Sex reassignment surgery (female-to-male)

From WikiMD's Wellness Encyclopedia

Sex reassignment surgery (SRS) Sex reassignment surgery, commonly referred to as gender confirmation surgery (GCS) Gender confirmation surgery, is a series of medical procedures performed to alter a person's physical appearance and function to match their identified gender. Specifically, female-to-male (FTM) sex reassignment surgery refers to the surgical process through which a transgender man Transgender man or non-binary individual assigned female at birth (AFAB) Non-binary gender transitions to a physical appearance typically associated with male identity.

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Terminology and Context[edit | edit source]

It's important to understand the terminology often used within the context of transgender healthcare Transgender healthcare. Terms such as "transgender" Transgender, "sex reassignment surgery," and "gender dysphoria" Gender dysphoria are essential to grasp the complexities involved in these medical procedures.

Preoperative Considerations[edit | edit source]

Prior to undergoing FTM sex reassignment surgery, patients typically engage in real-life experience (RLE) Real-life experience (transgender), hormone replacement therapy (HRT) Hormone replacement therapy (transgender), and psychological counseling. These steps, often referred to as the Standards of Care (SOC) Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People, are guidelines established by the World Professional Association for Transgender Health (WPATH) World Professional Association for Transgender Health to ensure that individuals understand and are prepared for the process of transition.

Surgical Procedures[edit | edit source]

FTM sex reassignment surgery typically involves two main procedures: mastectomy Mastectomy (or "top surgery"), and genital reconstruction surgery (often known as "bottom surgery").

Mastectomy[edit | edit source]

Mastectomy, or "top surgery," involves the removal of the breasts to create a more masculine chest contour. There are different types of mastectomy procedures, including subcutaneous mastectomy and double incision mastectomy, which are selected based on the patient's body type and individual needs.

Genital Reconstruction Surgery[edit | edit source]

Genital reconstruction surgery includes procedures like metoidioplasty Metoidioplasty, phalloplasty Phalloplasty, and scrotoplasty Scrotoplasty. These procedures construct a penis (neophallus) and scrotum to create an appearance typically associated with male genitalia.

Postoperative Care and Follow-up[edit | edit source]

Postoperative care following FTM sex reassignment surgery is crucial for ensuring successful surgical outcomes. Patients may require physiotherapy Physiotherapy, speech therapy Speech therapy, and continued hormone therapy. Long-term follow-up care includes routine check-ups and continued mental health support.

Potential Complications and Risks[edit | edit source]

As with any surgical procedure, FTM sex reassignment surgery carries potential risks and complications. These include typical surgical risks such as infection, bleeding, and reactions to anesthesia, as well as specific risks related to these procedures, including loss of sensation, issues with urination, and dissatisfaction with cosmetic results.

Ethical and Legal Considerations[edit | edit source]

Ethical and legal considerations are important aspects of sex reassignment surgery. These include informed consent Informed consent, privacy rights, and issues related to healthcare access and insurance coverage.

See Also[edit | edit source]

references[edit | edit source]

Sex reassignment surgery (female-to-male) Resources
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Contributors: Prab R. Tumpati, MD