Penis after sex change

Sex reassignment surgery SRS refers to a variety of surgical techniques used to change the bodies of people who have gender dysphoria. The surgeries involved in sex reassignment are also referred to as gender confirming surgery, gender reassignment surgery GRS or sex change surgery. Gender dysphoria, also known as transgenderism or gender identity disorder GID , is a condition in which a person feels a major mismatch between their biological sex and their gender identity. It is not a type of mental illness, although it was wrongly believed to be one in the past.

Background: Tactile and erogenous sensitivity in reconstructed genitals is one of the goals in sex reassignment surgery. Since November until April , a total of phalloplasties with the radial forearm free flap and vaginoclitoridoplasties with the inverted penoscrotal skin flap and the dorsal glans pedicled flap have been performed at Ghent University Hospital. The specific surgical tricks used to preserve genital and tactile sensitivity are presented. In phalloplasty, the dorsal hood of the clitoris is incorporated into the neoscrotum; the clitoris is transposed, buried, and fixed directly below the reconstructed phallic shaft; and the medial and lateral antebrachial nerves are coapted to the inguinal nerve and to one of the 2 dorsal nerves of the clitoris.

Having genital surgery changes the way you have sex, and maybe how you experience sex as well. You have to discover all over again how your body works sexually. Your sensitive spots remain intact and often you can still have an orgasm. You will get a vagina, a penis or a mini penis, also called a micro-penis.

In female-to-male transsexuals, the operative procedures are usually performed in different stages: first the subcutaneous mastectomy which is often combined with a hysterectomy-ovarectomy endoscopically assisted. The next operative procedure consists of the genital transformation and includes a vaginectomy, a reconstruction of the horizontal part of the urethra, a scrotoplasty and a penile reconstruction usually with a radial forearm flap or an alternative. After about one year, penile erection prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis.