FTM Hysterectomy

Removal of internal genitalia such as the uterus and ovaries is one of the most popular surgeries for trans men. Removing these organs decreases the production of oestrogen and other female hormones, and can also prepare the area for a possible phalloplasty or metoidioplasty at a later date.

WHAT IS FTM HYSTERECTOMY?

A hysterectomy and adnexectomy is the surgical technique by which the womb and ovaries are removed. The aim of this procedure is to avoid the effect of the female hormones produced by the ovaries, as well as the possible diseases that may settle in the female internal genitalia, which seem to be enhanced by the consumption of male hormones. It is also the basis for subsequent gender affirmation or gender reassignment surgery.

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BEFORE MTF HYSTERECTOMY

Who can undergo a MTF hysterectomy?

Any trans/intersex person who wishes to remove the uterus and ovaries to prevent the effects of female hormones, future illnesses or as a preliminary to gender reassignment surgery.

MTF HYSTERECTOMY SURGERY

Admission

Admission takes place on the day of the hysterectomy and the necessary monitoring is carried out in the hours prior to the surgery. In addition, the intestine and the area to be affected will be prepared for the procedure. This surgery involves a night stay in hospital at IM CLINIC.

TYPES OF MTF HYSTERECTOMY

The hysterectomy procedure

Hysterectomy and adnexectomy is performed under general anaesthesia and usually lasts about two hours. The IM Gender Unit medical team will perform this operation, choosing the most appropriate technique for each case. There are three basic ways to approach the operation:

Abdominal route: This consists of making a small incision in the lower abdomen, which is then concealed by the pubic hair. From this incision, the womb and ovaries are removed.
Laparoscopic: This technique requires three separate incisions, from which a gas (carbon dioxide) is introduced to swell the abdomen. After entering the abdominal cavity using laparoscopic forceps, the uterus and adnexa are removed.
Vaginal route: This technique is very complex to apply in trans men and is discarded from the outset, as it is used in cases of patients with uterine prolapse or in extreme cases in vaginas that are very dilated due to previous births.

Using any of the three routes described above, the ultimate goal of total hysterectomy and adnexectomy (removal of the uterus and ovaries) is to access the abdominal cavity, separate the womb and ovaries from their attachment sites and blood supply with the final removal of both organs and careful closure of the abdomen.

THE POST-OPERATIVE PERIOD AFTER MTF HYSTERECTOMY

Returning home after a hysterectomy

The day after the operation, the patient can start eating and can get up and walk around. Staying in bed or stretched out for long hours may delay recovery and even cause complications. Approximately 72 hours after the hysterectomy, the surgeon may decide to discharge you from the hospital, but you will still have to rest and follow the instructions of the medical team.

For a few months, the area around the wound suffers heightened sensitivity that will gradually decrease. After a short time, the pubic hair grows back covering the area where the incision was made, leaving the fine scar completely hidden.

THE RESULTS OF THE MFT HYSTERECTOMY

The results

After the hysterectomy, it is important that you follow all the recommendations of your medical team, such as medication and post-operative visits.

Post-operative visits

It is very important not to skip any of the post-operative visits with a member of the IM Gender team. Only they will be able to assess the evolution of the recovery from the hysterectomy. At all times, the patient will have access to a post-operative support phone number to resolve any questions that may arise, as well as a specialised physiotherapy service if desired.

    
 
 
        
   Anna La Spisa 
 28 Noviembre 2023
 
 
  Esperienza positiva  chirurghi ottimi, infermiere molto preparate e dolcissime, Aida e Rosa super umane, ma la dottoressa Brandalisio ha fatto la differenza su tutti, preparata, umana, dolce, disponibile, un'amore di persona.
Una critica costruttiva devo farla tutto lussuoso ma non pensato per stendere pochi indumenti lavati
  
 
       
   Tone Vik 
 31 Julio 2023
 
 
  I had GRS in May 2023.

Here is a short summary of my experience.

When you contact the clinic, you’ll get a personal patient coordinator that will answer and support you through the whole process, both before and after the surgery. The communication is professional, personal and efficient. WhatsApp is the main communication platform, and it works very well.

The clinic is beautiful and top notch on all levels. You almost forget that you are in a clinic and might think of it more as a hotel (with surgery services). Please see the attached pictures, and you will understand what I mean.

The staff is warm and friendly and really do what they can to make you feel comfortable, from the nurses to the cleaning personnel. It is really nice to be so well looked after, and I have such good memories from my week at the clinic.

The surgeons, I was so fortunate to have Dr. Labanca, but they are all world class, which ensures that the results probably will exceed your expectations. Of course this is a very personal opinion, but for me it was like that. It’s hard to describe how happy I am now.

You can bring a friend or a family member for no extra cost the week you are at the clinic. My best friend came down on the 5th day, and that was also one important factor when I chose this clinic. The support you get from having a friend or family member present is almost priceless.

A short 5 minute walk from the clinic you’ll find apartments you can stay at for an additional week or two while you recover and heal. It was very reassuring and comforting to have the clinic so close the two weeks I stayed after checking out from the clinic.

An important part of the healing process is to just move your body, and the beautiful city of Sant Cugat is a nice 20 minute walk from the apartment, where you can enjoy shopping, restaurants and just the nice relaxing atmosphere.

The aftercare and regular follow up when you have left the clinic ensures that everything is working as it should, and if not, they will correct at no extra cost. The aftercare period lasts one year after the surgery.

To sum up, you are really in the best hands and in the best place at IM Clinic.

I highly recommend this clinic for GRS.
  
 
       
   Victoria Timoniere 
 24 Abril 2023
 
 
  Due mesi fa ho avuto la grande fortuna di affidarmi al team di IMgender , un esperienza indimenticabile che mi ha cambiata la vita facendomi rinascere finalmente nel corpo giusto . La clinica è super moderna è attrezzata ,  pulita e tutto lo staff è super gentile e accogliente .
  
 
       
   Renn Love 
 14 Abril 2023
 
 
  My experience with IM Clinic from the start to where I am today has been nothing but exceptional. From my initial contact with Aida, to my consultations with my surgeons Dr's Gómez, Herrero and Beltrán, my anaesthetist and care from the nurses. The cleaning staff were extremely discrete and the food for both myself and my wife, who was also looked after during my stay, was good.  Myself and my wife were made to feel welcome from the moment we arrived. On the day of my surgeries my surgeons continuously re-assured me as they could see how nervous I was and it felt like nothing was too much trouble.   My wife was also informed of my progress during surgery and reassured all was ok. I highly recommend IM Clinic and would not hesitate in returning, should I feel the need.
  
 
       
   Sun Belardinelli 
 11 Marzo 2023
 
 
  Ho aspettato qualche mese dopo l'operazione prima di scrivere questa recensione perché volevo essere sicuro dei risultati. La parola che mi viene in mente è PERFETTO, la clinica è perfetta, l'operazione è andata ancora meglio di quanto sognassi, il trattamento che ho ricevuto da TUTTI, medici, infermiere, tutto il personale, è stato impeccabile, caloroso e amichevole; mi hanno fatto sentire meglio che a casa (non solo a me, ma anche alla persona che mi accompagnava), ancora meglio di un hotel di lusso; mi hanno veramente trattato come un re, non solo come un paziente.
L'operazione in sé è stata perfetta, il pre- e post- operatorio gestiti benissimo anche a distanza; mi hanno dato istruzioni chiare e medicinali appositi per curare le ferite e il dolore. Grazie a questo sono rimasto tranquillo per tutto il tempo, sapendo di essere nelle migliori mani.
Un consiglio che mi sento di dare a chi vorrebbe operarsi da IM è: fate tutte le domande che vi vengono in mente e anche quelle che non vi vengono in mente! Soprattutto per chi viene dall'estero come ho fatto io è importante avere ben chiaro ogni dettaglio, e le persone con cui parlerete saranno felici di chiarire qualsiasi dubbio. Raramente ho trovato persone così pazienti, competenti e alla mano.
Se e quando avrò bisogno di fare un'altra operazione la farò sicuramente da IM. Ormai ho trovato il posto dei sogni e non lo lascio più!
  
 
       
   Alexa Valianatos 
 10 Agosto 2022
 
 
  Hey,
I am Alexa Valianatos and on 14th June i had my vaginoplasty surgery at IM Clinic. Here i found a greate, super friendly and profesional team which whose totally prompt answering to all my needs.
Viewing my research before surgery and my experience in the clinic and after that, i can say that IM Clinic I'd the best clinic in Europe at least regarding my surgery tipe and my needs, i can say 100% that i found the 5* clinic .
After two months from my surgery i already decide to make the next steps for next surgery in the same clinic .
Many worm thank to doctor Ivan Mañero and entire clinic team . You are the best .
  
 
       
   Aaron O'Donnell 
 19 Julio 2022
 
 
  Thank you IM Clinic!!!
I had FtM Top Surgery (double mastectomy/gender reassignment) at IM clinic in July 2021. As I was travelling from the UK I was weary about the procedure, however their standard of care goes above and beyond to accommodate their patients and ensure maximum comfort. I had surgery with Dr Herrero, who was an absolute pleasure to meet and a brilliant surgeon. The team were a delight and made me feel genuinely safe and as comfortable as possible.

The procedure I had is not very common and is somewhat hard to acquire in the UK, but the team at IM Clinic took me in with ease and listened to my worries and requests.

The care i received at IM Clinic was impeccable - between the food, the staff, the surgery and everything else - i cannot fault it. I am forever grateful to Dr Mañero, Dr Herrero and the entire care team at the clinic.

Thank you so much!! I am now one year post-op and happier than ever.
  
 
  
  
 
 
   La evaluación general en Google es 5.0 de 5, en base a 15 reseñas

IM GENDER team

At IM GENDER we have been specialising in the care of transgender people for more than 20 years. Two decades of experience, professionalism, research and training endorse our medical team.