Read more on body masculinization surgery. Gender Confirmation Surgery. As the final step in his transition journey, a transman may choose to have gender confirmation surgery GCS.
During this procedure, the patient first undergoes vaginoplasty and a complete hysterectomy including removal of the ovaries. The existing outer genitalia are then used to create a penis that retains sensation and some function, along with a male urethra.
The clitoris is used to form the head of the penis, allowing for erectile capability. Finally, a scrotum is formed using the labia majora and testicular implants are placed. Because GCS is considered a major surgery, it is essential to select a knowledgeable and skilled surgeon. We understand that each patient has his own unique needs and expectations, which is why we take an individualized, patient-centered approach to gender transition services.
During the preoperative consultation, your surgeon will take the time to discuss and understand your goals for gender transition. We want you to feel comfortable and happy with your decision to pursue gender transition services with us. Read more on GCS surgery.
Because these procedures are so important, it is paramount to choose a surgeon with specialized knowledge and skill. Our board-certified surgeons have more than 20 years of experience treating transgender patients.
We are proud to offer all of our services in a respectful, welcoming environment at our world-class surgical center in Dallas, Texas. We look forward to assisting you in achieving the very best possible results for all of your gender transition procedures.
Contact us today to schedule a consultation at I was shown the utmost respect by every single person starting with Angela who guided the paperwork and credit card process over the phone to the receptionist, nurses, on-call nurses, and of course Dr. The uterus and the ovaries are removed. Genital reconstructive procedures GRT use either the clitoris, which is enlarged by hormones, or rely on free tissue grafts from the arm, the thigh or belly and an erectile prosthetic phalloplasty.
Breasts need to be surgically altered if they are to look less feminine. This process involves removing breast tissue and excess skin, and reducing and properly positioning the nipples and areolae. Androgens male hormones will stimulate the development of facial and chest hair, and cause the voice to deepen. Reliable statistics are extremely difficult to obtain. The surgeon will also make alterations to the appearance and position of the nipples. A person may wish to undergo this type of surgery if they are uncomfortable having a uterus, ovaries, or fallopian tubes, or if hormone therapy does not stop menstruation.
A bilateral salpingo-oophorectomy, or BSO, involves the removal of the right and left fallopian tubes and ovaries. It involves changing the clitoris into a penis. A person will receive hormone therapy before the surgery to enlarge the clitoris for this purpose. In addition, they lengthen the urethra and position it through the neopenis.
To achieve the lengthening, the surgeon uses tissues from the cheek, labia minora, or other parts of the vagina. The aim of this is to allow the person to urinate while standing. Another option is a Centurion procedure, which involves repositioning round ligaments under the clitoris to increase the girth of the penis.
A metoidioplasty typically takes 2—5 hours. After the initial surgery, additional procedures may be necessary. A Centurion procedure takes approximately 2. An advantage of a metoidioplasty is that the neopenis may become erect, due to the erectile abilities of clitoral tissue.
A phalloplasty uses grafted skin — usually from the arm, thigh, back, or abdomen — to form a neopenis. Doctors consider taking skin from the forearm to be the best option in penile construction. Compared with a metoidioplasty, a phalloplasty results in a larger penis. However, this neopenis cannot become erect on its own. After a period of recovery, a person can have a penile implant.
This can allow them to get and maintain erections and have penetrative sex. During a phalloplasty, the surgeon performs a vaginectomy and lengthens the urethra to allow for urination through the penis. Disadvantages of a phalloplasty include the number of surgical visits and revisions that may be necessary, as well as the cost, which is typically higher than that of a metoidioplasty.
A person may decide to have a scrotoplasty — the creation of a scrotum — alongside a metoidioplasty or phalloplasty.
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