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Showing posts with label ethics. Show all posts
Showing posts with label ethics. Show all posts

Wednesday 16 June 2021

FtM - Transmasculine transition - Phalloplasty, mastectomy, nullification and binding



There are almost 40,000 biological women and girls fundraising for mastectomy funds on one platform alone

Warning - This blog contains graphic images of genital surgeries, including phalloplasty. Please exercise caution 

This blog is simply a noticeboard of images and links.  Don't expect too much curating or order, but hopefully it has new information for you.

I have serious concerns about the lapse in medical ethics in this area. 13 year olds having radical mastectomies, young, detransitioning men left with child-size penises. A surge in detransitioners. For more on detransitioners, see here, or for puberty blockers and childhood transition, see this.

14, on testosterone for 18 months, and pregnant;


Sadly, the ranks of detransitioners are growing:




The infamous Dr Crane - Renowned San Francisco Phalloplasty Surgeon Hit With Multiple Lawsuits


Facebook post by anonymous transman, (in Spanish but translation is available) who describes the pain and degradation of phalloplasty and the ensuing legal battle


Scott Newgent - Forget What Gender Activists Tell You - Here's What Medical Transition Looks Like 


https://youtu.be/Y72zb-cJi8k


● TREVoices

● Gender Dysphoric Patients Suffer at the Hands of Unethical Surgeons 

● When Transition Regret Pays 

● Belgian man dies by euthanasia after failed sex change operation

"Shortly before he died, he said: “I was ready to celebrate my new birth. But when I looked in the mirror, I was disgusted with myself.

“My new breasts did not match my expectations and my new penis had symptoms of rejection. I do not want to be a monster.”

Verhelst was born the only daughter in a family of three boys, and admitted that he had been “the girl that nobody wanted”.

He first had hormone therapy in 2009, followed in 2012 by a mastectomy, and finally surgery to construct a penis."

Detransitioner tells Congress her ‘childhood was ruined’ by gender reassignment





Or try binding

"Study n=1800 transmasculines via "cross-sectional 32-item survey was administered online to an anonymous, non-random sample of adults who were assigned a female sex at birth and had had experience of binding"

"Chest binding involves the compression of chest tissue for masculine gender expression among people assigned a female sex at birth, particularly transgender and gender non-conforming individuals. There are no peer-reviewed studies that directly assess the health impacts of chest binding, yet transgender community resources commonly discuss symptoms such as pain and scarring."

"Of participants, 51.5% reported daily binding. Over 97% reported at least one of 28 negative outcomes attributed to binding. Frequency (days/week) was consistently associated with negative outcomes (22/28 outcomes). Compression methods associated with symptoms were commercial binders (20/28), elastic bandages (14/28) and duct tape or plastic wrap (13/28) "

74% reported pain. 

54% overheating. 

47% shortness of breath.

45% itching.

50 reported rib fractures - 2.78%


Dr 'Teetus Deletus'




Here is Jay, who's been through hell:
"In 2016 I made the choice to undergo a simple metoidioplasty. Devastatingly, the surgeon botched my surgery and should never have done the surgery he chose, and because of this I was forced to then undergo major transformative surgeries including a phalloplasty and burying my original body, which I had never wanted and which included the loss of the outside of my left arm, leg skin grafts, permanent infections, nerve damage, constant medications from cluster headaches and brain nerves, ongoing health complications and the devastating loss of most of my sexual function which I did have for my entire life, and has always been just fine. Ongoing surgeries, as recent 2 months ago, removing 2 large masses in groin lymph nodes due to the scar tissue. Can't heal fast enough before the next issues." https://www.gofundme.com/f/help-jay-restore-his-body-from-botched-surgeries?utm_campaign=p_cp_url&utm_medium=os&utm_source=custome 
ale to female regret https://www.reddit.com/r/Transgender_Surgeries/comments/loq3xv/struggling_with_terrible_surgery_outcome_and/?utm_medium=android_app&utm_source=share







Surgical Outcomes Following Gender Affirming Penile Reconstruction: Patient-Reported Outcomes From a Multi-Center, International Survey of 129 Transmasculine Patients
*129 patients underwent genital reconstruction surgery. Seventy-nine patients (61 percent) underwent phalloplasty only, 32 patients (25 percent) underwent metoidioplasty only, and 18 patients (14 percent) underwent metoidioplasty followed by phalloplasty.
*Patients reported 281 complications requiring 142 revisions. The most common complications were urethrocutaneous fistula (n = 51, 40 percent), urethral stricture (n = 41, 32 percent), and worsened mental health (n = 25, 19 percent).
*These results support anecdotal reports that complication rates following gender affirming genital reconstruction are higher than are commonly reported in the surgical literature. 

*Complication rates, including urethral compromise and worsened mental health, remain high for gender affirming penile reconstruction.

Phalloplasty: The dream and the reality 

Phalloplasty has come a long way as Plastic Surgery has evolved over the years. The complication ridden multistage tube pedicles popularized by Gillis were, with the advent of microsurgery, replaced by radial forearm flaps. The composite osteo-cutaneous version of this flap promised ‘All for one and one for all’ assuring both a reliable urinary conduit and a phallus stiffener. Prelamination and prefabrication to make the neo-urethra came with the promise of reducing both fistula and strictures but that did not happen and flap failure rates increased. Penile stiffeners of various types have been introduced; the artificial ones were associated with high infection and failure rates and are best inserted after the neo-penis regains some sensitivity. 

Total phalloplasty is one of the most complex reconstructions that plastic surgeons are called upon to perform as it involves replicating a form and function that is truly unique. Add to this the fact that the materials available are sub-optimal and the emotional overlay associated with this reconstruction is very significant, the task assumes nearly Herculean dimensions. It is no wonder that it is fraught with a plethora of complications. 




'Nullification surgery'

"While many patients might be interested in transitioning into either a male or female identity, there are plenty of individuals who feel that their gender identity does not quite conform in one direction or the other. Gender nullification surgery can enable non-conforming patients to enjoy a relatively smooth genital area.

Nullification creates a relatively continuous and mostly unbroken transition from the abdomen down into the genital area, enabling gender non-conforming patients to enjoy a body that looks closer on the outside to the way they feel on the inside."





https://lynnmeagher.substack.com/p/can-we-have-a-little-data-please