Sex Change / SRS / Gender Reassignment Surgery Male to Female
Sex change or Gender reassignment surgery / SRS surgery is a cosmetic / plastic surgery procedure that can help our patients to reach their goals to gain feminine looks and feel. In this surgery, we can create an adequate vaginal pouch. This is also including sensate, hooded clitoris, and a feminine vulva with delicate labia.
The goals of gender reassignment surgery
- To create as normal female genitalia as possible.
- To achieve adequate neo-vaginal depth.
- To insure maximum orgasmic capabilities.
See our Physician profile from the pioneer of Transgender Surgery, Male to Female and Female to Male.
The SRS surgery will be performed by our surgeons with certification off “AMERICAN SOCIETY OF PLASTIC SURGEONS”.
Sex Reassignment Surgery: Our current technique
Our standards for performing sex reassignment surgery from male to female are as follows:
Highest safety during the operation process.
Functionality of neo-vagina as close as possible to natural sensation. External appearance as close as possible to a natural look, with less noticeable scaring. Less post operative pain, without using epidural morphine. Drug administration is used for the patient’s recovery after surgery. Less time of recovery. Patient can recover quickly and return to normal life.
Penile skin inversion is the most popular procedure for vaginal construction. The skin of the penis is inverted to create a vagina. The glens with its nerve supply is used to create the clitoris, thereby maintaining normal sexual sensation. The scrotal skin is used to form a full-thickness graft to give extra depth to the neo-vagina.
Split-thickness/full-thickness skin graft procedure is performed by some clinics and achieves patient satisfaction. Patient attests to its advantages when the procedure is performed with great attention to details. However, donor site scaring and the shrinkage associated with the skin graft procedure are obvious disadvantages.
The sigmoid colon vaginoplasty has been used for decades in Eastern Europe to treat vaginal atresia. Currently, the procedure is used in primary or secondary vaginoplasty. A section of the recto-sigmoid colon is used to form the neo-vagina. The colon serves as a self lubricating neo-vagina. Generally, the low transverse scar is made to resemble a hysterectomy scar.
The M to F, SRS surgery is as followed
- Creation of vaginal space between urethra, prostate gland, bladder and rectum
- Bilateral orchietomy
- Degloved penis shaft
- Separation of urethra from penis
- solation glens penis with 2 dorsal nerves and vessels
- Penile skin inversion to line vaginal cavity with or without scrotal skin graft or sigmoid colon graft
- Clitoroplasty (Sensate)
- Labiaplasty, major and minor
A portion of the glans (head of the penis), with its nerves and vessels, is converted into a clitoris. In so do, 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).
The advantage of SRS : Our technique
One stage procedure.
More sensory tissue preserved and used to form the female external genitalia.
A more aesthetically pleasing and natural looking vagina.
Less skin hanging below the urethral opening from too large size inner labia.
Enhanced vaginal depth approximately 5-7 inches.
Less conspicuous scar.
More fullness of mons pubic.
Less recovery time; 2-3 weeks after surgery.
Unable to urinate, it can occur sometime after removing the urine catheter, due to the swollen stump at the opening of the shortened urethra which will need the urine catheter to be retained of a few more days, eventually you will be able to urine normally.
Bleeding; You may experience oozing blood around the gauze dressing the first day after surgery due to bleeding thru the stump of urethral opening, may require repacking or suturing.
Preparation before operation
The main SRS pre-op instruction is as following ;
- Hormone therapy.
- Two Psychiatrist consultation for SRS recommendation letter.
- Electrolysis for hair removal on genital area.
- Health check.
- Travel plan and financial preparation.
Discontinue hormone treatment at least 14 days prior to surgery. Hormones should be halted to reduce the risk of thrombosis (blood clots). Oral tablets should be halted two weeks prior to surgery and injectable should be halted four weeks prior to surgery. Oral antiandrogens can be halted three days before surgery (four weeks if injectables).
Have your private doctor performed preoperative physical 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:
Chest X-ray SGOT LDH EKG and e-mail the results.
NO smoking, No aspirin and ibuprofen (Advil etc.) and Vit. E. HIV + can be done but will cost 30% extra due to the necessity of using disposable instrument. Action that you are taking.
You need to stay recuperate totally in Bangkok for 10-14 days at least before safely flying home. You will also require 4-6 weeks recuperate at home before returning to work. (The neovagina can function within 6 weeks) – The cost of Penile Skin Inversion’s already included 5 nights free of charged in hospital private room after surgery and medical treatments, post-op cares, etc.