THE SMART CHOICE FOR GLOBAL HEALTHCARE
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Gender Reassignment
Clinic The Healthcare You Need At Prices You Can Afford   Male to Female (MtoF)Transsexuals are people who have a long-standing and persistent feeling that one’s sexual identity is inconsistent with one’s anatomic sex. You must be on hormone therapy for 6 months before surgery. Male to female transsexuals use the hormone estrogen to feminize their voices, faces, and body characteristics. This hormone changes their fat distribution, increases their breast size, and decreases their body hair. One thing that this hormone does not do, however, is to eliminate facial hair. Estrogen also shrinks the penis and testicles. Any medical doctor, including a psychiatrist, can prescribe hormones once they determine that their patient is suitable for them. A vaginoplasty involves the removal of the testes to create labia. It also involves the inversion of the penis to create a vagina -- this requires extensive surgery and follow-up visits. The good news is that these newly constructed vaginas look amazingly like the real thing. Patients who are suitable for Gender Reassignment must meet the following specifications: 1. Must be HIV NEGATIVE Preparation before operation : Penile Inversion Vaginoplasty This is widely regarded as the preferred method of male-to-female GRS, is widely performed, and when performed by an accomplished surgeon, can produce very satisfactory results. The basic method involves turning the penile skin 'inside out' and using it to line a vaginal cavity created by blunt dissection through the muscles of the perineal area. The penis and testes are removed. Many surgeons use variants of the technique: a pure penile inversion limits the size of the vagina that can be created, depending on the amount of penile skin available. In many patients it is necessary to supplement this material with scrotal skin or by means of a skin graft, often taken from the thigh or abdomen. Early vaginoplasty techniques often used split skin grafts; these were invariably unsatisfactory and very prone to scar tissue formation and shrinkage, leading in many cases to vaginal stenosis. Some surgeons today still use free, full-thickness skin grafts to supplement the penile skin, but the disadvantages of these include visible scarring of the donor site, lack of sensation of the grafted tissue, and possible problems with obtaining enough material in very slim patients. A more modern method involves the use of scrotal tissue, and is sometimes termed 'peno-scrotal inversion'. This is widely regarded as the preferred method. In this technique, the penile skin is usually divided, part being used to form the floor of the vulva, and part being used to form the anterior wall of the vagina, with a flap of scrotal tissue being used to form the posterior wall and apex of the vagina. This has the considerable advantage that a satisfactory vagina can usually be formed even in circumcised or mildly-intersexed patients where penile tissue may be very limited; the corresponding disadvantage is that the risk of vaginal prolapse increases with the proportion of scrotal tissue used, as scrotal tissue adheres less well to the muscles than penile tissue. Labia are constructed from scrotal tissue, and the urethra is shortened and everted to correspond to normal female anatomy. A good surgeon will re-site the urethral meatus to an appropriate female position, and will ensure that the erectile material of the penis is removed to the maximum possible extent, so as not to leave an unsightly and possibly painful 'stump'. The remnant of the prostate gland (long-term hormone therapy causes it to atrophy and shrink) is left in place, and provides sexual sensation through the anterior wall of the vagina, analogous to the so-called 'G spot' of natural-born females. Many patients report good sexual sensitivity both within the vagina and from the rest of the vulva, though some surgeons seem to produce much better results than others. After this operation, the patient will have a pack (usually of surgical gauze) placed in the vagina, to retain the tissues in their proper locations for about five days while healing proceeds. During this time she will be on bed rest, and a clear-fluid-only diet to avoid the possibility of a bowel movement which could damage the vagina or disturb the pack. The patient will also be catheterised, typically for seven days, to allow the urethra to heal. In some cases where the penile skin is very short the MD may need to perform "Colon-Vaginoplasty"
in a second step after 6 months. In the meantime, the doctor
constructs a clitoris by retaining a small section of the glans penis
with its blood supply and nerves intact, and position this into an
appropriate position above the urethral meatus. Since the nerves of
the glans in phenotypic male are analogous to the nerves of the
clitoris in a female. The doctor also constructs labia majora and
labia minora so that patients can have natural feelings of erotic
sensation like a normal female. This is a special technique which
makes our patients very satisfied. You will have the most natural looking
and esthetically pleasing female genitalia
with very good functional and cosmetic appearance.
For an interesting magazine article on Gender Reassignment Surgery in
Bangkok click here. Many male to
female transsexuals also have cosmetic surgery to feminize their
facial features and reduce the size of their Adam's apple. Other
surgeries can include: suction-assisted lipoplasty of the waist,
rhinoplasty, facial bone reduction, face-lift, and blephroplasty.
Ramkhamhaeng Hospital also offers these procedures contact us for more
information and pricing.
Ramkhamhaeng (pronounced ram-cam-hang) Hospital sits at the center of one of
Thailand’s largest and most respected hospital groups. With 350 beds
and seven
sister hospitals Ramkhamhaeng has the resources, experience and
expertise to provide international quality health care at very
competitive prices. This combined with a long tradition of Thai
hospitality has earned Ramkhamhaeng Hospital the confidence of the
people of Thailand, the Region,
and the World.
We
have the latest medical
equipment, such as The hospital also has a long history of providing quality specialty clinics like Plastic Surgery, Cardiac Rehabilitation, In Vitro Fertilization + Embryo Transfer, and The Test Tube Baby Clinic. The hospital specializes in
personalized services for all our international visitors. We will
meet you at the airport and escort you to the hospital, walk you
through the hospital stay and then escort you back to the airport for
your departure. |
We accept:
To help our international visitors understand Thailand Ramkhamhaeng has made
arrangements with |
Ramkhamhaeng
Hospital
Contact Us
2138 Ramkhamhaeng Rd., Huamark, Bangkapi, Bangkok 10240
, Thailand.
Tel. +6623740200-16 Fax.
+6623740804