Könsbyte

Male to Female Surgery: A life changing procedure Gender Change or also known as Sex Reassignment Surgery (SRS) or Gender Reassignment Surgery (GRS) in the plastic surgery world aims to create a functional vagina with an external appearance as close as possible to that of a genetic female, together with the associated sensations and feelings.

Common Name

Sex Change/ Sex Reassignment Surgery (SRS)/ Gender Reassignment Surgery (GRS)/ Male to Female Surgery/Gender Confirming Surgery

Kirurgisk Procedur

This procedure is a combination of a penile skin inversion and an immediate full thickness skin graft. The vaginal canal and opening is created beneath the urethral opening and prostate gland. Vaginal depth is of concern to most patients. The most important factor in creating this depth is the amount of penile shaft skin. Our technique lengthens the depth of the vagina by using the full thickness skin graft from the scrotal skin. Hair on the scrotum must be removed so that the skin graft is placed at the distal end of the penile skin flap. This technique can lengthen the depth at least 2 more inches. A portion of the glands at the head of the penis, where the nerves and vessels are located, is converted into a clitoris. In so doing, the clitoris will be functional in sensation as well as in appearance. The excess erectile tissue around the urethra should be removed in order to avoid symptoms that stem from engorged erectile tissue during sexual arousal that may result in the narrowing of the vaginal opening. Colon transposition is used for patients who need more depth (exceeding 8 inches).

Hospital Antagning

14 nights admission

Operation Varaktighet

Six to eight hours

Anestesi

General anaesthesia

Criteria

Patients must be at least 18 years old. Patients under 20 years old will require parental permission. Patients must also have approval from a psychiatrist (MD), psychiatric social worker (PhD), or clinical psychologist (PhD), and must provide a referral letter.

Pre operativ vård

Patients must complete a health check up within three months prior to SRS. Patients must also be confirmed by a private physician to be free from serious medical diseases and must pass the following blood tests: CBC, HIV Electrolytes, FBS, Creatinine Urinalysis Alkaline Phosphatase, Chest X-ray SGOT, LDH, EKG Patients must discontinue hormone treatment at least fourteen days prior to surgery. Hormones should not be used to reduce the risk of thrombosis (blood clots). Oral tablets should not be used two weeks prior to surgery and injectional medication should not be used for four weeks prior to surgery. Oral antiandrogens should not be used three days prior to surgery (four weeks if injectables). Inform your surgeon of any allergies, all medical conditions, and any medication that you are taking (both prescription and non-prescription). Avoid aspirin and brufen-containing medication for two weeks prior to surgery to eliminate the chance of post op. bleeding. You should not smoke for 2 weeks prior to surgery as this may affect your reaction to the anesthetic and prolong the healing process. Patients that suffer from hypertension must inform the surgeon prior to surgery.

Postoperativ Vård

Before being discharged from the hospital to the hotel, a nurse will teach you how to take care of your vagina and prescribe more medications. The stitches will be removed after seven to ten days. You will then be able to return home.

Recovery

The neovagina can function within 6 weeks.

Resultat

After 6 weeks, the patient should be able to engage in neovaginal intercourse. During sexual arousal, there is some vaginal lubrication – though in most cases the patient should apply lubricant jelly at the vaginal opening prior to intercourse (as with dilation). Typically during arousal, mild swelling of the urethral meatus from excess corpus spongiosum may occur which can be corrected for cosmetic improvement if the patient returns to Thailand. During sex, sensation at the vaginal opening, inner labia, and neoclitoris can be comparable, and certainly more sustained after climax, than previously in the male sex. It is essential to avoid any strenuous activity which can complicate recovery.

Andra

Note If you are HIV positive, then you are a risk to hospital personnel. For this reason you are asked to pay an additional 30% of the original charge.

Letter of Recommendation

A letter of recommendation is required from foreign patients, and must be from either a G.P or a psychologist that states the person is a candidate for SRS.

Procedure Översikt (PDF)

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Prislista

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L.A.= Local Anesthetic (lokalbedövning) G.A.= General Anesthetic (Allmänna Anestesi)

Vänligen observera följande:

  • Priserna anges och debiteras i Thailänds valuta.
  • Alla andra priser i utländsk valuta är enligt rådande valutakurser.
  • Priserna är endast vägledande och kan ändras utan förvarning och bekräftas inte förrän efter en konsultation med läkare.
  • Narkos. G.A. innebär Allmänna Anestesi. L.A. betyder lokalbedövning.
  • Varaktighet (HR) är den ungefärliga tid i timmar som krävs för att avsluta förfarandet i operationssalen.
  • Dagar inskriven: det ungefärliga antalet dagar en patient är inlagd på sjukhus. Om inga upptagna dagar anges behandlas som patienten som en öppenvårds patienten.
  • Med rekommenderat antal dagar i Phuket avses minsta antal dagar som en patient normalt är skyldig att bo i Phuket. Detta inkluderar ankomst dag, en dag för ett möte med kirurgen, inskrivning och kirurgi, vilodagar efter behandlingen samt ett sista möte med läkaren innan patienterna återvänder hem.

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Andra PROCEDURER

Other plastic surgery procedures performed at Phuket Plastic Surgery Institute (PPSI).

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