For some trans women, facial feminization surgery , hair implants, and breast augmentation are also aesthetic components of their surgical treatment. For many individuals, these may require a minimum duration of psychological evaluation and living as a member of the target gender full-time, sometimes called the real life experience RLE sometimes mistakenly referred to as the real life test RLT before genital reconstruction or other sex reassignment surgeries are permitted. The female-to-male transgender individuals reported that they had been experiencing intensified and stronger excitements while male-to-female individuals have been encountering longer and more gentle feelings. According to WPATH, medically necessary sex reassignment surgeries include "complete hysterectomy, bilateral mastectomy, chest reconstruction or augmentation Genital surgery, transsexual, gender reassignment surgery, phalloplasty, subcutaneous mastectomy Transsexual patients have the absolute conviction of being born in the wrong body and this severe identity problem results in a lot of suffering from early childhood on. An increasing number of surgeons are now training to perform such surgeries. Nerves from the thigh will be connected to the nerves of clitoris. In consequence, transsexuals individuals who have undergone SRS are more satisfied with their bodies and experienced less stress when participating in sexual activity.
Penile inversion vaginoplasty is one of the most common procedures performed in the United States. After about one year, penile erection prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis. Regret may be due to unresolved gender dysphoria, or a weak and fluctuating sense of identity, and may even lead to suicide. Quality of life and physical health[ edit ] Patients of sex reassignment surgery may experience changes in their physical health and quality of life, the side effects of sex steroid treatment. The authors provide a state-of-the-art overview of the different gender reassignment surgery procedures that can be performed in a female-to-male transsexual. Further in the future, stem cell biotechnology may also make this possible, with no need for anti-rejection drugs. Psychological and social consequences[ edit ] After sex reassignment surgery, transsexuals people who underwent cross-sex hormone therapy and sex reassignment surgery tend to be less gender dysphoric. The procedure involves in one stage operation of the new penis phallus , urethra connecting, nerve anastomosis, and scrotum construction. The new urethra is performed with normal skin that takes low risk of long term urethral stricture. For trans women, genital reconstruction usually involves the surgical construction of a vagina , by means of penile inversion or the sigmoid colon neovagina technique; or, more recently, non-penile inversion techniques that make use of scrotal tissue to construct the vaginal canal. For both trans women and trans men, genital surgery may also involve other medically necessary ancillary procedures, such as orchiectomy , penectomy , mastectomy or vaginectomy. For trans men, genital reconstruction may involve construction of a penis through either phalloplasty or metoidioplasty. Please help improve this section by adding citations to reliable sources. Most surgeons require two letters of recommendation for sex reassignment surgery. Social support can help them to relate to their minority identity, ascertain their trans identity and reduce minority stress. The next operative procedure consists of the genital transformation and includes a vaginectomy, a reconstruction of the horizontal part of the urethra, a scrotoplasty and a penile reconstruction usually with a radial forearm flap or an alternative. In consequence, transsexuals individuals who have undergone SRS are more satisfied with their bodies and experienced less stress when participating in sexual activity. Potential future advances[ edit ] See also: Abstract In female-to-male transsexuals, the operative procedures are usually performed in different stages: Although the exact etiology of transsexualism is still not fully understood, it is most probably a result of a combination of various biological and psychological factors. Transgender rights Sex reassignment surgery can be difficult to obtain, due to a combination of financial barriers and lack of providers. However, these are counted upon the procedures and surgical tricks which are used to preserve the sensitivity. Some surgeons charge higher fees for HIV and hepatitis C-positive patients; other medical professionals assert that it is unethical to deny surgical or hormonal treatments to transgender people solely on the basis of their HIV or hepatitis status. Trans women who had undergone face feminization surgery have reported higher satisfaction in different aspects of their quality of life, including their general physical health. In this way, no need to do pre-laminated urethra with skin graft. Standards of care[ edit ] See also:
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