Gender Reassignment Procedure

STEP 1
SKIN FLAPS DESIGNED ON PENILE AND SCROTAL SKIN.

STEP 2
FLAPS ARE DISSECTED PRESERVING THE BLOOD SUPPLY AND INNERVATION (SENSATION). ORCHIDECTOMY PERFORMED.

STEP 3
SPACE CREATED FOR NEW VAGINA BETWEEN THE BLADDER ( IN FRONT) AND THE RECTUM ( BEHIND)

STEP 4
URETHRA DISSECTED FROM TISSUES ( CRURA) OF THE PENIS. PENIS AMPUTATED

STEP 6
THE NEW URETHRAL OPENING (MEATUS) CREATED IN PENILE SKIN FLAP

STEP 7
NEW VAGINA RECONSTRUCTED WITH THE PENILE AND SCROTAL SKIN FLAPS. NB FULL SENSATION PRESERVED IN BOTH.

STEP 8
NEW (NEO) VAGINA INSERTED INTO SPACE BETWEEN BLADDER AND RECTUM, AND SECURED WITH SUTURE. SCROTAL SKIN FLAPS USED TO CREAT NEW LABIA

STEP 9
VAGINAL PACK INSERTED TO HOLD NEOVAGINA IN PLACE .

STEP 10
COSMETIC CLITORIS CREATED ABOVE MEATUS.

STEP 11
FINAL RESULT.

INTRODUCTION TO GENDER DYSPHORIA

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