The desire to live and be accepted by the public as a member of the opposite sex, usually accompanied by discomfort and inadequacy with one's own anatomical gender, and the desire to make one's body as consistent as possible with one's preferred gender through surgery and hormone therapy, is called transsexualism. Gender reassignment surgery is a surgical treatment performed on transsexual patients when psychological, drug and other treatment methods have failed. That is, through plastic surgery, the biological gender of the transsexual patient is made consistent with his psychological gender. The key treatments for female-to-male gender reassignment surgery include: 1. Hysterectomy and unilateral oophorectomy 2. Removal of excess breast tissue 3. Male testicular implant insertion 4. Male genital repair surgery: It is a more complicated and important process in female-to-male surgery. The following requirements should be met for the shaped penis: 1) to present a beautiful masculine appearance; 2) to have a normal urethral opening in the penis; 3) to have the penis hard enough to adapt to the sexual intercourse after the operation; 4) to feel that there is For some transsexual patients who do not want to undergo complicated surgery such as genital shaping and just want to have a masculine appearance and be able to urinate standing up, they can undergo "clitoral genitalization surgery". The surgery is performed by moving the clitoris forward and upward, reshaping the scrotum with the labia majora, and increasing the urethral opening. The end result is to transform the female reproductive organs into a more male-like appearance. The steps are as follows: 1. Cut tightly around the urethra and clitoris 2. Separate and disconnect the clitoral suspensory tendon to increase the clitoris 3. Scrape the clitoris and separate the urethral opening plate between the clitoris and the urethral opening 4. In addition, minimally invasive gynecological surgery can be performed. The removed uterus can be pulled out of the vagina, and a part of the anterior vaginal wall can be preserved. The anterior vaginal wall and the urethral orifice plate are surgically sutured to create a part of the urethral orifice. 5. Cut along the parallel plane of the clitoral interosseous space to create a clitoral interosseous skin flap for transplantation, disperse the surrounding skin of the clitoris, and make the clitoris completely straight. 6. Make a hole in the muscle fascia at the root of the flap transplant and put the increased clitoris out of the hole. At this time, the interosseous flap transplant is moved to the internal oblique muscle of the abdomen. 7. Fold the skin flap into a tube shape to match the part of the urethral opening made earlier to form the front end of the urethral opening. 8. Cut open the clitoris and bury the urethral opening. The skin flap around the clitoris is transplanted and trimmed appropriately, and then moved and encircled to surround the enlarged clitoris to form a "new genitalia" 9. Use the labia majora on both sides to shape the scrotum 10. Actual appearance effect one year after surgery |
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