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SEXUAL REASSIGNMENT SURGERY is a surgical procedure that is the final phase to changes that have been gradually achieved by a man wanting to have a feminine appearance.
The procedure is performed in one session. It is the final step to a whole process of at least 2-5 years of hormonal treatments, and when the patient is living his daily life in the private, social and working environments as a woman.
It is recommended that by the time this step is going to take place, other plastic surgery procedures have been made such as breast enlargement, butt enhancements, nose redefining, ears, etc. These are only ways that the sexual reassignment surgery will be in harmony with all of the other changes done previously, and the total outcome will be of satisfaction for the patient.

SURGERY:

Pre-Op exams are required
Anesthesia is general or regional
Surgical Procedure Time: 6-8 hours

SURGICAL PROCEDURE:

  1. One incision is made in the middle part of the scrotum bag
  2. Finding and removal of both testicles
  3. Release of penis skin
  4. Separation of both corpus cavemosum, and urethra
  5. Separation of the foreskin and glans
  6. Turn-over of the penis skin with the glans at the end of the tunnel
  7. Construction of the cavity that will form the neo-vagina. The depth required will be up to the prostate gland
  8. Formation of a "donut" with an elliptical form with the corpus cavemosum, which will form the "labia majora" (vaginal labium)
  9. The skin of the sac of the scrotum is used to cover the corpus cavermosum fixed in the elliptical donut shape.
  10. The turned-over penis foreskin is put inside the neo-vagina cavity, with the glans at the end of the tunnel.
  11. This way the neo-vaginal cavity that already has the fixed turned-over skin, will keep the glans in the innermost part of the vagina. This will ensure the perception of stimulation.
  12. Position of the urethra
  13. Layout of the lateral drainage in the vaginal XXX (horquilla)
  14. CLosure with surgical suture
  15. Permanent Foley urethral catheter
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