Call or. Request Information. Refer a Patient. Gender affirmation surgery also known as gender affirming surgery or gender reassignment surgery for a transfemine person is sometimes called "bottom surgery. There are three surgeries that can help a patient surgically transition from being a man to a woman.
Orchiectomy/ Castration for a "non-transgendered" male
They are:. During a vaginoplasty surgery, a surgeon creates both an outer and inner vagina by using skin and tissue from a penis. During most vaginoplasties, your surgeon will use a skin graft to create a new vaginal canal the inside wall of the vagina. To do this, your surgeon will take skin from your scrotum and thin it so it works well as a skin graft. To make your new vaginal canal, your surgeon will create a space between your rectum and bladder.
Once your skin graft is inserted, your surgeon will place gauze or spongy material inside the new vaginal canal for 5 days. The gauze puts pressure on the skin graft so it grows like it should into the surrounding vaginal tissue. Your surgeon will use skin from your penis to create a clitoris. This clitoris still has feeling, and most transgender women can have orgasm through clitoral stimulation. Patients are in the hospital for 5 days and mostly rest in bed. Resting will help your skin graft grow into the surrounding tissue in your vaginal canal.
Your surgeon will also place a compressive bandage on the outside of your vagina. After the outer and inner bandages are removed, most patients feel fine and can leave the hospital.
Waiting two weeks will let your vagina heal. Your surgeon will give you vaginal dilators to use at home. You should dilate your vagina times each day for the first 6 months after your surgery. Read this instruction sheet on how to dilate your vagina after having a vaginoplasty.Down load old amharic video song
Your vaginoplasty surgeon will use this skin to create your new vaginal canal. If hair were to grow inside your new vagina, it would create hygiene problems. Smoking, vaping, or using any nicotine products decreases blood flow to the area around your genitals and will make it harder for you to heal after your surgery.
Nicotine takes about a month to wash out of your system before the test results will be negative. You may also have better results and outcomes after surgery if you lose weight. For some people, vaginoplasty or vulvoplasty may not be possible because of their body shape and weight.
Both before and after having a vaginoplasty, your surgeon will recommend that you start seeing a physical therapist. Physical therapy can help you prepare for this surgery. The vulva is the outside part of the vagina.
A vulvoplasty is a type of surgery that uses skin and tissue from a penis to create all of the outside parts of a vagina except for the vaginal canal. The steps of a vulvoplasty are the same as a vaginoplasty. During a vulvoplasty, your surgeon will:.Colored guitar pickups
A vulvoplasty has a much easier recovery. Another reason to consider vulvoplasty instead of vaginoplasty is because of medical problems or complications. One serious complication after vaginoplasty is called rectal injury. In some cases, a rectal injury can create a hole between your rectum and vagina. But your chances of developing a rectal injury are much lower if you have a vulvoplasty instead of a vaginoplasty.Remember Me? Home What's New?
Results 1 to 11 of Arnkoff did my orchiectomy which came out great, but I plan to utilize Dr. I had the pleasure of talking with her and have found her to be very knowledgeable and attentive. Originally Posted by Evolve Originally Posted by zeebster. The following is copied from her website You can't say you follow their standards, then not follow them. Sometimes you're the windshield, sometimes you're the bug. Originally Posted by TgEunuch. That's is good news and makes my day to find another doctor who doesn't play gatekeeper and she is one state over and not across the country or in some god-forsaken place.
That is so awesome, just walk in as an intact and walk without I will definitely give her a call once this virus shit is over.Signs of maggots in gums
I just found a GP that doesn't get creeped out that I am a eunuch. The only reason I could think would be that she does them via the inguinal canal. That approach is how urologists are trained to take out testicles suspected of having cancer. It's highly debatable as to any actual evidence that there is any benefit to an inguinal orchiectomy being better for anything other than the doctor's wallet when it comes to cancer - there is no evidence it's worse.
There is just no evidence. What exists is a year-old thought from a doctor who felt it might be a better approach. Otherwise, absent cancer, there is no reason the procedure is more complicated than a vasectomy.
Oddly, insurance companies don't pay for hospital vasectomies and urologists routinely do them as an office procedure. Does she do an inguinal orchiectomy or trans scrotal? There is absolutely no way he would do it with a local. But at least it wasn't done in a hospital, but was performed at his clinics surgery center. Now my scrotectomy was performed by a local, but it was a different doctor. The first one again, absolutely would not do the scrotectomy along with the orchi. Doctors these day, what are you going to do?.
Urology Community. I am a sex addict and I am truly tired of my life revolting sex.Gender-Affirming Surgery: Helping Randi Transition
I am slaving to it. It ruins my life and I constantly have a suicidal thought. I know there is chemical castration. I do not want to take the med for the rest of my life. Surgical castration is done for once and all. I understand the pros and cons of the surgical castration. The cons of having testicles weights significantly high than the cons of surgical castration for me. I do hope there is a doctor here on the forum will have sympathy and will perform orchiectomy on me so I will have a safe means of obtaining orchiectomy and let me live a quality of life that I never have.
I hope there is a doctor here will contact me real soon and will do the job for me. Thank you. Answer Question. Read 0 Responses. Follow - 0. Notify me of new activity on this question. Join this community.
Ask a Question.Orchiectomy is the surgical removal of one or both testicles, or testes, in the human male. It is also called an orchidectomy, particularly in British publications. The In an orchiectomy, the scrotum is cut open A.
Testicle covering is cut to expose the testis and spermatic cord B. The cord is tied and cut, removing the testis Cand the wound is repaired D.
Illustration by GGS Inc. Emasculation is another word that is sometimes used for castration of a male. Castration in women is the surgical removal of both ovaries bilateral oophorectomy.
An orchiectomy is done to treat cancer or, for other reasons, to lower the level of testosterone, the primary male sex hormone, in the body. Surgical removal of a testicle is the usual treatment if a tumor is found within the gland itself, but an orchiectomy may also be performed to treat prostate cancer or cancer of the male breast, as testosterone causes these cancers to grow and metastasize spread to other parts of the body.
An orchiectomy is sometimes done to prevent cancer when an undescended testicle is found in a patient who is beyond the age of puberty. A bilateral orchiectomy is commonly performed as one stage in male-to-female MTF gender reassignment surgery. It is done both to lower the levels of male hormones in the patient's body and to prepare the genital area for later operations to construct a vagina and external female genitalia.
Some European countries and four states in the United States California, Florida, Montana, and Texas allow convicted sex offenders to request surgical castration to help control their sexual urges. This option is considered controversial in some parts of the legal system. A small number of men with very strong sex drives request an orchiectomy for religious reasons; it should be noted, however, that official Roman Catholic teaching is opposed to the performance of castration for spiritual purity.
Cancers in men vary widely in terms of both the numbers of men affected and the age groups most likely to be involved. Prostate cancer is the single most common malignancy affecting American men over the age of 50; aboutcases are reported each year. Other factors that increase a man's risk of developing prostate cancer include a diet high in red meat, fat, and dairy products, and a family history of the disease.
Men whose father or brother s had prostate cancer are twice as likely as other men to develop the disease themselves. Today, however, there are still no genetic tests available for prostate cancer. Testicular cancer, on the other hand, frequently occurs in younger men; in fact, it is the most common cancer diagnosed in males between the ages of 15 and The rate of new cases in the United States each year is about 3. It is not yet known whether this increase is a simple reflection of improved diagnostic techniques or whether there are other causes.
There is some variation among racial and ethnic groups, with men of Scandinavian background having higher than average rates of testicular cancer, and African-American men having a lower than average incidence. Testicular cancer occurs most often in males in one of three age groups: boys 10 years old or younger; adult males between the ages of 20 and 40; and men over Statistics for orchiectomies in connection with gender reassignment surgery are difficult to establish because most patients who have had this type of surgery prefer to keep it confidential.
Persons undergoing the hormonal treatments and periods of real-life experience as members of the other sex that are required prior to genital surgery frequently report social rejection, job discrimination, and other negative consequences of their decision.
Because of widespread social disapproval of surgical gender reassignment, researchers do not know the true prevalence of gender identity disorders in the general population. Early estimates weremales andfemales. A recent study in the Netherlands, however, maintains that a more accurate estimation ismales andfemales.
In any case, the number of surgical procedures is lower than the number of patients diagnosed with gender identity disorders. There are three basic types of orchiectomy: simple, subcapsular, and inguinal or radical. The first two types are usually done under local or epidural anesthesia, and take about 30 minutes to perform.
An inguinal orchiectomy is sometimes done under general anesthesia, and takes between 30 minutes and an hour to complete. A simple orchiectomy is performed as part of gender reassignment surgery or as palliative treatment for advanced cancer of the prostate.
The patient lies flat on an operating table with the penis taped against the abdomen. After the anesthetic has been given, the surgeon makes an incision in the midpoint of the scrotum and cuts through the underlying tissue. The surgeon removes the testicles and parts of the spermatic cord through the incision. The incision is closed with two layers of sutures and covered with a surgical dressing.Orchiectomy is performed for transwomen who would like to avoid, or stop, taking testosterone blockers like spironolactone which can have significant long term side effects or who simply wish to improve the dysphoria associated with the testicles.
Testosterone production stops immediately with removal of the testes and accelerates the feminizing effects of estrogen therapy and induces feminization in those who can not use estrogen due to expense or medical contraindications. Sherie will also perform orchiectomy for males who wish to remain male with a recommendation from a licensed mental health professional.
For transwomen who do not plan to pursue vaginoplasty in the future we remove the scrotal skin, leaving a very light, thin scar and a smooth area from the base of the penis to the anus. For those who are considering vaginal creation in the future we will leave the scrotal skin in place and make a small incision through the middle of the scrotum to perform the orchiectomy.
The scrotal skin will retract, or shrink towards the body, after removal of the testes. Orchiectomy is a low risk outpatient procedure, which requires a short time under anesthesia and is performed in our private operating rooms. You will be attended by the same staff you met and spoke to during your consultation.
You will be able to go home with your caregiver after a short time in recovery. During the procedure, Dr. Sherie will inject numbing medication throughout the area. Most patients have mild discomfort and swelling in the area for a few days after surgery. You may also experience occasional crampy or spasmic feelings where the testicular cords are cut. That will subside after the first hours post-op.
Orchiectomy causes permanent infertility and an increased risk for osteoporosis, loss of muscle mass, decreased sex drive, and breast enlargement.
Per WPATH standards, we require one letter from a licensed mental health provider prior to orchiectomy. We will also consider a letter from your medical physician if you are already taking testosterone blockers or estrogen therapy. Phone consultations are still available, click here to request a consultation. We will continue to provide our patients with care during our regular business hours for as long as it is safe for our patients and staff.An orchiectomy involves the removal of bilateral testicles under general anesthesia for Transgender women.
This surgery is a permanent method of eliminating testosterone production. The lack of Testosterone also eliminates the need for Androgen blockers, like Spironolactone, which can have negative side effects if used for extended periods. The orchiectomy is performed through small incisions in the groin crease, overlying the spermatic cord on each side. Incisions are carefully placed in a manner that will not disrupt future genital reconstruction surgery GRS if desired.
This means that Transwomen pursuing testosterone reduction before they are ready to schedule full GRS vaginoplasty can safely have this surgery without any bridges being burned for future use of their scrotal skin for vaginal creation. View the photo gallery to see results from other patients. More photos are available during in-office visits. Keelee MacPhee performs this surgery under general anesthesia on an outpatient basis, so that patients go home the same day.
Pelvic compression and icing are imperative to ease the swelling and discomfort from this surgery. Patients are typically able to return to light duty in weeks, and then full exercise and lifting in weeks. MacPhee is a highly skilled plastic surgeon who is ready talk with you about your aesthetic and reconstructive surgery goals. During your initial consultation, she will take the time to listen and answer all of your questions, ensuring that you are completely informed and comfortable with all of your treatment options.
Contact us today at What is an orchiectomy? What does the surgery involve? What is the typical recovery period after an orchiectomy? How do I decide if an orchiectomy is right for me?
Referring Therapists Referring Physicians. Facebook Twitter.Orchiectomy aka. Orchidectomy is a Male-to-Female Surgery procedure that removes the testicles. Orchiectomy results in sterility, and can reduce sex drive and masculine characteristics such as beard growth due to the loss of testosterone.
Many trans women choose to have Orchiectomy as a stand-alone procedure, without Vaginoplasty. The Surgeons listed below are highly qualified Surgeons who regularly perform Orchiectomy.
Rumer is an expert in transgender surgery, performing MTF gender reassignment surgeries per year.
Insurance Medicaid. Wittenberg is an experienced surgeon who works exclusively with trans patients, offering Male-to-Female Surgery. Whitehead is a surgeon who was trained in the art of gender reassignment surgery by Dr.
Dulin is a board-certified surgeon who has many years of experience performing Male-to-Female Surgery in the Dallas area. Insurance Medicare. Crane is a board-certified plastic surgeon in Austin, Texas who has deep experience with the full spectrum of male-to-female Gender Reassignment Surgery procedures, including Orchiectomy.
Santucci spent 18 years as one of the nation's most distinguished academic Reconstructive Urologists before turning his focus to gender-affirming surgery. DeLeon is a board-certified surgeon who specializes exclusively in Gender Affirmation Surgery, in which she was fellowship trained. Satterwhite works exclusively with transgender and non-binary patients.
Insurance Medicaid some managed Medi-Cal plans. Prior to joining Align Surgical Associates inDr. Gurujal performed gender surgery, microsurgery, and general reconstructive and aesthetic surgery for five years in the Kaiser Permanente system.
Del Corral is a double board-certified plastic and reconstructive surgeon who offers Orchiectomy and other gender-affirming procedures at the Medstar Center for Gender Affirmation. Del Corral has a special interest in Vaginoplasty and Facial Feminization. Sherie is a board-certified Cosmetic Surgeon and former active duty Air Force surgeon.
She completed a 1 year Fellowship Training program with a focus on transgender surgery. Rodriguez is a board-certified plastic surgeon who is dedicated full time to providing surgical care for transgender patients.
Rodriguez had 14 years of craniofacial, aesthetic and pediatric plastic surgery experience before joining the Crane Center for Transgender Surgery. He is the first surgeon in New Jersey to offer the full range of gender-affirming procedures, including Facial Surgery, Vaginoplasty and Breast Augmentation.
Insurance Medicaid Medicare. Meltzer is a plastic and reconstructive surgeon who is widely recognized as one of the leading surgeons in the field of Gender Reassignment Surgery. Meltzer has been performing MTF Surgery since and performs about gender reassignment surgery cases per year.
Insurance Medicaid AppleHealth. Ley is a board-certified plastic surgeon who had over 15 years of training and experience in plastic surgery, craniofacial surgery and microsurgery before receiving training in gender-affirming surgery from Dr.Free cad library 2d
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