- who will undergo gender reassignment surgery Must pass assessment in accordance with The World Professional Association for Transgender Health (WPATH) recommendations version 7 (Coleman, et al., 2011) only.
- Side effects of sex reassignment surgery What the surgical recipient is often worried about is the beauty and sensation. which results depend on many factors experienced doctor will be able to advise and select the type of surgery to achieve the desired results and the least likely to cause side effects
Today, LGBTQ is more diverse and accepted. At the same time, sex reassignment surgery has become more popular and more common. In medicine, surgical techniques have always been developed. in order to achieve satisfactory surgical results and to minimize side effects from surgery
gender reassignment surgery from male to female
Dr. Weerawat Tiranunmongkol, a plastic surgeon specializing in plastic surgery at Samitivej Srinakarin Hospital, stated that Gender Affirmation Surgery (Male to Female) is intended to change the penis from a man. to look like a female genitalia in terms of appearance, feeling and function by using different parts of the original penis to create a new vagina that can be felt and used as if it were a female
Surgery generally consists of
- Castration (Orchidectomy)
- vaginal formation (Vaginoplasty)
- external organ decoration (Labiaplasty)
This surgery has developed new techniques. come up continuously for example
- Sensate Clitoroplasty
- Labia Minora reconstruction using skin from the scrotum to form a camouflage
- Intestinal Vaginoplasty
- Endoscopic Peritoneal Flap Vaginoplasty makes today’s male-to-female sex reassignment surgery. Often results are complete and satisfying in all dimensions.
In addition to surgery on the genital area Sex reassignment surgery also includes other types of surgeries, such as:
- Facial Feminization Surgery
- Tracheal Shave
- Voice Feminization Surgery
- Breast Augmentation
- Buttock Augmentation
- Hair Transplants
etc.
Who is suitable for sex reassignment surgery?
- Transgender Woman (TGW) assessed in accordance with The World Professional Association for Transgender Health (WPATH) recommendations version 7 (Coleman, et al., 2011).
- have normal weight if want to lose weight You should lose the desired weight before surgery.
- There are no congenital diseases that are contraindicated in surgery, such as diseases of blood clotting disorders (Hemophilia), diseases with disorders of wound healing. (Ehlers-Danlos Syndrome)
- People with reasonable expectations of results
- have normal mental health
- Over 20 years old (If under 20 years old, parental consent letter is required. or legal guardian)
Possible Risks and Side Effects of Sex Reassignment Surgery
Any type of surgery carries risks. But these risks are not for everyone. The doctor will give advice and assess the risks. give an opportunity to ask questions Then jointly decide on surgery.
Side effects of sex reassignment surgery What the surgical recipient is often worried about is the beauty and sensation. which results depend on many factors experienced doctor will be able to advise and select the type of surgery to achieve the desired results and the least likely to cause side effects
in terms of scars If there is no previous history of keloid scars Smooth results are usually obtained. hide in the right place
Other risks Possible complications include wound complications, numbness, or skin necrosis, which are common in people who smoke heavily. or people with congenital diseases with vascular problems such as diabetes, high blood pressure Hyperlipidemia, etc., but if the symptoms are well controlled, it is not a contraindication to surgery.
Preparation before sex reassignment surgery
6 months before surgery
- Discontinue acne medications containing vitamin A (Isotretinoin) as they may affect wound healing.
3 months before surgery
- prepare the body with regular exercise get enough rest
- annual health check If you have a congenital disease Should see a doctor to treat and control symptoms to be in a normal state.
4 weeks before surgery
- Refrain from smoking before and after the surgery for at least 4 weeks.
- Refrain from piercing/tattooing or sunbathing. If there is already a piercing or loop, remove it for inspection and treatment if there is inflammation.
10 days before surgery
- Stop taking medications that affect blood clotting, including:
- Clot-dissolving medications such as Aspirin, Coumadin, Ticlid, Plavix or Aggrenox.
- Nsaids pain relievers such as Ibuprofen, Advil, Motrin, Nuprin, Aleve, Relafen, Naprosyn, Diclofenac, Naproxen, Voltaren, Daypro, Feldene, Clinoril, Lodine, Indocin, Orudis, among others.
- sedative Certain sleeping pills, such as Zoloft, Lexapro, Prozac, Pristiq, etc.
- Avoid all kinds of vitamins and dietary supplements. that may affect blood clotting, such as Multivitamins, Fish oil, Omega3, Co-enzyme Q10, Evening Primrose Oil, Glucosamine, Arnica, Ginseng, Gingko, herbs, etc.
In addition to the advice above Find out about gender reassignment surgery, risks, outcomes, gather questions you don’t understand, talk to your doctor, discuss your post-surgical expectations with your doctor. for mutual understanding and for the best results
gender reassignment surgery procedures
- The doctor will ask and discuss the results again before undergoing surgery.
- It takes about 4-5 hours for the surgery.
- Anesthetized by anesthesiologist
- After surgery, stay in hospital for 5 nights.
- Schedule a follow-up appointment on the 7th and 14th day after surgery.
Self-care for recovery after sex reassignment surgery
Recovery after surgery depends on many factors, such as the strength of the original health before surgery. type of surgery postoperative care
- There will be moderate pain or pain around the surgical wound.
- Able to get up and walk on the 2nd day after surgery.
- You can shower on the 5th day after surgery. You should take care of the wound and continue to expand the vagina as recommended by the doctor.
- Bruises may last 3-6 months.
- Skin sensation at the surgery site may be reduced. and will get better in 3-6 months
- Surgical incisions tend to be red and slightly raised during the first 1-3 months and fade in 6-12 months, so avoid direct sunlight for 3-6 months.
- able to return to work in 4-8 weeks
- You should refrain from exercising for 4-6 weeks.
Sex reassignment surgery is very popular and well accepted in society. The surgery is complicated. Therefore, it is advisable to consult a doctor with expertise in this field directly and perform surgery according to accepted standards. to avoid unwanted side effects and get the best results
