M to f sex change

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Bradley Manning, the U. Army private who was sentenced Aug. Converting male anatomy to female anatomy requires removing the penis, reshaping genital tissue to appear more female and constructing a vagina. An incision is made into the scrotum, and the flap of skin is pulled back. The testes are removed.
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Sex reassignment surgery (male-to-female)

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Transgender penis: How does female-to-male surgery work?

A long-term follow-up study of 55 transsexual patients 32 male-to-female and 23 female-to-male post-sex reassignment surgery SRS was carried out to evaluate sexual and general health outcome. Relatively few and minor morbidities were observed in our group of patients, and they were mostly reversible with appropriate treatment. A trend toward more general health problems in male-to-females was seen, possibly explained by older age and smoking habits. Although all male-to-females, treated with estrogens continuously, had total testosterone levels within the normal female range because of estrogen effects on sex hormone binding globulin, only The female-to-males masturbated significantly more frequently than the male-to-females, and a trend to more sexual satisfaction, more sexual excitement, and more easily reaching orgasm was seen in the female-to-male group. The majority of participants reported a change in orgasmic feeling, toward more powerful and shorter for female-to-males and more intense, smoother, and longer in male-to-females. Over two-thirds of male-to-females reported the secretion of a vaginal fluid during sexual excitation, originating from the Cowper's glands, left in place during surgery.
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Sexuality after Male-to-Female Gender Affirmation Surgery

Female-to-male surgery is a type of sex reassignment surgery, which is also called gender affirmation surgery or gender-affirming surgery. In this article, we describe female-to-male gender-affirming surgeries. We also discuss recovery and what to expect from a transgender penis. Before having female-to-male gender-affirming surgery, a person will receive testosterone replacement therapy. A person undergoing surgery to transition from female to male typically has a subcutaneous mastectomy to remove breast tissue.
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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. The authors provide a state-of-the-art overview of the different gender reassignment surgery procedures that can be performed in a female-to-male transsexual.
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