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Epididymovasostomy - Mayo Clinic Shemale male female

The patient at the end of the procedure. A compression balloon is in the vagina. A catheter is in the urethra and bladder.

Post-op 1e. Post-op open 1f. Inserting dilator 1g. Inserted dilator showing depth of at least 6 inches. Alter and the entire team are dedicated to providing every patient with exceptional individualized care—from consultation to recovery.

Instead of viewing transsexuals as mentally ill deviants as did most psychiatrists of the day, he began to visualize transsexuals as truly suffering from a genuine mis-gendering condition of unknown origins.

In efforts to ease their suffering, he began prescribing estrogen to selected patients in response their profound pleas for medical feminization.

He also maintained close watch on the results of transsexual surgeries being performed, and began to refer his most intensely transsexual patients to those surgeons who were obtaining the best results.

Then, in the late 50's, a french plastic surgeon named Georges Burou, M. Variations of Dr. Burou's technique have been used ever since.

Burou's classic innovation was to use the male genitalia as source of skin and sensitive erotic tissue to create the new female genitalia, including the vagina.

Thanks to Pascale from France for finding these photos of Dr. Burou performed these surgeries in his clinic in Casablanca, Morocco.

In , several famous and very beautiful young "female impersonators" from the club Le Carrousel in Paris, France, including Coccinelle more info , Bambi and April Ashley , were successfully transformed into women by Dr.

Many of the young Le Carrousel girls had received female hormones as a side-benefit of working at the club, and as a result had become incredibly beautiful, feminine and sexy.

Several returned to perform at the club after their genital surgery. Their successful "sex changes" became widely known about, and they became sought after as love objects by many prominent, wealthy men.

Some very wealthy men including Aristotle Onassis would occasionally "sponsor" the sex change surgery of a Le Carrousel girl, who would then became their mistress for a while.

Among the keys to the success of these surgeries were i the use of the skin of the penis and scrotum to form the new labia and a sexually functional vagina thus avoiding the source area disfigurement caused in earlier operations by the use of large, deep skin grafts , and ii the careful dissection and placement of the terminated corpora cavernosa and the saving and relocation of some of the sensitive nerves and a small amount of erectile tissue.

If done properly, the post-operative patient can have powerful feelings of sexual arousal erection of the corpora stumps remaining inside her body and can easily be orgasmic the prostate is left intact, and can spasm during orgasm just as before SRS - while the nerve tissues throughout the corpora, the clitoris and the vulva spasm, throb and release at the same time, just as in any other woman.

Benjamin's practice grew rapidly as more and more transsexuals learned that they could obtain compassionate treatment from him.

He began referring ever larger numbers of patients to surgeons, especially to Dr. Burou in Casablanca. By the mid 60's, several other top surgeons abroad began performing SRS surgeries on transsexuals using Dr.

Burou's techniques, and Dr. Benjamin referred patients to these surgeons too. The most notable of these was Jose Jesus Barbosa, M. However, such surgeries were still virtually unheard in the U.

Under intense pressure from religious groups following the publicity of the Jorgensen case in , most U. Then too, the U.

Instead of receiving help for gender-transition from medical professionals, many transsexuals were forced into mental institutions, where psychiatrists tried to "cure them of their mental illness" by electroshock therapy and aversion therapy.

During the late 50's and into the early 60's, a number of intensely transsexual girls in the U. Once no longer intact, the girl might hope to obtain complete SRS in some hospitals here - if she had the money to pay for it.

See for example, the story of transsexual pioneer Aleshia Brevard. At a young age and feminized on estrogen, Aleshia became a star performer at Finocchio's, the world famous "female impersonator" nightclub in San Francisco.

As did so many postop transsexual women in the 's including Lynn Aleshia left her past life behind and entered stealth mode.

She went on to become a showgirl, a "Playboy Bunny" a hostess at one of the famous "Playboy" clubs , a widely recognized actress in movies, on stage and on TV, and got married three times!

Aleshia only recently came out to tell her story in a wonderful book about her amazing life. Finally, in , surgeons at the John Hopkins Medical Center began performing a limited number of MtF SRS operations in effort to help some intensely transsexual patients under care of Hopkins' new gender identity clinic.

The Hopkin's staff believed that transsexuals were mentally ill, but they also believed that there was no psychological method for reversing the "incorrectly formed gender identity".

In an experimental program they began to explore the possibility of helping patients via surgery, as was being recommended by Dr. The Hopkins' Surgeons used a variant of Dr.

Burou's method. In the fall of , newspapers around the country propagated the following item from a column in the New York Daily News: "Making the rounds of Manhattan clubs these nights is a stunning girl who admits she was a male less than one year ago and that she underwent a sex change operation at, of all places, Johns Hopkins Hospital in Baltimore.

Surprisingly, the hospital confirms the case, saying surgery followed psychotherapy. Such operations, although rare in this country, are neither illegal nor unethical, according to a Johns Hopkins spokesman.

Officials at a number of major hospitals here agreed with Johns Hopkins on the legality and ethics of the operations but none could recall such an operation ever having been performed in New York.

The Times article provided extensive information on the surgical and hormonal treatments then being done abroad, and on the new program at John's Hopkins University Medical Center, where several surgeries had recently been done.

The article also identified Dr. Benjamin as being the world's leading authority on transsexualism, and as author of a new textbook on the subject entitled The Transsexual Phenomenon see this link for an online version of the original text.

Harry Benjamin, M. Benjamin was the pioneer of the whole new area of medical knowledge of transsexualism. His paradigm-shifting medical text described his experiences with many patients over several decades.

He was the first researcher to recognize how gender identity and sexual orientation are two independent dimensions of each person's human nature.

Benjamin recommend how "intense transsexuals" could and really should be treated, in order to enable them to live in the gender they sought.

His book documented the results of the new, innovative surgical and hormonal treatments and put those treatments into a rational context as therapy for transsexualism.

This book gave fresh hope to many transsexuals, and opened the door for the modern medical approaches that we now take for granted. At the same time, the fact that Johns Hopkins was actually doing transsexual surgeries greatly enhanced the visibility of Dr.

Benjamin's theories and the attention that his research results received from the medical community. These figures are taken from Chapter 22, by Howard W.

Jones, Jr. By this time it was common to refer to this type of surgery as "sex reassignment surgery" SRS. The illustrations were reproduced from an original article by Howard W.

Schirmer, and John E. Figure 1. A sketch of the perineum showing the line of primary incision. Figure 2. The right spermatic cord is clamped and ligated.

Figure 3. The primary incision is continued up the ventral side of the shaft of the penis. Figure 4. The anterior flap is developed from the skin of the penis.

Figure 5. The urethra is dissected from the shaft of the penis. Figure 6. The corpora cavernosa are separated to assure a minimal stump.

Figure 7. The perineal dissection. Figure 8. The perineal dissection has been completed and the anterior flap perforated to position the urethral meatus.

Figure 9. The skin flaps are sutured and placed in position in the vaginal cavity. Figure The preservation of the vaginal cavity is assured by use of a suitable vaginal form.

Note 1: Figure 10 is quite misleading and does not correspond to the anatomy the should result from this procedure. In figure 10, the vaginal opening is way too far forward from the anal opening, and the vaginal entry is shown going first in horizontally and then turning upwards after passing a large web of skin in front of the anus.

Compare this sketch with the later photos of the details of modern SRS results, especially the one showing the entry of a vaginal stent into a postop's vagina.

This very poorly conceived sketch has likely been the source of many botched surgeries in the early days, as surgeons copying the Hopkins procedure may have thought that a thick web of skin was needed in order to prevent tears into the rectum.

Note 2: Over the years, the techniques for doing SRS have been steadily refined. It has also became common for post-op MtF's to have additional genital surgery called "labiaplasty" that construct further details of the external female genitalia.

The result of many years of research observations and clinical practice by Dr. Benjamin became the seminal text on transsexualism.

The book finally identified transsexualism as a distinct, major medical affliction in which patients have an innate gender identity opposite to the genital sex of their bodies.

These theories and results obtained considerable attention within the U. Then, following interactions with Dr.

Benjamin and some of his patients, physicians at the Stanford Medical Center started a exploratory gender clinic in , led by Norman Fisk, M.

SRS operations were undertaken on selected MtF patients, and the Stanford clinical and surgical results further validated the concept of SRS as treatment for those suffering from intense transsexualism.

Acceptance of SRS as a serious and valid treatment for transsexualism began to slowly spread among thought leaders in the U. Hospitals around the country began gradually lifting their bans on transsexual surgeries, and surgeons at various locations began performing these surgeries on small numbers of selected patients in the U.

In Stanley Biber, M. The excellent successes of his surgeries became widely known, and patients streamed to him. For a detailed report from one of Dr.

Biber's surgeries, see this Operative Report. For many years Dr. Sex-Change nickname makes Colo. Transformation via surgery has become common in community.

There was Elise, a buxom brunette in a crop top and hip-huggers. Kate, a Harvard graduate writer in khakis, hand-knit sweater and pearl earrings.

Thea, a graphics designer sporting chic suede boots. And Jackie, a towering figure in trousers and blazer. In the lunchtime crowd of merchants, housewives and farmers at the Main Street Bakery and Cafe, the four stuck out like fashion models on a pig farm.

Retreating to the kitchen, the waitress pulled her boss aside and stammered, "Those women I'm waiting on? They're men! Hardly anyone else gave the foursome a second glance.

Not in the so-called "Sex-Change Capital of the World. Repeat that phrase to, almost any of the town's 9, people and one would likely get a lecture on what the southern Colorado hamlet should be known for - its idyllic scenery, comfortable climate and friendly people.

Most don't mind that more sex-change operations have been done in their town than anywhere else about 4, to date ; they just hate that nickname.

Some studies report a high number of urological complications following phalloplasties. It is important to attend regular follow-ups with a urologist.

Transgender men tended to report more frequent masturbation, sexual satisfaction, and sexual excitement than transgender women. Transgender men with penile implants for erections experienced pain more frequently during sex than those without implants.

However, they also reported that their sexual expectations were more fully realized, compared with participants who had not received implants.

Most people report satisfaction following the procedure. However, the complication rate is relatively high , especially in relation to urinary health.

Therefore, it is important to work closely with a qualified plastic surgeon, urologist, gynecologist , and mental health professional to ensure the best outcome.

Learn more about what to expect during the procedure and recovery. Testosterone supplements may include injectable treatments or those that are transdermal, meaning people apply them to the skin.

Learn more about…. Many people's gender identity is different or outside of their biological sex. Gender identity is based on psychological and social factors, as well….

A mastectomy is a surgical procedure to remove one or both breasts, usually to treat breast cancer. Here, learn more about what a mastectomy involves….

Surgery can be mentally as well as physically challenging. Here, learn what to do when a low mood and other symptoms of depression develop after….

What to know about female-to-male surgery. Medically reviewed by Stacy Sampson, D. Surgery Recovery What to expect Outlook Female-to-male surgery is a type of sex reassignment surgery, which is also called gender affirmation surgery or gender-affirming surgery.

Share on Pinterest There a number of different surgical procedures for female-to-male sex reassignment. Share on Pinterest A person may have to stay in the hospital for a couple of days following surgery.

What to expect. Latest news Pandemic-related concerns associated with substance use.

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