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Surgeries for female-to-male transgender patients have similarities to both gynecomastia surgeries for cisgender men, [2] breast reduction surgery for gigantomastia, and the separate mastectomies done for breast cancer. [3] Top surgery involves more than a mastectomy for the treatment of breast cancer. [1]
Phalloplasty (also called penoplasty) [1] is the construction or reconstruction of a penis or the artificial modification of the penis by surgery. The term is also occasionally used to refer to penis enlargement .
Metoidioplasty, metaoidioplasty, or metaidoioplasty [2] (informally called a meto or meta) is a female-to-male gender-affirming surgery. [3] Testosterone replacement therapy gradually enlarges the clitoris to a mean maximum size of 4.6 cm (1.8 in) [4] (as the clitoris and the penis are developmentally homologous).
Almost all female-to-male individuals revealed an increase in sexual excitement and can achieve orgasm through sexual activity with a partner or via masturbation, [85] [76] whereas only 85% of the male-to-female individuals are able to achieve orgasm after gender-affirming surgery. [86]
Lili Elbe was the first well-known recipient of male-to-female sex reassignment surgery, in Germany in 1930, the first being Dora Richter. She was the subject of four surgeries: one for orchiectomy, one to transplant an ovary, one for penectomy, and one for vaginoplasty and a uterus transplant. However, she died three months after her last ...
In 1978, Dr. Michael Brownstein conducted his first chest reconstructive surgery under the request of a FTM (Female to Male) identified as "John L." [7] The surgery was successful, and shortly thereafter, "FTMs were 'flocking to him,' including some who had not had any so-called gender counseling."
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During male-to-female gender-affirming surgery, a neoclitoris is made from the tissue of the glans penis. [7] In female-to-male gender-affirming surgery, metoidioplasty is an operation in which the clitoris is repositioned to create a neophallus. [8]