A guide to lower surgery for trans men - Gender Identity Research ...

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Contents About this publication 1 Introduction 2 How do I qualify for lower surgery? 3 What are my options? 4 Hysterectomy and bilateral salpingo-oophorectomy: why do I need this surgery? 5 Choosing the surgeon for hysterectomy and salpingo-oophorectomy 6 Informed consent for hysterectomy and salpingo-oophorectomy: reproductive options 7 Hysterectomy options: 8 Will there be an impact on my sexual sensation? 9 What next? genital surgery? 10 Choosing a surgeon for genital surgery 11 Informed consent for genital reconstructive surgery 12 Option 1: metoidioplasty 13 Option 2: phalloplasty 14 Sexual behaviours and keeping safe from sexually transmitted infections (STIs) © GIRES A GUIDE TO LOWER SURGERY FOR TRANS MEN 1
About this publication This publication provides information about the various options for ‘lower’ surgery (including genital surgery) for trans men. The aim of such surgery is to improve the lives of trans men, both psychologically and physically, by achieving a closer match between their genital appearance, their sexual function, and their self identification as men. It is a guide to what can, and what cannot, be achieved through surgery. This information will also help sexual partners of trans men, by giving them an understanding of the range of possible outcomes, and the impact that these may have on their shared lives. The information is not aimed at surgeons themselves, although it may be helpful to those medical staff who are providing other aspects of care for trans men. The text also provides information and advice about sexual behaviours, and sexually transmitted diseases and how to avoid them. This publication is written by the GIRES’ team that includes doctors and trans people. All the team members have specialist knowledge and experience in the transgender field. The team preparing the text, and the group involved in the consultation process, included trans men. Dr Richard Curtis, BSc, MB, BS, Dip BA Professor Andrew Levy, PhD, FRCP Dr Joyce Martin, MB, ChB, D Obst RCOG Professor Kevan Wylie, MB, MMedSc, MD, FRCP, FRCPsych, DSM Terry Reed, BA (Hons), MCSP, SRP, GradDipPhys Bernard Reed, MA, MBA Acknowledgements to the surgeons: Mr David Ralph MBBS, BSC, FRCS, MS Mr Nim Christopher MBBS, MPhil, FRCS Professor Stan Monstrey MD, PhD, FCCP Thanks to Joe Swift, Charlie Kiss, Isa Forde and Simon Croft for their helpful comments and suggestions. 2 © GIRES A GUIDE TO LOWER SURGERY FOR TRANS MEN
Page 1: A guide to lower surgery for trans
Page 5 and 6: Lower surgery for trans men 1 Intro
Page 7 and 8: 3 What are my options? It is essent
Page 9 and 10: 5 Choosing the surgeon for hysterec
Page 11 and 12: In rare circumstances, where hyster
Page 13 and 14: lot depends on how well you are whe
Page 15 and 16: 9 What next? genital surgery? The m
Page 17 and 18: You should also be made aware of th
Page 19 and 20: Clitoral release The simplest opera
Page 21 and 22: Clitoral release creating micropeni
Page 23 and 24: Disadvantages compared to phallopla
Page 25 and 26: 13 Option 2: Phalloplasty “I’m
Page 27 and 28: How do I choose the donor site? One
Page 29 and 30: As this is a pedicle flap, arteries
Page 31 and 32: The disadvantage: You risk complic
Page 33 and 34: alternatively, a more complex devic
Page 35 and 36: shaft of phallus sulcus glans cathe
Page 37 and 38: 36 TR catheter emerging from the ur
Page 39 and 40: months later when sensation is esta
Page 41 and 42: Among those who had urethroplasty,
Page 43 and 44: Diagram to show the areas of sexual
Page 45 and 46: Changed sex anatomy Anatomically, a
Page 47 and 48: many years. 26,27 Since people do n
Page 49 and 50: The first and second stages of syph
Page 51 and 52: emain symptomless but can lead to i
Page 53 and 54:
Symptoms include: increased discha
Page 55 and 56:
Information and support a:gender Te
Page 57 and 58:
The Gender trust PO Box 3192 Bright
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