Horrific case report after genital surgery *TW distress*

Does anyone have a link that works please?

I wish I believed in hell because the doctors performing these types of surgeries and the adults cheering them on belong there.

RIP to the young person who passed.

Cross post
yes, seems that way.

The RH case is more nuanced though "The first question you get asked there is, “Do you want genital surgery?” ’ he says. ‘I wasn’t sure. But I’d heard you could get therapy if you were on the waiting list for surgery, so I said yes.’"

so he said yes in order to get therapy. Then, in his own words, he became determined to do it. He was fully adult, suffering from MH conditions that I also have, but I wouldn't want my bodily autonomy questioned. The more that he says, the more puzzled I am. It went from "I wasn't told anything" to the version we have now.

which brings me to personal responsibility.

hence why I'd really like to know how much individuals are asked. Sad as it is, did the patient sign a consent form saying they were happy for bowel tissue to be used? Were they told the worst possible outcomes? Maybe 18 is too young and certainly the medical treatment of teens isn't rughtl - but RH case is very different.

when I was young, as a family we knew two people who had full surgery. It was known to be absolutely brutal. I remember my parents being very scared for them, and my dad in particular saying how strongly someone must feel in order to go through that.

What I'm wondering now is if doctors are being as clear and honest as they apparently were in the past. You hear so many stories of (women in particular) unpleasant procedures being made to sound like no big deal, can do without sedation etc etc, are we in a time where surgeons aren't clear with their patients?

From a bit of a read up, bowel vaginoplasty used to be a fairly rare method compared to the more prevalent penile inversion.

Presumably with a wave of younger patients who've been on puberty blockers it may become more common.

Although one could argue the therapy wasn’t that great if it was guiding him towards surgery …

I believe that in Hannah Barnes' book she talks about how the fact that puberty blocked boys don't have enough penile tissue to do a penile inversion was discussed at GIDS but that how even once this was known the information wasn't disseminated amongst all staff effectively.

If the parents / child did not know this (the more risky procedure required for puberty blocked boys) right at the start then I don't think it can be informed consent (to the puberty blockers) can it? And the problem is, once the child has had puberty blockers and cross sex hormones I think they feel there is pressure to have surgery (even though most adult trans identified males don't have surgery). It's become a conveyer belt. Why on earth aren't these young people shown the many, many, many (95%?) adult transwomen with penises and told there is an alternative to experimental surgery with a not very great success rate?

Even if you're the biggest ever TRA forcing kids down this route and not having much, much stronger research and data doesn't make sense. So I suppose it must be all about the money.

Ritchie Herron expressed reservations about his genital surgery many times but in the end he had the surgery because he was fearful the therapy he was receiving would be withdrawn if he didn't go ahead with it. https://www.dailymail.co.uk/news/article-10953157/Man-suing-NHS-trans-surgery-regrets-bravely-waived-anonymity-share-ordeal.html

According to wiki "Bowel vaginoplasty is another commonly used method to create a neovagina in sex reassignment surgery".

*coercion

And was this informed consent or coersion?

I simply can't believe it's legal to do this to people who are barely adults. It's completely experimental and the risk / benefit ratio is not even established -there's simply barely any data. People try and shut up detransitioners when they try and talk about the harms they've suffered and their ongoing problems after surgery like this.

There are many chronic and debilitating conditions where surgery is refused because the benefits are uncertain and the success rate is not fantastic. How on earth is this legal when you're not even starting from a position that people are ill.

That poor young man.
I haven’t clicked the link but the doctors performing these surgeries must have something psychologically wrong with them. It’s like some horrific form of sadism/torture.
What ever happened to the “first do no harm” part of the hippocratic oath.
Court cases need to happen plus a complete ban on this surgery.

I will be careful what I say as I am also squeamish

but I can't understand how a doctor, who has taken the oath and should first do no harm, can basically be taking skin from anywhere, in order to do this.

there are many (unrelated) things that puzzle me in medical science, it seems to come down to profit and power and doing things because they can. And seeing humans as lab rats.

When dad was dying, I said on here that I was worried he was being subjected to some odd things, posters said I was imagining things due to general awfulness. Five years later, the things I hear in my own circle, I am even more concerned they saw an elderly dying patient as sort of...experiment fodder.

if doctors think they can create lifelong patients from children to old age, perhaps many will do just that. I actually think the people who carried out this surgery should be investigated, hence I'm wondering how legit it is. Where's the line in how much you're allowed to wreck the patient's organs, and does the patient even know that might happen?

Appalling,, but no one should be performing or electing for this kind of surgery.

And I hope the doctors making millions of dollars out of the suffering and pain of young people are enjoying their shiny lifestyles. Is it worth it? Unspeakable.

My heart really aches for this person - I agree I think of them as a child - and their family. Horrific, just horrific. The poor, poor kid.

Anyone involved in this barbaric act should be facing court.

"USD 1.9 billion in 2021..." and growing rapidly

There’s our answer to why the medical community has been so strangely silent on the madness inflicted on our children and young adults. Absolutely heart breaking.

This is so upsetting what a shame.

Poor kid, thats a horrific way to die, 18 is still a child really.

The photos are all at the end, so it's possible to avoid them. Agreed: do not look. They show a previously healthy 18 year old literally rotting to death from the genitals out. How can this ever be ethical?

Ah, thanks, I played with the buttons at the top of the page and managed to download the paper.

Thank you for warning I was saving it for tomorrow to read paper having read the twitter thread. I think I will give it a miss.

That's what I was trying to ask thanks for asking it better. Are they just making stuff up?

I would strongly recommend not looking at the pictures. I found them shocking, and I'm a doctor. What a horrific way to die.