What is it about? They are the surgical techniques to remove the uterus and the ovaries.
The purpose is to prevent the hormonal effects of the ovaries and possible diseases in the female internal genitalia, whose risk seems to be increased by the consumption of male hormones. On the other hand, it constitutes the basis for sex-change surgery.
During the appointment with the specialist doctor, patients should honestly explain to their surgeon and gynecologist what they expect from the procedure and listen to their opinion and advice. Patients are admitted on the day of their operation. The adnexectomy is performed under general anesthesia. The medical team will carry out the procedure of choosing the most appropriate technique for each case.
There are three main ways to deal with the operation:
Abdominal: it consists of making a small incision in the lower abdomen, later hidden by the pubic hair. The uterus and ovaries are then removed through this incision. This is the fastest method and the one with the least possible complications.
Laparoscopy: this technique requires three separate incisions, through which a gas (carbon dioxide) is pumped to insufflate the abdomen. This technique has many possible side effects, both by using gas and the need to insert several cutting trocars into the stomach. Theoretically, the method allows faster recovery; there is little appreciable difference in the recovery rate, especially when the procedure is combined with a bilateral subcutaneous mastectomy.
Vaginal: This technique is very complex in transsexual patients and is not commonly used. It can only be used in women whose vaginas have been dilated by childbirth, allowing more excellent options for the procedure.
Once the abdominal cavity has been accessed, the uterus and ovaries are removed with care. When an experienced surgeon carries out this procedure, the area can be prepared for subsequent sex-change surgery. This will reduce the following complications and ensure a more satisfactory result.
As with any surgery, the wound can become infected or reopen, which requires treatment. Also, the blood vessels may thicken during the procedure and cause bleeding problems.
A blood transfusion or even a second operation may be required. The process and rest in the bed increase the risk of deep vein thrombosis and pulmonary embolism: To counteract this, during and after the operation, prophylactic measures are taken.