SRS(乙狀結腸)變性手術 (SRS (Sigmoid Colon) Sex Change Surgery)

http://pai.co.th/srs-sigmoid-colon/?fbclid=IwAR02Lf-cbtsXb8Vd_AjXhkBIUr-4tTpG2EyYP4G1mk-COr-sf03T5Uvgj6Q


SRS (Sigmoid colon) transposition is used for patients who need more depth (exceeding 8 inches).
Sex Reassignment Surgery  “Sigmoid Colon” (the sensational glans clitoris, labiaplasty, 7-8 inches depth and vaginoplasty).
Preecha Aesthetic Institute (PAI), the Pioneer for Sex Reassignment Surgery in Thailand.
Transsexual person is someone who was born into the wrong body. They have the body of one gender and the mind of the other.  Transsexuals may be a female trapped in a male’s body or a male trapped in a female’s body.
Preecha Aesthetic Institute has been provide information, help and supportive for Transsexuals, and Cross-Dressers of all ages, we are especially Reconstructive Center located in Bangkok ,Thailand for those who are in the final stages of “Sex Reassignment Surgery”. We have been performed SRS by PSI, SSG  and SCG > 4,800 + cases.

What is Sex Reassignment Surgery ?
Initialized as SRS; also known as genital reconstruction surgerysex affirmation surgerysex realignment surgery, gender change, gender reassignment, gender reassignment surgery, gender surgery or sex-change operation) is a term for the surgical procedures by which a person’s physical appearance and function of their existing sexual characteristics are altered to resemble that of the other sex.
It is part of a treatment for gender identity disorder/gender dysphoria in transsexual and transgender people.
Other terms for gender change operation include gender reassignment surgery, sex reconstruction surgery, genital reconstruction surgery, gender confirmation surgery, and more clinical terms, such as feminizing genitoplasty or penectomy, orchidectomy and Vaginoplasty are used medically for trans women


Sex Reassignment surgery by  Sigmoid Colon (lubricate with organism

SRS with Sigmoid Colon
- the sensational glans clitoris
- labiaplasty
- vaginal deeper canal
- vaginoplasty in one stage.

Selecting the method in Sex Reassignment Surgery 
Between Penile Skin Inversion or Sigmoid Colon
if you are:
1. Long Penis (>6 inches (15 cm), when erect) = Penile Skin Inversion (PSI)
2. Medium Penis (2-6 inches (5-15 cm), when erect) = Penile Skin Inversion (PSI) with Scrotal Skin Graft (SSG)
3. Short Penis (<2 inches (5 cm), when erect) = Penile Skin Inversion (PSI, SSG) with Sigmoid Colon Graft (SCG)

Best Candidate for Sex Reassignment Surgery:
Sex Reassignment Surgery male to female.
PAI (Preecha Aesthetic Institute), we are following WPATH/HBIGDA or SOCs.
The Standards of care for gender identity disorders – WPATH (World Professional Association for Transgender Health) the earliest sets of clinical guidelines for the express purpose of ensuring “lasting personal comfort with the gendered self in order to maximize overall psychological well-being and self-fulfillment.” These standards are still the most well-known; however, other sets of SOCs, protocols and guidelines do exist, especially outside the USA.
- Specific minimum requirements as prerequisites to HRT
- Much of the criticism surrounding the WPATH/HBIGDA
- Psychological evaluation letter
- Highly controversial and often maligned document among patients seeking medical intervention (Hormones)
- Real-Life experience
- Physically healthy and emotionally stable with realistic expectations
- Must be over 18 year old with good health condition with parent. Fully 20 year is able to come by yourself.

The package’s inclusive for male to female surgery Thailand :
- Accommodation for 5 days in hospital private room after surgery
- Operating Room Charges: OR Room Use, Recovery Room, Scrub & Circulate Nurse
- Regular menu food charges
- Laboratory Testing: necessary for the procedure as CBC, EKG, UA, Anti HIV, Chest X-Ray
(If age over 45 need to check Cardiology.  An extra charge 100 USD)
Medical Equipments and Medical Supplies
- General Anesthesia – Pre Anesthetic Drugs, Anesthesia and Medical Gas (Oxygen, Nitrous Oxide)
- Medical Treatments
- Doctor fees
- Anesthesia fees
- Nursing services
- Take home medication and supplies
-  A pack of sanitary napkin ring
- PAI’s GRS dilator (1 size)
- Post op cares
- Transportation pick up

Service Accommodation: Non Medical
- Transportation pick up from airport –hotel-clinic-airport  as well as follow up period.
- Mobile service during recovery with local number.  People can get in touch with you.
- Hotel reservation at least 1 km from Preecha Aesthetic Institute
- Touring services
- Interpreter services  with any language

Type of Anesthesia: General Anesthesia
sex change pre-op
1) Inform us about any allergies, any serious medical condition(s), and all medications you are -
taking (both prescription and non-prescription).
2) Qualify letter from Psychiatrist doctor or Hormone Therapist
3) No Aspirin at least 2 weeks before surgery.
4) Stop vitamin E Oil 1 day before surgery.
5) Stop smoking 2 days and a month after surgery.
6) Stop Hormone, if taken 2 weeks before surgery date
7) Tell doctor if you have any serious medical condition(s).
8) Stop meal and water starting from midnight before surgery.
9) Plan to be in Thailand at least 14 days after or at least 15 days (Before and after) surgery.

Sex change procedure
1. Creation of vaginal space between urethra, prostate gland, bladder and rectum
2. Bilateral orchietomy
3. Degloved penis shaft
4. Separation of urethra from penis
5. Isolation glans penis with 2 dorsal nerves and vessels
6. Penile skin inversion to line vaginal cavity with or without scrotal skin graft or
sigmoid colon graft
7. Clitoroplasty (Sensate)
8. Urethropalsty
9. Labiaplasty, major and minor
A portion of the glans (head of the penis), with its nerves and vessels, is converted into
a clitoris. In so do, the clitoris will be functional in sensation as well as in appearance.
The excess erectile tissue around the urethra should be removed in order to avoid
symptoms that stem from engorged erectile tissue during sexual arousal, that may
result in the narrowing of the vaginal opening.
Post-op  recovery: sex change recovery time
After reassignment surgery, pain that is easily controlled by medication usually will subside in a few days.  Dressings have been applied.  we will be replaced a few days.  Sutures will be removed within a week of surgery.
Although the surgeon has made every effort to keep scars as inconspicuous as possible. They are the inevitable result of surgery.  Minimal swelling and discoloration will disappear rapidly.
Healing process may occur for weeks or even months following surgery.  Dilation will be given an instruction during follow up visits. The decision on when to return to work and normal activities depends on how fast you heal and how you fee.  To permit proper healing, you should avoid over activity and refrain from overhead lifting.
Treatment after surgery for sex reassignment surgery
After release from hospital you will recover with the aid of liaison at the hotel.
During recovery in the hotel, you must follow instructions including:
1. Dilating is the most important thing you can do to ensure the success of your surgery. If you do not dilate responsibly, this can result in the shortening of depth and width of the newly made vagina because of the scar contracture.
2. Failure to dilate properly can result in serious injury. You will be instructed to gently dilate into the right direction after the vaginal packing is removed.
3. Dilation can be painful for the first weeks, but is essential for developing maximum
4 Depth and ensuring post operative functioning of the neovagina. More instructions will be given after surgery
During the recovery period and after each dilation session:
- The wound should be washed gently with Hibiscrub (pink color) in the shower followed by douching while seated in the toilet:
- Douche solution (proportion) = 5-10 ml (cc) of Beta dine solution mixed with 1L of water or until the container is full.
- Insert the douche to full depth, squeeze, and hold tightly the container.
- While holding tightly the container, extract the douche;
-  Keep the wound dry and apply Beta dine solution with cotton balls; and apply Kemicitine ointment with a cotton applicator. If there is some bleeding, press or apply pressure with a dry cotton ball to the site for 15 minutes. During the first weeks after surgery, feminine knapkins (tampons) should be changed several times per day due to normal vaginal bleeding during recovery.
- After one month of SRS operation you will be required to start applying Premarin cream to your neo-vagina. Apply two times a day to soften your neo-vagina. This would generally take around six months.
- You can return to female hormones as before surgery or after two weeks. You should consult your endocrinologist to re-adjust the dosage. A sudden change in hormone levels, for some individuals, may result in the fluctuation of emotion.
- For SRS patients – a full post-operative care kit necessary for dilation, including a -piece dilator set specially manufactured for GRS as design by Preecha Aesthetic Institute.
Post-operative checks by our nursing staff on a daily basis throughout your stay with us in hospital.
Post-operative check-ups by PAI’s surgeon at least twice weekly and more frequently if necessary – while you are here.

Surgery Time required: 2 hours
Anesthesia : General Anesthesia
Recovery Sex Reassignment Surgery: Required to be in Thailand 15 days (Totals)
Back to work: after 20 days more
Strenuous activity: 4-8 weeks
Fading of scars: several months to a year

Sex Reassignment Surgery’s  schedule (require 14 days after surgery in Thailand)
Day 1 – Consultation and Prepare for Laboratory Testing
Day 2-6 – Surgery and 5 days in hospital private room after surgery
Day 6 – Discharge from Hospital
Day 6 to 13 – Stay in hotel for recovery period and follow up on doctor appointment
Day 7-10 – Stitches removal
Day 13 – Final check up and prepare for letter fit to fly and  issue for a new letter with gender name change
Day  14 – Safe to fly
All transportation during recovery period in Bangkok will be sponsor by PAI.

Schedule an appointment or question in Sex Reassignment Surgery MtF .
1. Write your question, interest at consult us in program form
2. Via email
2.1   list your expectations or procedure that you are interest and give us your detail as possible
2.2   email to us
2.3   We will get back to you shortly after receive your question with recommendation from specialize surgeon
Once you know your planning date for surgery.
Here is the next step.
3.1   Consultation with us via email for details and procedure
3.2   Plan your available date to be surgery and departure from Bangkok
3.3    We will confirm you for surgery date
3.4    You may start to book your airline ticket
3.5    We will confirm you all detail and hotel booking, if require
3.6    For transportation to be pick up from the airport, we can do for you as optional

Address:
PAI (Preecha Aesthetic Institute)
898/1 Sukumvit 55
Wattana, Bangkok 10110 Thailand
Tel: (662) 715-0111
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Meeting Point (Airport)
We collect you and any accompanying travellers from Bangkok Suvarnabhumi International airport – irrespective of day or time of arrival of your flight. We return you to the airport at the end of your stay.
Our driver will wait for you or any accompany travellers at door number 4 (Meeting Point), after exit from customs.  Travellers will see a sign of PAI’s logo under your name.

Hotel
Hotel partner are special rate offer for PAI.
Prior to admission to , and discharge from hospital, patients stay in local hotel accommodation. We arrange your Hotel accommodation as co-operate rate and low rate (located from 20-100 meters  from Preecha Aesthetic Institute).

Approval hotels by Preecha Aesthetic Institute (PAI).
Full access to the Clinic facility within walking access of local shops and facilities, which is very much a patient’s recreational facility and “home” while she is with us. This includes:
- Free internet via broadband with a wireless network and wired network.
- Lounge facility
- Full air condition
- House keeper
- TV with DVD movies
- Laundry
- Restaurant / Cooking facilities
- Recreational trips to areas of local interest
- Room, bed, floor clean and hygiene

Language
- Thai, Italian, Spanish and English
- Other Language upon request

Payment
1. The payment can be prepared in Cash by US dollars, Euro Dollar, Japanese Yen, HKD, SGD, AUD or pay by Traveler‘s Cheques.
2. Bank’s Transfer.
3. If using credit cards, the hospital will charged 3% for international transaction fee.  This is only for surgery fees.  Hotels are not charged for international transaction fee.
An extra charged for HIV is 30% from total cost.

Cost of meal: Cost of living meal per day is 15-20 USD.

Passport and VISA:
Preecha Aesthetic Institute can issue the letter to clarify with your local Embassy or Passport.

Tourist Visa Exemption (30 days without VISA)
Australia, Austria, Belgium ,Brazil ,Bahrain , Brunei Darussalam   ,Canada, Denmark ,Finland ,France, Germany  ,Greece ,Hong Kong ,Iceland  ,Indonesia  ,Ireland  ,Israel  ,Italy  ,Japan  ,South Korea ,Kuwait ,Luxembourg , Malaysia  ,Monaco  ,Netherlands  ,New Zealand  ,Norway  ,Oman ,Peru  ,Philippines  ,Portugal , Qatar , Singapore  ,Spain  ,South Africa  ,Sweden  ,Switzerland  ,Turkey  ,United Arab Emirates, United Kingdom  ,United States of America ,Vietnam.

Airport Immigration and Customs
Please present the supporting documents confirming the scheduled operation upon request. Please do not carry any unnecessary drugs or dangerous objects in your luggage.

Air Travel Tips for Transgender People
Nothing on this webpage is meant, or should be interpreted to mean, that transgender people or anyone else should attempt to circumvent security or deceive security personnel in any way. It is meant only to provide tips to transgender people who may otherwise be subjected to unfair or embarrassing selective scrutiny or treatment.

Who You Are: Identification Issues
All passengers 18 years of age or older are required to provide proof of identity at check-in and at the security checkpoint.
- The name you use for your airline reservation must match the name on your identification.
- If your current name does not match your passport, we recommend that you consider getting an updated ID if possible.
- For an international flight, you will need to present a valid passport, visa, or any other required documentation. Passengers without proper ID may be denied boarding.
- “For e-tickets, you will need to show your photo identification and e-ticket receipt to receive your boarding pass.”
- If you do not currently look like the picture on your picture ID, we recommend that you consider getting an updated ID with a new picture if possible. If you cannot or if you are still concerned about ID issues, consider carrying an explanatory note from a physician or therapist explaining why you may not look like the picture on your ID.

Hospital’s guest
You may also have guests stay in your private room at sofa bed (no charge).

Flight Bookings
We do not provide a flight booking service for journeys to Thailand. But recommend there are many local agency base, which low cost booking.  You may also search a booking flight via website.
Surgeon’s team
At PAI, we are only one center and biggest group of qualify plastic surgeon in Thailand for multidisciplinary in aesthetic and reconstructive surgery.  Because we believe no one can work best in all kinds.  Therefore, at PAI, Dr.Preecha Tiewtranon, MD’s  highly selective qualify doctor who match for each type of procedure, FFS, SRS, body contouring as well as anaesthesiologist and team of operating theatre nurses.

Results
We are confident you will find the overall service we offer for these surgeries to be more comprehensive than is available from any other surgery, anywhere.

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FAQs (Sex Reassignment Surgery)

Q: How did you pick the PAI?
A: I was lucky that my mother has a doctor friend, who happens to be a great surgeon.  She recommended me to a doctor at PAI.  The best thing was their greatest cares.
Q: What came before the operation?
A: You must consult with psychologist and see if you was truly ready to get it done.
Q: How did you feel after surgery?
A: I woke up feeling vey blurry.  There were tubes everywhere.  The saline drip was inserted into my left hand and the pulse rate meter on the right.  There was also a tube attached into the bulging part of my new female sex organ to take the blood out of my body.  I was also new to the whole female peeing thing so, they had another tube inserted into my urethra to ease me into the process.  On the third day after surgery, my body got used to the new organ and I was ready to pee on my own.
Q: How do you feel now?
A: I have more confidence, and feel more like myself.  People keep telling me that my body shape really changed and looks more feminine in every way.  In terms of sex, I have the same feeling as any women.
Q: I was wondering if you have any combination packages that would involve SRS surgery and a facial feminization surgery?
A: Yes.  We can set up combination packages for SRS, Facial Feminization and Breast Augmentation together.
 Q: Do you make labia major and minor ?
A: The labia majors and minors are created.
Q:  Do we have orgasm in this surgery technique?
A:   We cannot guarantee,because even natural female do not all have orgasm. But70-80% of our patients reported orgasm.
Q:  What does vagina looks like after surgery? Will it be natural as women’s vagina? Do any one can recognize with this vagina that we were a boy before?(I have seen the pictures of your surgery in the web site but I would like to ask about it again)
A:  Many partners and gynecologists cannot tell.
Q: Do I have to aware of external medical expenses ?
A: Our price includes all post-operative medical and hospital costs arising from the surgery. However, where additional medical symptoms arise in a patient that are not directly related to the surgery undertaken, but are because of a known or unknown prior medical condition that manifests itself while under the care of Preecha Aesthetic Institute the costs involved with treatment of these is are expressly excluded from the prices quoted.  Patients are therefore strongly recommended to arrange medical insurance to cover the eventuality of non-related medical costs arising while staying under our care.
Q:  I read some of information.  Can Colonvaginoplasty lead to a large number of unpleasant complications including colon fistula, and faecal incontinence.
A: It is possibly.  Within our experiences 30 years, we have done 700++ cases for Colon (SRS).  Non of them’ve experienced with unpleasant.  We have to make sure that they are safe to fly.
Q:  What is requirement for SRS (Sigmoid Colon)?
For Sigmoid Colon,  your body weight should no more than 90 KG. (Lbs 190), No previous abdominal surgery and Good health.
For SRS by Sigmoid Colon with Preecha Aesthetic Institute, Thailand,  your Body Mass Index (BMI) must less than 24.99.
 Q: I read that in order to get SRS (sigmoid colon surgery) no previous abdominal surgery must be done. I had the normal SRS procedure done 4 yrs ago. Does that I mean I cant have the sigmoid colon done after all?
No, it does not.  Base on your information, you had normal SRS four years ago.  If you are not happy with the depth of vagina canal or looking to gain more depth.  The new method is called Secondary Sigmoid Colon, which can be done after normal SRS.
Q: I would like to consult about breast facial surgery and srs. I want to know which should be done first face or breast since i have not done any surgery. Do you have age limit to proceed with this since I am nearing forty. How many years it takes to complete all surgery from face to bottom. How long is the healing for srs no of days.
There is no age limit for surgery, if you are healthy and passed the lab tests or medical check up before surgery.  You may consider Facial surgery, breast and SRS at the same trip for cost saving or select the procedure that you want as the first trip. But if Breast Augmentation, Facial Surgery with SRS, the healing time in Bangkok is 15 days, after surgery as requirement.
Q: My Wife is concerned about the final out come of the SRS .  Is it sensitive ( with feeling ) ? Is she going to be able to have Orgasms?
The goal of SRS (MtF surgery) here at Preecha Aesthetic Institute (PAI), all patients must receive sensate, G spot, aesthetically acceptable vulva which include clitoris, labia minora, majora and vaginal introitus.  Shortening of the urethra, with creation of a urethral opening that allows a downward urinary stream.  Eliminate of erectile tissue completely (to avoid narrowing of introitus and protrusion of the urethral during sexual arousal.  To achieve adequate vaginal depth. To preserve orgasmic capabilities.  Minimize and hide scarring. To make neo vagina, appearance and overall realistic.
Q: I would like to inquire about your methods of SRS Sigmoid Colon Surgery I presently am a male with desires to become female I would like to ask about the SRS mentioned in your site. Will I able to get 12 inches of Colon (MtF) to make a neo Vagina.  I presently date a man that possess over 10 inches of penis and I don’t want to have him leave part of himself outside during intercourse . Could you please advise on the best methods to handle this concerns. I am now 9 inches, while erect.
Base on your personal information, if SRS Male to Female by Penile Skin Inversion, the result should be reach 9 -9.5 inches maximum depth vagina canal.  But again not able be satisfy with your partner, if he is over 10 inches. Since your boyfriend is bigger than 10 inches length.  SRS by Sigmoid Colon technique is the best answer for you because much more longer depth of vagina canal, lubricate (no apply gel) and able to get 12 inches of colon male to female surgery.
Q:  Can I do Facial Feminzation Surgery together with SRS surgery?. 
Yes.  Facial Feminzation Surgery (FFS) can be perform together with SRS and Breast Augmentation at the same time.

Preecha Aesthetic Institute doctors Dr.Sirachai Jindarak MD, Dr.Prayuth Chokrungvaranont MD, Dr.Sattha Siritantikorn, MD, Dr.Apichai Angspatt, MD, Dr. Preecha Tiewtranon MD, Dr.Sutin Khobunsongserm, , Dr.Burin Wangjiraniran MD. FRCS    
.Sattha Siritantikorn, MD, Dr.Apichai Angspatt, MD, Dr. Preecha Tiewtranon MD, Dr.Sutin Khobunsongserm, , Dr.Burin Wangjiraniran MD. FRCS    
Risk
All surgery carries risks – But can minimize by closely following your surgeon’s advice on follow up care during the healing process.

SRS(乙狀結腸)性手術

SRS  (乙狀結腸)  移位用於需要更多深度(超過8英寸)的患者。
性別再分配手術   “乙狀結腸”(陰蒂龜頭,陰唇成形術,7-8英寸深度和陰道成形術)。
Preecha美容院(PAI),泰國的性別再分配手術 的先驅  
變性人是出生於錯誤身體的人。他們具有一種性別的身體和另一種性別的思想。變性者可以是被困在男性體內的女性,也可以是被困在女性體內的男性。
Preecha美學學院一直為各個年齡段的變性人和跨性別者提供信息,幫助和支持,尤其是對於那些處於“性別重新分配手術”最後階段的人來說,我們在泰國曼谷的重建中心。我們已通過PSI,SSG和SCG> 4,800多個案例進行了SRS。

什麼是變性手術?
初始化為SRS ; 也稱為生殖器重建手術性別確認手術性別調整手術,性別變化,性別重新分配,性別重新分配手術,性別手術  或變性手術),是指外科手術程序的一個術語,通過該程序,人的身體外觀和功能現有的性特徵被改變以類似於其他性別。
它是變性人和變性人中性別認同障礙/性別不安的治療的一部分。
性別改變手術的其他術語包括性別再分配手術,性別重建手術,生殖器官重建手術,性別確認手術,以及更多的臨床術語,例如女性化生殖器官成形術或陰莖切除術,蘭花切除術和陰道成形術在醫學上用於跨性別女性


變性手術通過   乙狀結腸 (潤滑與生物體) 

乙狀結腸 SRS
-陰蒂龜頭
-陰唇成形術
-陰道深層
-在一個階段進行陰道成形術。

在性別再分配手術中選擇方法 
在陰莖皮膚內陷或 乙狀結腸之間
如果你是:
1. 長陰莖> 6英寸(15厘米,直立時))= 陰莖皮膚倒置(PSI)
2. 中型陰莖(2-6英寸(5-15厘米,直立時)陰囊皮膚倒置(PSI)與陰囊皮膚移植(SSG)
3. 短陰莖< 2英寸(5厘米,直立時)=陰莖皮膚倒置(PSI,SSG)和乙狀結腸移植物(SCG)

最佳性別再分配手術候選人
性別重新分配手術,男女不限。
PAI(Preecha美學研究所),我們正在關注WPATH / HBIGDA或SOC。
照顧性別認同障礙的標準 - WPATH(世界跨性別人士健康專業協會)為確保“,以最大限度地提高了持久的個人的舒適與性別自我的明確目的的最早的集臨床指南的整體心理健康和自我履行。” 這些標準仍然是最著名的。但是,確實存在其他一些SOC,協議和準則,尤其是在美國以外。
-特定的最低要求是HRT的前提條件
-有關WPATH / HBIGDA的許多批評
-心理評估信
-在尋求醫療干預的患者中,爭議很大且常常是惡意的文件(激素)
-現實生活經驗
-身體健康,情緒穩定,具有現實的期望
-必須年滿18歲,並且與父母健康狀況良好。完全有20年的時間可以自己走。

該軟件包包括泰國的男性至女性手術:
-手術後在醫院的私人房間內住宿5天
-手術室費用:或手術室使用,康復室,磨砂和散佈護士
-常規菜單食品費
-實驗室測試:該程序為CBC,EKG,UA,抗HIV,胸部X光檢查所必需
(如果年齡在45歲以上,需要檢查心髒病學。額外收費100 USD)
-醫療設備和醫療用品
-全身麻醉–麻醉前藥物,麻醉和醫用氣體(氧氣,一氧化二氮)
-醫療
-醫生費
-麻醉費
-護理服務
-帶回家的藥物和用品
-一包衛生巾環
-PAI的GRS擴張器(1種尺寸)
-手術後護理
-交通接送

服務住宿:非醫療
-從機場,酒店,診所和機場接送車輛,以及跟進期間。
-使用本地號碼進行恢復期間的移動服務。人們可以與您取得聯繫。
-距Preecha Aesthetic Institute至少1公里的酒店預訂
-旅遊服務
-任何語言的口譯服務

麻醉類型:全身麻醉
性別變更前
1)告知我們任何過敏,任何嚴重的醫療狀況以及您所使用的所有藥物-
服用(處方藥和非處方藥)。
2)精神科醫生或激素治療師的來信
3)至少在手術前2週沒有阿司匹林
4)手術前1天停止服用維生素E油
5)術後兩天零一個月戒菸
6)如果在手術日期前2週服用激素,請停止服用
7)告訴醫生您是否有嚴重的醫療狀況。
8)從手術前的午夜開始停止進餐和飲水
9)計劃在手術後至少14天或至少15天(之前和之後)在泰國。

性別變更程序
1.在尿道,前列腺,膀胱和直腸之間建立陰道空間
2.雙邊睾丸切開術
3.陰莖脫垂的陰莖
4.
陰莖與尿道分離5.隔離龜頭的陰莖具有2條背神經和血管
6.陰莖皮膚內翻成陰道線陰囊,有或沒有陰囊皮膚移植或
乙狀結腸移植
。7. 陰囊成形術(
感覺8.尿道成形術
9.大,小陰唇成形術
龜頭的一部分(陰莖頭)及其神經和血管被轉化為
陰蒂。這樣,陰蒂在感覺和外觀上都將起作用。
為了避免
性喚起過程中
由於勃起組織充血而引起的症狀,應去除尿道周圍多餘的勃起組織,這可能導致陰道口變窄。
操作後恢復:更改前的恢復時間
重新分配手術後,通常可在幾天之內緩解的疼痛通常可以通過藥物控制。已經敷料了。我們將被替換幾天。縫合線將在一周內移除。
儘管外科醫生已盡一切努力使疤痕盡可能不明顯。它們是手術的必然結果。最小的腫脹和變色將迅速消失。
手術後數週甚至數月可能會出現癒合過程。後續訪問期間將向擴張人員提供指導。關於何時恢復工作和正常活動的決定取決於您康復的速度和費用。為了使身體正常康復,您應該避免過度運動並避免舉起頭頂。
性別再分配手術後的治療
出院後,您將在酒店的聯絡員的幫助下康復。
在酒店恢復期間,您必須遵循以下指示:
1.擴張是確保手術成功的最重要措施。如果您不負責任地擴張,可能會由於疤痕攣縮而導致新造陰道的深度和寬度縮短。
2.不能正確擴張可能會導致嚴重傷害。取下陰道包裝後,系統會指示您輕輕地向正確的方向擴張。
3.擴張最初幾周可能會很痛苦,但對於最大程度地擴張至關重要
4深度並確保新陰道的術後功能。手術後將給出更多說明
在恢復期間和每個擴展會話之後:
-淋浴時應使用Hibiscrub(粉紅色)輕輕沖洗傷口,然後坐在馬桶上沖洗:
-沖洗溶液(比例)= 5-10毫升(cc)的Beta用餐溶液與1升水混合或直至容器裝滿。
-將沖洗器插入最深處,擠壓並緊緊握住容器。
-緊緊握住容器,取出沖洗器;
-保持傷口乾燥,並用棉球塗抹Beta dine溶液;並用棉籤塗抹凱西米汀軟膏。如果有出血,用乾燥的棉球按壓或加壓15分鐘。在手術後的最初幾週,由於恢復過程中正常的陰道出血,每天應更換幾次女性餐巾(棉塞)。
-SRS操作一個月後,您將需要開始將Premarin乳霜塗到新陰道上。每天使用兩次軟化您的新陰道。這通常需要大約六個月的時間。
-您可以在手術前或兩週後恢復女性荷爾蒙。您應諮詢內分泌科醫生以重新調整劑量。對於某些人來說,激素水平的突然變化可能會導致情緒波動。
-對於SRS患者-擴張所必需的全套術後護理套件,包括由Preecha Aesthetic Institute設計為GRS專門製造的擴張器套件。
在您住院期間,我們的護理人員每天都會進行術後檢查。
PAI的外科醫生每周至少要進行兩次手術後檢查,如果需要的話,會在您在這裡時進行更頻繁的檢查。

手術 時間:2小時
麻醉:全身麻醉
恢復性再分配手術:必須在泰國待15天(總計)
恢復工作:20天后
劇烈運動:4-8週
疤痕褪色:幾個月到一年

性別再分配手術的時間表(在泰國手術後14天需要)
第一天–諮詢並準備實驗室測試
第2-6天–手術,手術後在醫院私人病房存放5天
第6天–從醫院出院
第6天到第13天–留在酒店等待康復,並就診醫生
第7-10天–拆線
第13天–進行最後檢查並準備適合飛行的信件,並發出更改性別名稱的新信件。
第14天–可以安全飛行
曼谷恢復期間的所有運輸將由PAI贊助。

安排性交手術MtF中的預約或問題。
1.以程序形式寫您的問題,興趣,請諮詢我們
2.通過電子郵件
2.1列出您感興趣的期望或程序,並向我們提供詳細信息
2.2給我們發電子郵件
2.3在收到您的問題並得到專業醫生的建議後,我們會盡快與您聯繫
一旦知道您的手術計劃日期。
這是下一步。
3.1通過電子郵件與我們協商以獲取詳細信息和程序
3.2計劃您的可用手術日期和手術日期
3.3我們將確認您的手術日期
3.4您可以開始預訂機票
3.5如果需要,我們將向您確認所有詳細信息和酒店預訂
3.6對於從機場接機的運輸,我們可以為您提供可選服務

地址:
PAI(Preecha美學學院)
898/1素坤逸55
泰國曼谷瓦塔納10110
電話:(662)715-0111
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集合點(機場)
我們會從曼谷素萬那普國際機場(Bangkok Suvarnabhumi International Airport)收集您和所有隨行旅客,無論您抵達飛機的日期或時間。我們將在您結束住宿後返回機場。
海關出境後,我們的司機將在4號門(集合點)等您或任何陪伴旅客。旅客將在您的名字下看到PAI徽標的標誌。

旅館
酒店合作夥伴是PAI的特別優惠。
在入院和出院之前,患者應留在當地的旅館住宿。我們將以合作房價和低房價安排您的酒店住宿(距離Preecha Aesthetic Institute 20-100米)。

Preecha美學研究所(PAI)批准的酒店。
可以在當地商店和設施的步行範圍內完全訪問診所設施,這是患者與我們在一起時的娛樂設施和“家”。這包括:
-通過無線網絡和有線網絡通過寬帶免費上網。
-休息室設施
-全空調
-管家
-帶DVD電影的電視
-洗衣房
-餐廳/烹飪設施
-到當地感興趣的地方的休閒旅行
-房間,床,地板的清潔衛生

語言
-泰文,義大利文,西班牙文和英文
-根據要求提供其他語言

付款
1.付款可以現金,美元,歐元,日元,港元,新加坡元,澳元或旅行者支票付款。
2.銀行轉帳。
3.如果使用信用卡,醫院將收取3%的國際交易費。這僅用於手術費用。酒店不收取國際交易費。
額外收取的HIV費用佔總費用的30%。

用餐費用:每天的生活費用為15-20美元。

護照和簽證:
Preecha美學學院可以向您當地的使館或護照發出信函以進行澄清。

旅遊簽證豁免(無簽證30天)
澳大利亞,奧地利,比利時,巴西,巴林,文萊達魯薩蘭國,加拿大,丹麥,芬蘭,法國,德國,希臘,香港,冰島,印度尼西亞,愛爾蘭,以色列,以色列,意大利,日本,韓國,科威特,盧森堡,馬來西亞,摩納哥,荷蘭,新西蘭,挪威,阿曼,秘魯,菲律賓,葡萄牙,卡塔爾,新加坡,西班牙,南非,瑞典,瑞士,土耳其,阿拉伯聯合酋長國,英國,美利堅合眾國,越南。

機場移民和海關
請根據要求出示支持文件,以確認預定的操作。請不要在行李中攜帶任何不必要的毒品或危險物品。

跨性別人士的航空旅行提示
此網頁上的任何內容均不代表或不應解釋為跨性別者或任何其他人應以任何方式企圖規避安全或欺騙安全人員。它僅旨在為跨性別人士提供提示,否則他們可能會受到不公平或令人尷尬的選擇性審查或治療。

您是誰:識別問題
所有18歲或18歲以上的乘客都必須在辦理登機手續和在安全檢查站提供身份證明。
-您用於預訂機票的名稱必須與您身份證上的名稱匹配。
-如果您的當前姓名與護照不符,我們建議您考慮盡可能獲取更新的ID。
-對於國際航班,您需要出示有效的護照,簽證或任何其他必需的文件。沒有正確身份證件的乘客可能會被拒絕登機。
-“對於電子機票,您需要出示帶照片的身份證件和電子機票收據,才能獲得登機牌。”
-如果您當前在圖片ID上看起來與圖片不符,我們建議您考慮獲取帶有新圖片的更新ID。如果您不能或仍然擔心身分證問題,請考慮攜帶醫生或治療師的解釋性說明,解釋為什麼您看起來不像身分證上的圖片。

醫院的客人
您可能還會有客人留在您私人房間的沙發床上(免費)。

航班預訂
我們不提供前往泰國的機票預訂服務。但是推薦有很多當地代理商的基地,這些都可以低價預訂。您也可以通過網站搜索預訂航班。
外科醫生團隊
在PAI,我們只是泰國合格和整形外科多學科的整形外科醫生中心之一。因為我們相信沒有人能在所有方面都做得最好。因此,在PAI,MD的Preecha Tiewtranon博士是具有高度選擇性的合格醫生,可以為每種手術,FFS,SRS,身體輪廓以及麻醉師和手術室護士團隊提供匹配。

結果
我們有信心,您會發現我們為這些手術提供的整體服務比任何其他地方的任何手術都更全面。

————————————————————————

常見問題解答(變性手術)

問:您如何選擇PAI?
答:我很幸運,我的母親有一位醫生朋友,他恰好是一位出色的外科醫生。她向我推薦了PAI的醫生。最好的事情是他們最大的關心。
問:手術前發生了什麼?
答:您必須諮詢心理學家,看看您是否真的準備好完成這項工作。
問:手術後感覺如何?
答:我醒來時感覺很模糊。到處都是管子。鹽水滴入我的左手,脈搏計在右邊。在我的新女性性器官的膨出部分中還裝有一根試管,用於將血液從我體內排出。我對整個女性小便也很陌生,因此,他們在我的尿道中插入了另一根管子,以緩解我的排尿過程。手術後的第三天,我的身體適應了新器官,我準備自己撒尿。
問:你現在感覺如何?
答:我有更多的信心,並且感覺更像我自己。人們不斷告訴我,我的身體形態確實發生了變化,並且在各個方面看起來都更加女性化。在性別方面,我和任何女性都有相同的感覺。
問:我想知道您是否有涉及SRS手術和麵部女性化手術的組合套餐?
答:可以。我們可以一起設置SRS,面部女性化和隆胸的組合套裝。
 問:您使陰唇變大還是變小?
答:創建了陰唇的主要和未成年人。
問:我們在這項手術技術中是否有性高潮?
答:我們不能保證,因為即使是天生的女性也不會都有性高潮。但是我們的患者中有70-80%曾報告性高潮。
問:手術後陰道長什麼樣?它會像女人的陰道一樣自然嗎?有人能用這個陰道認出我們以前是男孩嗎?(我在網站上看到過您手術的照片,但我想再問一遍)
答:許多合作夥伴和婦科醫生無法告知。
問:我必須知道外部醫療費用嗎?
答:我們的價格包括手術引起的所有術後醫療和住院費用。但是,如果患者出現其他與所進行的手術沒有直接關係的醫學症狀,而是由於在Preecha美學研究所的照顧下表現出的已知或未知的先前醫學狀況,則治療這些疾病的費用為明確排除在報價之外。因此,強烈建議患者安排醫療保險,以支付在我們護理下發生的無關醫療費用的可能性。
問:我閱讀了一些信息。結腸陰道成形術會導致許多不愉快的並發症,包括結腸瘺和大便失禁。
答:有可能。在30年的經驗中,我們已經為冒號(SRS)完成了700多個案例他們中沒有一個經歷過不愉快的經歷。我們必須確保他們可以安全飛行。
問:   SRS(乙狀結腸)有什麼要求?
對於乙狀結腸,您的體重不應超過90公斤。(190磅),以前沒有進行過腹部手術,身體健康。
對於泰國Preecha美學研究所的Sigmoid Colon進行的SRS,您的體重指數(BMI)必須小於24.99。
 問:我讀到為了獲得SRS(乙狀結腸手術),不需要做任何腹部手術。我4年前完成了正常的SRS程序。我的意思是說我畢竟不能做乙狀結腸嗎?
不,不是的。根據您的信息,您在四年前擁有正常的SRS。如果您對陰道管的深度不滿意或希望獲得更多的深度。新方法稱為繼發乙狀結腸,可以在正常SRS後進行。
問:我想諮詢一下乳房面部手術和srs。我想知道應該先做臉還是做乳房,因為我還沒有做過任何手術。自我快四十歲以來,您是否有年齡限制來進行此操作?從頭到尾完成所有手術需要多少年。沒有多少天可以治愈多少天了。
如果您很健康並且在手術前通過了實驗室檢查或健康檢查,則沒有手術年齡限制。您可以在同一趟旅程中考慮進行面部手術,乳房和SRS,以節省成本,或者選擇您想要的第一趟旅程。但是,如果採用SRS進行隆胸,面部外科手術,則曼谷的康復時間為15天(根據要求進行手術後)。
問:我的妻子擔心SRS的最終結果。(敏感)敏感嗎?她會發生性高潮嗎?
Preecha美學研究所(PAI)的SRS(MtF手術)的目標是,所有患者都必須接受感覺,G點,美學上可接受的外陰,包括陰蒂,小陰唇,大動脈和陰道口。尿道縮短,形成尿道開口,使尿流向下。完全消除勃起組織(避免在性喚起過程中口角變窄和尿道突出。達到足夠的陰道深度。保持性高潮的能力。最小化和隱藏疤痕。使新陰道,外觀和整體真實。
問:我想詢問您的SRS乙狀結腸手術方法。我目前是一名男性,渴望成為女性,我想詢問一下您網站中提到的SRS。我能得到12英寸的結腸(MtF)來製作新陰道嗎?我現在和一個擁有超過10英寸陰莖的男人約會,我不想讓他在房事期間離開自己的一部分。您能否建議最好的方法來解決此問題。我現在9英寸,而勃起。
根據您的個人信息,如果通過陰莖皮膚倒置對SRS進行男性對女性,結果應達到9 -9.5英寸最大深度陰道管。但是,如果您的伴侶超過10英寸,同樣不能令他滿意。由於您的男朋友長度大於10英寸。Sigmoid Colon技術的SRS是您的最佳解決方案,因為陰道管的深度更長,可以潤滑(無需塗凝膠),並且能夠獲得12英寸的結腸到女性手術。
問:我可以同時進行面部女性化手術和SRS手術嗎? 
是。面部女性化手術(FFS)可以與SRS和隆胸同時進行。

Preecha美學研究所的醫師Sirachai Jindarak醫師,Prayuth Chokrungvaranont醫師,Sattha Siritantikorn醫師,Apichai Angspatt醫師,MD Preecha Tiewtranon醫師,Sutin Khobunsongserm醫師,Burin Wangjiraniran醫師。FRCS    
。醫學博士Sattha Siritantikorn,醫學博士Apichai Angspatt,醫學博士Preecha Tiewtranon,醫學博士Sutin Khobunsongserm,醫學博士Burin Wangjiraniran。FRCS    
風險
所有手術均具有風險-但可以通過在康復過程中密切聽取外科醫生的後續護理建議來最大程度地降低風險。

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