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    Phalloplasty is the construction or reconstruction of a penis , or the artificial modification of the penis by surgery. The term phalloplasty is also occasionally used to refer to penis enlargement. The first phalloplasty done for the purposes of sexual reassignment was performed on Michael Dillon , a trans man , in by Dr. The Russian surgeon Nikolaj Bogoraz performed the first reconstruction of a total penis using rib cartilage in a reconstructed phallus made from a tubed abdominal flap in
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    Phalloplasty - Wikipedia

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    Hair removal for transsexual and transgender clients is recommended to be undertaken with electrolysis as it is the only guaranteed method for permanent removal. Some patients use laser, but I do not think this should be considered the primary method. With both Male to Female and Female to Male hair electrolysis in preparation for gender reassignment surgery, a period of at least 9 months should be allowed for. These should be applied to the relevant area approximately one hour before treatment. For Male to Female clients, permanent hair removal is usually considered one of the most fundamental parts of transition, particularly on the face and body, but also important on the genital area when preparing for Vaginoplasty construction of a vagina.
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    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 reconstruction of the horizontal part of the urethra, a scrotoplasty and a penile reconstruction usually with a radial forearm flap or an alternative. After about one year, penile erection prosthesis and testicular prostheses can be implanted when sensation has returned to the tip of the penis. The authors provide a state-of-the-art overview of the different gender reassignment surgery procedures that can be performed in a female-to-male transsexual. Transsexual patients have the absolute conviction of being born in the wrong body and this severe identity problem results in a lot of suffering from early childhood on.
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