Female to Male Conversion Surgeries

Female to Male Conversion Surgeries

Female to male conversion surgeries

Within the framework of our surgical procedure, the person's breasts and internal genital organs are first removed during the first surgery. Since we only remove the entire breast from around the nipple in the technique we use when removing the breasts, there are no surgical scars left on the patient's chest area, and the scar around the nipple is not visible in the dark tissue. Gynecologists remove the patient's uterus, ovaries and fallopian tubes in the same session, and the vagina is also removed. The important thing here is to remove almost the entire vagina, which requires an experienced gynecologist and obstetric surgeon.

After approximately 6-8 months, the person will be ready for the second surgery. In this surgery, scrotum and penis reconstruction is performed on the person. The scrotum is the person's external genital organ, and the pubic area above the labia minora and clitoris is used. In this way, the skin color of the scrotum becomes close to its normal color. In addition, by using this fatty and thick area tissue, scrotum reconstruction is performed without the need for testicular prostheses. Although there are many techniques for penis reconstruction, we use the 'radial forearm flap', which uses the anterior and lateral skin surfaces of the arm, and the 'fibular bone-skin flap', which includes the skin covering the fibular and tibia and the outer surface of the leg. Microsurgical techniques must be used in these surgeries. Microsurgery is a procedure performed under magnification called a microscope or surgical loop. In these surgeries, the penis is taken together with the vessels prepared from the areas I have described and placed on the upper part of the newly made scrotum, and the circulation of the tissue is ensured by combining the vessels prepared in that area with the vessels of the new penile tissue under a microscope. If penis reconstruction is achieved using the fibular bone and skin, there is no need for a second surgery as the rigidity will be provided by this bone. However, if a radial forearm flap is used, inflatable or breakable penile prostheses must be used later to provide rigidity to the penis. In my opinion, both techniques have advantages and disadvantages relative to each other. The correct one is for the patient and the surgeon to have a mutual consultation. The goal is to decide which surgery to choose. However, as a personal opinion and the feedback I receive from my patients, the fibular bone can dissolve in the penis over time. In addition, in some patients, osteomyelitis, which we call a permanent bone infection, may occur in this bone, even in the late stages. For this reason, I have to say that I had to remove this bone in some of my patients.

In the radial forearm flap, some of my patients are disturbed by the scars in the arm area.

_{Read: 0}