How does a woman to man sex change happen?

Question

I know how they do the surgery for the man-to-woman operation; I just can't even fathom how they would do a woman-to-man operation.

Answer 1

Well, it depends on the type of surgery. If it is a cliordectomy or a metoidioplasty, then all that is happening is an enlargement of the clitoris, which is made of the same basic stuff of that penile tissue is made of- ordinary women's clitorises become erect just like a penis, so the new organ, enlargened from the testosterone and sugery, will also become erect, and is sometimes large enough for shallow penetration to occur.

If it is a phalloplasty, which results in a penis in similar size to that of a biological man, then it's somewhat different: the organ is made from donated skin and nerves (usually from an arm), and, while it is 'hooked up' to the genitals, so to speak, and has feeling, the same sexual reaction won't occur from the brain sending bloodflow to the organ for an erection. It will remain flaccid. FtM's with this sort of organ have a way around that, however- they use a pump device located in their bodies to achieve erection, just the same as a lot biological men who are impotent or have erectile dysfunction. Then deep, penetrating sex is possible.

Neither types can ejaculate- they don't have the internal system to produce semen, even if a set of testicles are added. It's just the same way that a MtF can't become pregnant because although a vagina was installed, a uterus cannot be- we don't have the capabilities to create vas deferens and all that piping and everything necessary. However, women can and do ejaculate, and it's understood that FtM's with that ability beforehand would still be able to do it afterward, especially if they just had a clitoral-enhancing surgery. If a hysterectomy took place, however, and the vagina was sewn up, then of course ejaculation is impossible.

Hope that helps!

Answer 2

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Answer 3

First of all, women cannot become men or vice-versa. You have to be born a man (even if you start with a female body). So it is a female to male operation since it only changes what you have, not who you are.

Two-thirds of the the surgery is common procedures already done on females. There is the complete hysterectomy and the total mastectomy.

Well, there are basically 2 types of procedures for the phalloplasty for those who actually opt to have this done. One is simple metoidioplasty. The clitoris grows under the influence of male hormones, and metoidioplasty cuts the ligaments on both sides of it so it will protrude. They can also implant silicone testicals and occlude the vagina.

The other method of phalloplasty is much more involved and can run up to $250,000. What they do is to do a series of grafts to create a tube. That is done over months and months. If the patient wants it to become erect and use it for urination, then veins are grafted for this purpose.

BTW, this should be in the medical section. This has nothing to do with same sex love nor even transgenderism. This is about transsexualism which involves people who believe in only two genders to the point where surgery is required. This is not about the recreational choice of transgenderism, but the medical condition of transsexualism. To call a transsexual a transgender or a homosexual is the ultimate in insults.

Answer 4

I think I can help with this one. I am a female to male transsexual. (Don't ask if I'd had this surgery cuz I'm not going to tell you)

First, there's more than "the" surgery. People seem to forget that female to male transsexuals also have to have their breasts removed. This can be done in one of two ways.
First, if the FTM(female to male) is naturally small, say an A cup or smaller, they can do something called a "keyhole" surgery, where they go in behind the areola of the breasts, make a small incision, cut up the mammary tissue and the fat, and basically liposuction it out, creating a flat chest. This is a good option becuase it leaves very little scarring. The downside is that you don't get the full male contour of the chest. The nipples can be grafted and resized and then placed back on, higher than before, but this isn't always the norm with the keyhole surgery.
There's also the bilateral mascetomy. This is where the FTM's who are larger (like a B cup and up) have their breasts actually removed. They do 2 large incisions under each breast, go in and remove the tissue and then take the top flap and pull it down and sew it to the incision. Again, the nipples are removed and resized and then reattached. This method leaves 2 large "U" shaped scars under the breasts where the incisions were made. It gives great results and great contour, but like I said, it leaves large scars.
As for the lower surgery, there's also 2 types.
First is called a metoidioplasty. Naturally, when an FTM begins taking testosterone hormones, it causes a lengthening of the clitoris. (naturally it can get to as long as about 2 inches). However, as many people know, there is a "hood" to the clitoris that keeps it from exposing it's true length. (The female clitoris is analagous to the male penis, they only differentiate in the womb with the addition of the Y chromosome that carries androgen receptors, so yeah..we all started out as female in your mommy's tummy) So..what a metoidioplasty does, is it removes the ligament that holds that "hood" back exposing more of the lengthened clitoris, and grafting it to resemble a male penis. The outer labia are sewn together and silicone testicles are placed in, giving the appearance of a scrotal sac. The urethra is lengthened and rerouted so that standing to urinate is possible. Also, before the vagina is sewn shut, a hysterectomy is performed to remove all internal female organs. The pros and cons of this surgery are, pro--you retain all your natural growth and girth, and you maintain natural erections and maintain natural nerve endings so you keep your natural feeling in that area. cons--it doesn't work for penetration, becuase you will only get about a 3 inch growth.
The second type of surgery, (and the one I think you're referring to) is called a phalloplasty. This is where an artificial penis is actually constructed and attached. The penis is usually made from either an abdominal flap where a silicone balloon is placed under the skin and filled to allow the skin to stretch so that it can be used to create a penis. Also, a flap from the inside of the forearm is also used. This seems to be the more common method. After the penis is constructed it is attached over the clitoris and the urethra is routed through the penis to allow for standing while peeing. Again, the hysterectomy is done and the outer lips used to make a scrotal sac. Pros and cons. Pro--allows greater length, more natural "flesh" looking, and shows more congruency with the male anatomy. Also allows for penetration. Cons--the penetration can only be achieved through a pump that is implanted in the scrotal sac that inflates rods placed in the shaft of the penis. Also, sensation is sometimes lost. Also, it leaves scarring on other parts of the body, as it is a very invasive surgery, taking the skin and tissue off the forearm almost down to the bone.

Answer 5

There are a few steps female-to-male transgender men can take to transition (they may not do all of them, or only a few, but here's what they have the option to do):

Testosterone injections - taking male hormones to lower their voice, grow more body hair, change the shape of their body (slim down the hips, get coarser skin), enlarge the clitoris.

Mastectomy - removal of the breasts, chest-restructuring.

Phalloplasty - This is when doctors will take flesh from the arm and use it to form a penis. This is an expensive and painful procedure, and the penis will be about the size of a human thumb. It can't be used for penetration, but will have the exterior look of a penis. The urethra has to be lengthened, which is a risky procedure (but worth it, to some).

Metoidioplasty - since Testosterone enlarges the clitoris, surgery is used to move the clitoris into a position that looks more like a penis. It's less complicated than a phalloplasty and retains sensation.

Hysterectomy - removal of the uterus

Answer 6

There are two ways to do it.

First option and leave the urethra as it is(so you still have to sit). They then pull out some more of the clitoris (its just the tip of the ice burg) and make that into a smallish penis. The down side is it can only get up to something like 31/2 inches long.

Second option: they take tissue from somewhere(forearm I think) and construct a penis out of it. They can retrace the urethra through the penis but if it goes wrong it goes wrong seriously. The down side to this is that there is less feeling and I think a pump is needed in order to get an erection. But it is bigger.

I believe that the lips are used to create a scrotal sac in either case.

Answer 7

Well, this is not up my line, however, I believe they have to make an imitation penus and attach to the genital area. It cannot erect the natural way but is usually operated by a pump, etc. It is very difficult to go from woman to man, much easier the other way around. I'm not in the mind to do anything like that but even if I was, I don't think I would. Too much of a hassle.

Answer 8

My girlfriend knows an FTM (Female to male) and they insert a balloon under the inside of the arm as there's no hair there and swell it until they have enough extra skin to make a penis...

I'm probably saying it wrong, though, and I can only really remember that bit of the operation.

Answer 9

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Answer 10

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