Phalloplasty: Gender Confirmation Surgery
What happens during a phalloplasty?
During a phalloplasty, doctors remove a flap of skin from a donor area of your body. They might remove this flap entirely or leave it partially attached. This tissue is used to make both the urethra and the shaft of the penis, in a tube-within-a-tube structure. The larger tube is basically rolled up around the inside tube. Skin grafts are then taken from inconspicuous areas of the body, where they will leave no visible scars, and grafted on to the donation site.
The female urethra is shorter than the male urethra. Surgeons can lengthen the urethra and attach it to the female urethra so that urine will flow from the tip of the penis. The clitoris is usually left in place near the base of the penis, where it can still be stimulated. People who can achieve orgasm before their surgery can usually still do so after their surgery.
A phalloplasty, specifically, is when surgeons turn a flap of donor skin into a phallus. But generally, it refers to a number of separate procedures that are often done in tandem. These procedures include:
a hysterectomy, during which doctors remove the uterus
an oophorectomy to remove the ovaries
a vaginectomy or vaginal mucosal ablation to remove or partially remove the vagina
a phalloplasty to turn a flap of donor skin into a phallus
a scrotectomy to turn the labia majora into a scrotum, either with or without testicular implants
a urethroplasty to lengthen and hook up the urethra inside the new phallus
a glansplasty to sculpt the appearance of an uncircumcised tip
a penile implant to allow for erection
There is no single order or timeline for these procedures. Many people do not do all of them. Some people do some of them together, while others spread them out over many years. These procedures require surgeons from three different specialties: gynecology, urology, and plastic surgery.
When looking for a surgeon, you may want to look for one with an established team. Before any of these medical interventions, talk to your doctor about fertility preservation and impact on sexual functioning.
What path do transsexuals take to change sex in iran?
They usually see a psychiatrist first. After the psychiatrist declares that he is a trans person, this theory must also be confirmed by the forensic psychiatrist. Upon receipt of the confirmation, the court issues a sex change permit. After receiving this license, surgery and hormone therapy, consultation with the endocrinologist, etc. are done. Of course, in my opinion, keeping in touch with a psychologist and social worker after surgery is something that every transgender should do because otherwise he or she will face many difficulties.
Penile implant in Iran
رأب القضيب – phalloplasty – هو بناء أو إعادة بناء القضيب. في ايران – الدكتور آخوندی نسب
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