MALE TO FEMALE TRANSGENDER SURGERİES

Male to Female Transgender Surgeries

There are many techniques in these surgeries as well, and surgery can be considered easier if microsurgery operations are not preferred, compared to women-to-men conversion operations. It is the removal of testicles called castration during surgery and the creation of vaginal tissue from the scrotum and penis skin after tissue is removed from the penis. There are some disadvantages in these surgeries according to my opinion and what I hear from my patients. This is especially the formation of strictures in the newly made vagina and problems related to dryness during sexual intercourse. In these surgeries, I recommend patients to make a new vagina with intestinal tissue that is most similar to the female vaginal structure in the body. Because the intestinal tissue has its own secretion. This secretion offers a high level of comfort to the person while continuing his normal life and during sexual intercourse. It can be done by opening the abdomen and bringing intestinal tissue to the area where the vagina will be without separating the vessels. Although this surgical technique is simpler than the use of microsurgical technique, the disadvantage is the scar formed in the middle of the abdomen. I am entering these surgeries with a general surgeon who is experienced in this field. The general surgeon prepares the intestinal segment in the abdomen and takes it out laparoscopically, with 3 traces of 2-3 mm in the abdomen. Subsequently, the circulation of this tissue is provided by me by connecting the vessels of the intestinal tissue with microsurgery to the neighboring vessels in the region that will be the vagina. In this closed technique we use, the intestine is prepared without opening the abdomen, so that the vaginal reconstruction can be done with an almost scarless result on the front of the abdomen.

Post-operative view

Here, you can watch the video of this surgery we performed with my colleague who is general surgeon the large intestine segment (sigmoid) to be used for vaginal construction in the abdomen is prepared approximately 30 cm long. Subsequently, this intestinal segment is extended from inside the abdomen to the outside of the abdomen to form a vagina. As a result of all the procedures, only 2-3 scars of 2 mm remain in the abdomen, and an almost completely scarless surgery is performed.                                    

Below, you can follow the interview with a female patient who does not have a congenital vagina, where I performed vaginal reconstruction from the large intestine with the technique I applied in same sex change surgery.