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Kontakt

Praxis für Urologie
Dr. med. Aref El-Seweifi
Forum Zehlendorf
Teltower Dam 35
D-14169 Berlin
Deutschland

Tel.: +49 30 804 90 950
Fax: +49 30 804 90 951
info@masculine.de
Transsex man to woman
The development of flaps techniques and advance of surgery enabled to perfect the cosmetic results of plastic sexual surgery. The meticulous dissection and understanding of the psychological conflict of the patient are very important prerequisites to reach the wished cosmetic result.

The conflicting life inside the body of the other sex gained interest since the beginning of this century. This results in transsex. The feeling to belong to the opposite sex has been first described by many authors since 1910.

This surgery aims at the conversion of a man genially and morphologically so to say from the external appearance to a woman. The secondary characters are changed through hormonal manipulations and plastic reconstructive surgery. The pschycological behaviour is changed through the settings carried out by a psychologist. The genetical identity does not change.
The definition of Transsex is that persons that have no psychotic, genetic or hormonal disturbance feel to belong to the other sex in spite of the intact genetic information. This means men feel themselves to belong to the other sex. This feeling starts usually in the early childhood.

The transsexual affinity is classified into many forms which are graduated according to the affinity and the need of treatment.
Transsex patients who wish to be transformed from a man to a woman have a psychological problem. They must live at least two years in the role of the wished sex. They should fulfil the legal and psychological and social requirements stated in law to have the surgery done. These are to have their name changed through the court and through the pschycological treatment to evaluate their new identification and to prepare them for their new role. Patients are then treated with oestrogen until they have the oestrogen serum level of the female and maintain it before the operation is performed.
The patient must undergo medical and legal tests and decisions before the surgery.