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Transsexual bottom surgery female to male

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In female-to-male transsexuals, the operative procedures are usually performed in different stages: 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. After about one year, penile erection prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis.

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. 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.

Although the exact etiology of transsexualism is Transsexual bottom surgery female to male not fully understood, it is most probably a result of a combination of various biological and psychological factors.

Gender reassignment usually consists of a diagnostic phase mostly supported by a mental health professionalfollowed by hormonal therapy through an endocrinologista real-life experience, and at the end the gender reassignment surgery itself. It is usually advised to stop all hormonal therapy 2 to 3 weeks preoperatively.

Because hormonal treatment has little influence on breast size, the first and, arguably, most important Transsexual bottom surgery female to male performed in the female-to-male FTM transsexual is the creation of a male chest by means of a SCM.

The goal of the SCM in a FTM transsexual patient is to create an aesthetically pleasing male chest, which includes removal of breast tissue and excess skin, reduction and proper positioning of the nipple and areola, obliteration of the inframammary fold, and minimization of chest-wall scars.

In the largest series to date, Monstrey et al 6 described an algorithm of five different techniques to perform an aesthetically satisfactory SCM Fig.