Man undergoing sex reassignment surgery

If male friends want to undergo sex reassignment surgery, there are still many ways to do it, but they mainly include sperm freezing, orchiectomy and urethral orifice formation. These surgical procedures are very painful, but compared to female friends, they are still simpler. Generally speaking, only one operation is required to complete it, and there is no need for multiple operations to be so complicated. The treatment method is still very simple.

Sex reassignment surgery refers to changing the original external genitalia into the structure of the opposite sex and removing the gonads. The signature surgeries are vaginal reconstruction and penis reconstruction. At the same time, physiognomy is reshaped, such as Adam's apple surgery and breast surgery, to conform to self-gender re-identification. After the surgery, the contradiction between the patient's original perceived gender and biological gender is alleviated, the psychology is balanced, and the sexual function is restored to normal. The patient can get married and start a family, but he or she is infertile.

Sex reassignment surgery for male to female includes sperm cryopreservation, Adam's apple surgery, breast augmentation, orchiectomy, urethral orifice plasty, labiaplasty, vaginal reconstruction, etc. Vaginal reconstruction can be performed using penis flap, scrotal flap or pubofemoral flap. If conditions permit, the surgery can be performed in groups at the same time, and male to female sex reassignment surgery can often be completed at one time.

Sex reassignment surgery for females to males is complex and difficult, requiring multiple surgeries to complete and a long course of treatment. The surgeries include: ① mastectomy and nipple plastic surgery to masculinize the breasts. ② Removal of the internal genitalia, involving the removal of the ovaries, fallopian tubes, uterus and vagina, among which mucosal resection and complete vaginal incision is very difficult and should be performed by obstetricians and gynecologists.

At the same time as the internal genitalia is removed, the urethra is lengthened and the urethral opening is moved upward using the labia minora flap. (The uterus and ovaries may not be removed) After the uterus and ovaries are not removed, the man can give birth for his wife. There is a precedent in the United States. ③ Penis reconstruction, including urethra formation, support tissue implantation, and stem formation. The most difficult part is urethra formation.

Penile and testicular removal, urethral displacement, artificial vagina and vulvoplasty: The patient takes the lithotomy position and the surgery is performed under general anesthesia or epidural anesthesia. ⑴ Suprapubic bladder puncture and fistula, connect a sterile urine bag, and insert a catheter into the urethra. ⑵ Formation of scrotal and penile flaps. ⑶ Testicular and epididymis removal. Dissect and separate the bilateral testicles and epididymis and then remove them. ⑷ Separate the corpus cavernosum of the urethra and retain a sufficient length of urethra for repositioning. ⑸ Reconstruct the clitoris with the glans tissue flap that retains the island part of the nerve and blood vessel pedicle. ⑹ Resection of the corpus cavernosum of the penis. ⑺ Vaginal reconstruction. ⑻ Reconstruction and shaping of the female vulva. ⑼ Fill the vagina with iodoform gauze and shape the surgical area with dressings.