|
|
What are the effects of testosterone treatment ?
|
The effects of testosterone treatment on genetic females include
deepening of the voice, enlargement of the clitoris, mild decrease in
breast size, increased facial and body hair, and male pattern baldness.
These changes may be irreversible. Reversible changes are increased
upper body strength, weight gain, increased social and sexual interest
and arousability, and decreased hip fat.
|
|
|
|
How is the sexual life after the surgery?
|
The penis of a genetic male is made up of specialized blood vessels
which fill-up with blood during sexual arousal thus causing erection.
In sex reassignment FTM surgery, the penis is created from soft tissue
of the arm which is not composed of the same specialized tissue in the
genetic male's penis. Therefore, it cannot achieve erection. In order
for sex reassignment patients to be able to achieve penetration during
sexual intercourse, silicone prosthesis will have to be inserted in a
separate surgical procedure.
Top
|
|
|
|
How long should I stay in Malaysia for sex change surgery?
|
In order for a patient to have sex reassignment surgery, the patient
should stay in Malaysia at least 2-3 weeks to complete a whole process
and allow the proper healing. On an arrival day in Malaysia, a patient
should stay in a hotel to relax from a long flight and have a surgery
on the following day. The hospitalization of sex reassignment surgery
from female to male depends on which stage a patient is at.
|
|
|
How is surgery performed?
|
Stage 1:
1.1 Subcutaneous mastectomy This surgery is the reduction of breast
volume to provide the patient with masculine breast features. A semi
circular U-shape incision located at the junction of the normal skin
and areola skin is made. The incision leaves minimal scarring, easily
hidden upon recovery, as the skin pigment will blend with the color of
the areola. The procedure is Approximately 2 hours, after the surgery
the surgeon will place a tube for two days to drain the blood and
prevent accumulation. Stitches will be removed after 1-2 weeks.
1.2 Total removal of uterus and ovaries Males do not have uterus and
ovaries therefore it is very important that uterus and ovaries are
removed for this group of patients so that they do not face the problem
with menstruation and on the other hand eliminate the hormone producing
organ. This is done by a gynecologist and can be done together with
Subcutaneous Mastectomy. After the first and second procedure, when the
wound in the breast as well as the internal and external abdominal
wound is totally healed after Approximately three months, there will be
a follow-up check with the surgeon to evaluate the condition of the
wound and tissue to prepare for the second stage procedures.
Stage two
2.1 Vaginal closure and urethral lengthening This is the step wherein
the path of the urinary tract is altered and the vaginal closed. It is
because the direction of the female urinary tract is facing downward
while the male urinary tract is in front. Therefore the surgeon is
required to alter the direction of the urinary tract and completely
close the vagina. The length of the urethra is also made longer and
prepared to join with the urethra at the forearm in the last step.
The surgeon will lop off the wall of the vagina and fold it back
outward (vaginal mucosa reflection) and lop off the tissues in the
vagina and to closed it completely. When this procedure is completed
the patient will not have a vaginal opening and the patient can urinate
at the front direction, like that of a male but without the penis yet.
The healing process take about 2-3 weeks: the patient is required to
stay in the hospital for 2 days. A catheter will be inserted for about
7-10 days: it will be removed after the urinary tract is healed.
2.2 Urethral prefabrication Urethral prefabrication is the preparation
of the urethra to a penis (using the forearm flap Phalloplasty). In
creating the penis at the hospital, the surgeon uses
the forearm fascia; skin, nerves and blood vessels are raised and
transplanted by microsurgical technique. To reduce the percentage of
urine leakage the surgeon will create a urethra by wrapping the
catheter with glutei skin and bury into the forearm. After the grafted
skin is healed, the result is a sturdy urethral tube, and when used to
create the penis, percentage of urine leakage is minimal. The surgery
is only one hour and the patient is required to stay in the hospital
for 2 days. After the surgery, the patient will have a catheter in the
forearm and will be on a regular check-up by the surgeon along with
self-care procedures for 3 months until the urethra constructed in the
forearm is ready the next stage.
Stage three
The last stage involves construction of the male genital organ. When
the patient has reached this stage, external physical features of the
patient are almost those of a male; flat chest, no ovaries, no uterus,
able to void at standing position but without the male organ to control
the direction and flow of urine. Hence, the surgeon will create the
male organ by transferring the forearm flap and join the structures
through microsurgical technique. 4-6 inches penis, depending on the
length of the patient’s forearm can be obtained. On average, penis
length is about five inches. The surgeon separates the blood vessels
and nerves of the forearm to connect with the blood vessels and nerves
in the pubic area then creates a scrotal sac from the tissues of the
labia. This scrotal sac consists of fat and pigmented skin of the
labia, but without testicles inside.
External appearance is similar to the male scrotal sac. All patients
that complete these stages have a successfully reconstructed penis and
all the physical changes from female to male without any residual
female sex organs. No serious complications such as flap failure,
infection, serious wound complications and urination leakage has been
found. Patients all recover from the surgery fast because each stage
consumes short time period without the need to correct the serious
complication. All of the patients can urinate through the end of the
neo-penis and the external appearance is similar to that of the genetic
male sexual organ and also sensate.
|
| |
|
What is the post-surgical care?
|
|
After sex reassignment surgery, the patient will be under the surgeon’s
close supervision and he will inform you of everything you need to
know. A sex reassignment patient will avoid strenuous activities 3-4
weeks.
|
| |
|
What are the possible risks and complications?
|
The possible main risks are swelling, bruising, bleeding, infection,
scarring and numbness, or change in sensation. Following the surgeon’s
advice will reduce risks and complications.
|
