whats it like to have your penis replaced with a vagina

Phalloplasty

Phalloplasty is surgery to repair the penis later a serious injury or to set up a built condition. In transgender men, the procedure constructs a functional penis. It is a complex surgery that typically requires multiple procedures.

Overview

What is phalloplasty?

Phalloplasty is a blazon of penis surgery. For some people, information technology involves constructing a new penis (neopenis).

Who needs phalloplasty?

People with gender dysphoria undergoing female-to-male (FTM) gender confirmation surgery. Information technology'southward likewise for those who have:

Congenital (present at birth) conditions, such as:

Ambiguous genitalia.
Aphalia, which occurs when a person is born without a penis.
Epispadias, a rare condition in which urine exits the body from the peak of the penis instead of the tip.
Hypospadias.
Micropenis.

Experienced trauma affecting their penis, including:

Burns.
Automobile accidents.
Circumcision complications.
Explosions.
Penile fracture due to sudden bending during an erection.

Procedure Details

What happens during phalloplasty?

During phalloplasty, surgeons accept a big section of peel and tissue (flap) from another area of your body. After rolling it to form a shaft, they attach it to the groin.

Treatment may include additional procedures to:

Remove female genitals for patients undergoing FTM transgender surgery.
Extend the urethra (a tube through which urine leaves the torso), so you can urinate while standing.
Construct a scrotum or head of the penis (glans).
Implant a device to enable erections.
Insert artificial testicles into the scrotum.

Where volition the tissue for the neopenis come up from?

Tissue flaps may come from your:

Forearm: Radial forearm free flap.
Thigh: Anterolateral thigh free flap.
Back: Latissimus dorsi myocutaneous flap.

How practice I prepare for penis surgery?

Before surgery, y'all'll undergo assessments and testing. These may include:

Concrete test to assess your health and learn more about your medical history.
Genital hair removal, which starts months before surgery.
Patient teaching almost risks, benefits and postsurgical intendance requirements.
Mental health evaluation to ensure your understanding of the procedure. Healthcare providers also explain its impact on your life.
Recommendations, including quitting smoking and losing weight, which lower your risk of complications.

In FTM phalloplasty, what happens to the female genitals?

Before phalloplasty, you lot might undergo a divide FTM bottom surgery. This surgery may combine multiple procedures, such every bit:

Hysterectomy , which removes the uterus.
Oophorectomy to remove the ovaries.
Vaginectomy or vaginal mucosal ablation to remove all or function of the vagina and seal the opening.

Some individuals might cull to continue parts of the female genitalia.

What other transgender surgery options are available?

In addition to FTM bottom surgery, individuals may wish to pursue FTM top surgery. This procedure removes breast tissue to create a more masculine-looking chest.

Risks / Benefits

What are the benefits of phalloplasty?

Ane of the master benefits of phalloplasty is relief from physical and emotional challenges. Results include a natural-looking penis that may be capable of erections. When function of transgender surgery, phalloplasty helps you attain your desired gender identity.

Other benefits depend on which options y'all cull:

Radial forearm gratuitous flaps provide excellent cosmetic results and better sensation.
Anterolateral thigh gratuitous flaps give you lot more penis length options. And the scars on your thigh from removing the flap are easier to hide.
Latissimus dorsi flaps (from your dorsum) crusade less scarring. They offer the best potential for an erection without a device.
Urethra lengthening enables yous to urinate while continuing.

What'southward the adventure of complications?

Phalloplasty is a complex penis surgery. Many people feel complications. But going to an experienced surgeon lowers this risk. Complications are less likely to bear upon your long-term results when caught early.

What are the potential complications of phalloplasty?

Complications of genital reconstruction and FtM bottom surgery may include:

Infection: The skin near the incision and the urethra are common areas for infection.
Fractional phallic loss: If the neopenis does not maintain adequate blood flow, information technology cannot survive.
Urethral stricture : Inadequate claret flow tin cause scar tissue to grade. This may slow or block the release of urine.
Urinary fistula: An abnormal connection may form betwixt the urinary tract and a nearby organ, like the bowel, or the outside world.

Recovery and Outlook

What is recovery from phalloplasty like?

After surgery, you'll need to take it piece of cake. Recovery includes:

Limiting concrete activeness, like exercise, work and household chores.
Eliminating urine through a thin tube inserted into the penis (Foley catheter) or through the skin of the lower belly (suprapubic catheter).
Keeping incisions clean and dry out.
Reapplying dressings over surgical wounds in the early on stages of recovery.
Taking medications to ease pain, prevent infection and save constipation.

How long volition it take to accomplish a functioning penis?

Achieving the full function of your penis takes time — in some cases, a year or more than. Information technology may require multiple surgeries. The length of your recovery depends in part on whether surgery involves:

Repairing or constructing a penis.
Removing female genitals.
Taking a flap from the arm, leg or dorsum.
Amalgam a scrotum or glans.
Implanting a device to create erections.

When to Phone call the Doctor

When should I contact my healthcare provider after having phalloplasty?

Your care should include follow-upward appointments to track your recovery. Contact your healthcare provider immediately if you feel:

Blood-soaked dressings, which can be a sign of excessive bleeding.
Infections that cause a fever or yellowish discharge from the incision.
Pain that does non respond to medications.
Signs of blood clots, such as abnormal swelling in your groin or lower leg.
Airsickness and not being able to keep fluids downwards.
If the neopenis appears discolored or if there are skin changes.

A note from Cleveland Clinic

Phalloplasty is a type of surgery to repair or construct a penis. A person may wish to pursue this type of penis surgery for many reasons. These include trauma, congenital weather and gender confirmation. If phalloplasty is right for you, work with your surgeon to learn about your options. Y'all may demand more than one process to achieve your desired results. Y'all should also exist aware that complications are common. Seeing an experienced surgeon lowers this take chances.

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Source: https://my.clevelandclinic.org/health/treatments/21585-phalloplasty