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Chirurgies

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Article 10/12/2014 Perforation of the neovagina in a male-to-female transsexual: a case report

Introduction: There are several techniques for creation of a neovagina in male-to-female reassignment surgery. Although vaginoplasty with the sigmoid colon is not a common procedure, it is becoming more common. Perforation of the recto-sigmoid neovagina after sex reassignment surgery is very rare. We hereby report a ca...
Article 06/11/2014 Vidéos des chirurgies de "réassignation"

Dans un , deux vidéos pédagogiques sur les chirurgies MtF et FtM de réassignation. Attention, les images peuvent être choquantes pour un public non averti. Cette vidéo est de 2013. https://www.youtube.com/watch?v=R9TGQIP-VLg Celle-ci est de 2011 https://www.youtube.com/watch?v=qVxtLwpjyfs...
Article 25/08/2014 Satisfaction With Male-to-Female Gender Reassignment Surgery

Background: The frequency of gender identity disorder is hard to determine; the number of gender reassignment operations and of court proceedings in accordance with the German Law on Transsexuality almost certainly do not fully reflect the underlying reality. There have been only a few studies on patient satisfaction...
Article 26/05/2014 An Overview of Neovaginal Reconstruction Options in MtF

Transsexualism, as a condition, is widely misunderstood. In the light of their gender identity issues, transsexuals are generally perceived as emotionally unstable persons, incapable of coping with their everyday lives. The term “transsexual” came into professional and public usage in the 1950’s to denote a person wh...
Article 29/03/2014 Neovaginal Prolapse in Male-to-Female Transsexuals: An 18-Year-Long Experience

Neovaginal prolapse is a rare and distressing complication after male-to-female sexual reassignment surgery. We retrospectively analysed the prevalence of partial and total neo-vaginal prolapses after sexual reassignment surgery in our institute. During the years, two different techniques have been adopted with the aim...
Article 20/03/2014 The Role of Clitoral Anatomy in Female to Male Sex Reassignment Surgery

Introduction. Controversies on clitoral anatomy and its role in female sexual function still make clitoral reconstructive surgery very challenging.We evaluated the role of clitoral anatomic features in female to male sex reassignment surgery. Material and Methods. The study included 97 female transsexuals, aged from18 ...
Article 04/03/2014 The Development of Sex Reassignment Surgery in Thailand: A Social Perspective

This paper reviews the development of gender reassignment in Thailand during the period of 1975–2012, in terms of social attitude, epidemiology, surgical patients’ profile, law and regulation, religion, and patients’ path from psychiatric assessment to surgery. Thailand healthcare for transsexual patients is described....
Article 30/01/2012 Bien-être psychosocial postopératoire de 207 transsexuels

Introduction Depuis plus de 20 ans, l’unité de transsexualisme de l’hôpital Foch accueille des demandes de changement de sexe. Elles font l’objet d’une évaluation d’au moins deux années, au terme desquelles une commission pluridisciplinaire (composée de psychiatres, psychologues, endocrinologues et chirurgiens) conf...
Article 01/08/2011 Sex Reassignment Surgery in the Female-to-Male Transsexual

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 recons...
Article 01/08/2011 Notes techniques relatives à la mastectomie

La mastectomie en cas de poitrine volumineuse doit utiliser une technique particulière. Le principe de la mastectomie par voie péri-aréolaire ou avec lambeau supérieur de la plaque aréolo-mamelonnaire (PAM) doit être abandonné au profit d’une mastectomie par voie inférieure horizontale avec greffe de la PAM transformée...
Article 28/03/2011 Frontal Bone Remodeling for Gender Reassignment of the Male Forehead

Gender-reassignment therapy, especially for reshaping of the forehead, can be an effective treatment to improve self-esteem. Contouring of the cranial vault, especially of the forehead, still is a rarely performed surgical procedure for gender reassignment. In addition to surgical bone remodeling, several materials hav...
Article 05/11/2008 Aspects de la chirurgie laryngienne transgenre

Ce chapitre traite des aspects chirurgicaux de la chirurgie laryngée transgenre à la fois en termes de changement de l’apparence esthétique et de modification du ton de la voix. Cette chirurgie concerne principalement les femmes transgenres. Les sujets dans le rôle d’homme transgenre sont moins demandeurs de chirurgie ...
Article 30/10/2008 Chirurgie de réassignation sexuelle pour les transsexuels

Le transsexualisme se définit comme une identification à l’autre sexe forte et persistante, associée à une gêne permanente du patient pour son sexe et un sentiment d’inadéquation vis-à-vis du rôle de genre lié à ce sexe (Manuel diagnostique et statistique des troubles mentaux, quatrième édition, ). Ce trouble est à l’o...
Article 06/07/2008 Reconstructive Surgery for Severe Penile Inadequacy

Objectives. Severe penile inadequacy in adolescents is rare. Phallic reconstruction to treat this devastating condition is a major challenge to the reconstructive surgeon. Phallic reconstruction using the free radial forearmflap (RFF) or the pedicled anterolateral thigh flap (ALTF) has been routinely used in female-to-...
Article 31/07/2007 La chirurgie sexuelle en France : aspects historiques

Les rationalisations de la chirurgie sexuelle procèdent d’une logique symbolique identique à celle des mutilations sexuelles. La normalisation chirurgicale, destinée à corriger les anomalies morphologiques et à pallier les troubles du comportement, a été longtemps dominée par l’impératif procréateur. La chirurgie sexue...
Article 16/02/2006 Chirurgies des transsexuels masculins : évaluation rétrospective d’une expérience de dix ans

Note d'Acthe: Ce médecin bien connu sous un autre pseudo "le boucher" appelle les personnes trans dans le sens MtF les "transsexuels masculins"... Les taux de satisfactions de ce médecin sont en réalité très faibles, contrairement à ce qu'il affirme. But de l’étude Le but de l’étude était l’évaluation des résult...
Article 07/09/1998 Problèmes éthiques posés par la demande de SRS chez le transsexuel

A la suite d’un voyage aux Etats-Unis pour le perfectionnement de ma spécialité (la chirurgie maxillo-faciale), j’ai été confronté à un sujet d’éthique qui m’a motivé pour rédiger ce mémoire dans le cadre du DEA d’éthique médicale et biologique. Il s’agissait au départ d’un homme transsexuel d’origine chilienne, vivant...
Article 01/03/1995 Self-castration in a transsexual

Deliberate genital self-injury is rare, however, as the waiting times for sex reassignment surgery lengthens we may witness an increase in genital self-mutilation as transsexuals give vent to their frustration. The following case report details the immediate management of one such patient. ...
Article 01/06/1987 Mutilation, deception, and sex changes

The paper considers and rejects two arguments against the performance ofsexual reassignment surgery. First, it is argued that the operation is not mutilating, butfunctionally enabling. Second, it is argued that the operation is not objectionably deceptive, since, ifthere is such a thing as our 'real sex', we do not k...
Article 18/05/1985 Cosmetic surgery 1985

Rhinoplasty Rhinoplasty is the most popular ofall cosmetic surgical procedures. The nose may be considered to require an overall reduction in size, or surgery may be sought to correct the shape ofa normal sized nose-for example, if there is a large dorsal hump or the nose may have been damaged and either be crooked or...
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