Male to Female Sexual Reassignment Surgery

Overview of the surgery:

Male to female Surgical Procedure:

Sex change surgery for male to female involves the removal of the penile muscle and testicles reshaping it to appear more female thereby constructing a vagina. An incision is made into the scrotum, the flap of skin is pulled back and the testis is removed. The skin is stripped from the penis but is left attached and the urethra is cut. The excess skin is used to create the labia and the vagina.

Duration of the operation:

The surgery usually takes 6-8 hours to complete according to the extent of the procedure.

Post operative care:

·        After surgery patient should remain on bed for the first 24 hours.

·        The surgeon will perform the necessary care and do the dilation at least 2 weeks.

·        Patient must dilate to achieve the desired depth and width of the newly made vagina. If patient will not dilate properly, the result would be narrowing of the width and depth of the newly made vagina due to scar contractures.

·        After each dilation session with the doctor, wound dressing should be performed to speed up healing process.

·        Patient should avoid strenuous activities which can interfere with the circulation.

• The vaginal packing, all drains and urinary catheter are usually removed on the fourth or fifth day following surgery.

·        Increase fluid intake at least 8-10 glasses per day to promote urination.

·        Wound dressing is done daily to prevent infection.

·        The surgeon will remove the stitches after 5-10 days.

Recovery period:

• The patient should stay in Thailand at least 2-3 weeks to complete the whole process and allow proper healing and at least 1 week hospital stay for observation and management.
• Patients can resume taking hormonal medications in 10-14 days after the surgery. Consult the doctor for adjustment of the dosage.
• Patient can start vaginal dilatation 2 times a day for the first few of months about 1 hour each time with an adequate amount of lubricant. Vaginal stents typically range in size from about 1-1/8 to 1-1/2 inches or more in diameter (28 to 38 mm), and must be inserted to full depth (4 to 6 inches or more). 

Possible risk and complications:

Patients must keep in mind surgeon’s instructions to prevent potential risk and complications following surgery. Possible complications include: Hematoma (bleeding), delayed wound healing, swelling, scarring and numbness or change in sensation, infection, hypertrophic scarring, partial or complete flap necrosis, intra-vaginal hair growth, recto-vaginal fistula.

Anesthesia use:

The procedure requires a general anesthesia.

Hospital admission:

You will be requested to sign in hospital consent form. Then you need five nights
admission to hospital for recuperation.

Requirements to have sex change surgery?

According to “The Harry Benjamin International Gender Dysphoria Association’s Standard of Care for Gender Identity Disorders “a patient must qualify on the following criteria prior to the surgery:

1.      Legal age of maturity in the patient’s nation. At least 18 years of age and will require permission from parents.

2.      At least 12 months of continuous hormonal therapy for those without medical contraindications. Patient should present a Hormonal therapy certificate.

3.      At least 12 months of continuous full time real life experience in a cross gender role.

4.      Patient should present a Certificate of recommendation from a qualified psychiatrist/psychologist dealing with transsexuals for the diagnosis of gender dysphoria.

5.      Physically fit for the surgery.

The goal of Sex reassignment surgery for Male to Female:

·        To create an erotic sensate area including clitoris, labia minora, labia majora and vaginal opening.

·        To achieve satisfactory vaginal depth.

·        To preserve orgasm during sexual intercourse.

Preparation before the surgery:

Criteria for approval are as follows:

1. Letter of recommendation from a psychiatrist.
2. Discontinued hormonal therapy at least 14 days prior to surgery. Hormones should be stopped before surgery to reduce the risk of thrombosis (blood clots).
3. Physical check up prior to SRS. Laboratory test should be taken. It includes the following: CBC, HIV, FBS, Creatine, Urinalysis, Alkaline phosphatase, SGOT LDH EKG and chest x- ray. You can have your private doctor perform the physical examination and send the results via email.

4.  For more information you may contact the information below: 

Mobile#: +66830868173

Email: info@bangkok-plasticsurgery.com
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