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Feminism: Sex and gender discussions

Horrendous case transgender surgery

123 replies

BovaryX · 26/02/2020 05:48

The Telegraph reports a disturbing case involving a female to male patient. This patient had agreed to a hysterectomy, but repeatedly stated that they wished their vagina to remain intact. Not only did the surgeon remove the patient's vagina, but his colleague falsely amended the surgical form to make it appear the patient had consented. The patient describes the devastating impact upon their life and the surgeon has been fined and suspended. This case highlights the myriad problems with surgical interventions. In this case, the surgeon deliberately falsified records after performing an operation the patient had specifically refused. But what if the patient regrets the surgery even after giving consent? What if surgery is not a solution, but creates further, intractable problems? Why isn't therapy promoted first? I think there will come a point in the future when these draconian surgical interventions will be looked at with astonishment.

^Two Harley Street doctors have been suspended after mistakenly removing the vagina of a transgender patient without his consent.In what is believed to be the first case of its kind its kind inBritain the man - who was transitioning from a woman - was left “distraught” after the irreversible gender reassignment procedure was carried out.
A disciplinary tribunal heard that Giulio Garaffa, a gender reassignment consultant, mistakenly carried out the procedure and that his colleague Dr Marco Capece, in what was described as “a moment of panic”, “dishonestly” altered a form to say that consent had in fact been given^

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charlestonchaplin · 26/02/2020 06:16

I hope the NHS wasn’t paying. Whilst it must be distressing to not have one’s wishes respected in this situation, the pick ‘n’ mix nature of the surgery requested moves this away from pure gender dysphoria (and extreme psychological distress) into the realms of lifestyle choice IMO.

BovaryX · 26/02/2020 06:45

Whilst it must be distressing to not have one’s wishes respected

I think that underestimates what has happened here. Two surgeons are involved. One of them deliberately altered the surgical record post operatively to conceal the fact the patient repeatedly refused the surgery which was performed. What does that say about the professional ethics of these specialist surgeons working in gender reassignment? What is the duty of a surgeon to question or refuse the surgical desire of a patient if the elective surgery is injurious to the patient's physical or mental health?

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hokolo · 26/02/2020 06:53

This is absolutely terrible.

I reject so completely your assertions about this person, charlestonchaplin. You have no idea what they were thinking or feeling and I can't see how you can possibly start diagnosing them based on a news story.

I am honestly shocked that 'I hope the NHS wasn't paying' is your first thought on reading this. I'm really shocked. This is a human being.

Pollyputthepizzaon · 26/02/2020 06:55

@charlestonchaplin I agree with you.

NonnyMouse1337 · 26/02/2020 06:55

That's awful. I guess there is protocol for dealing with such medical mistakes and malpractice. I remember reading years ago about a patient who underwent some surgery, then experienced severe pain later on. It was discovered a surgical instrument (scissors or something) was left inside and no one realised. Shock
These things happen, but they shouldn't have falsified the record. Hopefully the patient will get some compensation and the surgeons are severely disciplined / struck off.

SarahTancredi · 26/02/2020 07:01

How do you mistakenly remove a vaginaConfused

If it was a possibility of some complications it would have been on the consent form surely?

Sounds like it was a completely different surgery.

Those drs belong in jail. They shouldnt remove so much as a broken fingernail without consent of the patient.

Arent hysterectomies usually necessary after years on testosterone . This increase In girls transitioning is going to provide drs like these a steady income.

It's funny how they can believe drs who do things like this or pose on instagram with buckets of healthy breast tissues.

They believe thugs with baseball bats who advocate violence.

But the mums/women who lose their jobs, get thrown off face book and twitter and get visits from the police standing up for them to not be rushed down this path of irreversible intervention, well we arent worthy of the same trust/belief.

What a horrific story. Goes to show though that they dont care. They are just surgery, an experiment, money lining the pockets. And no coincidence it was a transman who was treated this way. Al ost as if there drs knew they would get off lighter for some reason...

FamilyOfAliens · 26/02/2020 07:04

Tbh I’m struggling with the words “vagina” and “his” in the same sentence.

Jobseeker19 · 26/02/2020 07:07

They shouldn't have said mistakenly in the title if they changed the consent form it would be purposely.

BovaryX · 26/02/2020 07:08

Nonny
One of the surgeons got a 5 month suspension, the other a 12 month suspension.

Tim Bradbury, chairman of the tribunal, said: "He relinquished his responsibility as the operating surgeon to ensure that his patient had consented to the operation he intended to perform."His failures were serious and numerous... The consequences of these failures were grave, Patient A underwent life changing and irreversible surgery which (they) did not want

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MoltenLasagne · 26/02/2020 07:10

The poor patient, I cannot imagine how traumatic it must be to wake up post surgery to not only have had your surgeon have disregarded your wishes, but to find your medical team have falsified documents to cover up their mistake. It is pure gaslighting. I hope both doctors are permanently struck off.

Wheresthesandman · 26/02/2020 07:18

@Jobseeker19 I took from the article that they mistakenly removed the vagina (not sure how, but maybe removing it is the norm in these situations and that’s how it happened), but then panicked about what a massive mistake they’d made so purposefully altered the form to make it look like that’s what the patient wanted.

It’s awful, but I’m not sure it says anything specifically about the ethics of doctors working in gender reassignment though, as a one off scenario.

NonnyMouse1337 · 26/02/2020 07:18

One of the surgeons got a 5 month suspension, the other a 12 month suspension.

Ugh, so fuck all in terms of consequences for their actions.

BovaryX · 26/02/2020 07:19

Those drs belong in jail. They shouldnt remove so much as a broken fingernail without consent of the patient. Arent hysterectomies usually necessary after years on testosterone . This increase In girls transitioning is going to provide drs like these a steady income

Those are interesting points. Both surgeons are working in a Harley Street gender reassignment clinic. Their reprehensible behaviour, the post operative falsification of the consent form and the fact both will be working again within 12 months raise serious questions.

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BovaryX · 26/02/2020 07:20

Nonny
Precisely. It is barely a slap on the wrist.

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SarahTancredi · 26/02/2020 07:35

It’s awful, but I’m not sure it says anything specifically about the ethics of doctors working in gender reassignment though, as a one off scenario

The fact they even do the surgery at all says alot to me.

Phalloplasty inparticular have massive massive failure rates. Things like this really should be a case of refusing to do it as medical knowledge of how dangerous/unsuccessful etc it is should be enough to make the drs know better so to speak

If there wasn't so much money on it and not to mention multiple corrective surgeries after then i truly believe it would ge a different story.

Cwenthryth · 26/02/2020 07:37

Suspensions????
So they’re not even struck off, they will be permitted to continue to practice. And no criminal investigation? When significant bodily harm was done to a patient without consent?

Could female genital mutilation legislation be relevant here?

Is there any precedent for removing the vagina without phalloplasty in ‘reassignment’ surgeries? It seems an odd thing to do, why would you need to. It sounds like external genitalia (vulva/labia) must be intact as the patient didn’t notice for 5 days.
This is HORRIFIC. And absolutely a feminist issue. This was female anatomy these two male surgeons have so brazenly mutilated, I say that without intending any slur or disrespect to the patient’s gender identity and beliefs on sex/gender.

Cwenthryth · 26/02/2020 07:47

Correction - from reading other reports (couldn’t read the full Telegraph article, used up my limit on DV articles!), patient A had consented to Metoidioplasty - surgery to transform an enlarged clitoris (following testosterone) into a neophallus. www.healthline.com/health/transgender/metoidioplasty. So the ‘error’ may be the type of metoidioplasty performed, as a ‘full’ one would involve vaginectomy. The initial article I read (DM?) made it sound like they’d just performed hysterectomy + vaginectomy which didn’t make much sense to my brain as cosmetic surgery (rather than as treatment for cancer for example).

Rebellenny · 26/02/2020 07:50

This reply has been deleted

Message withdrawn at poster's request.

TheProdigalKittensReturn · 26/02/2020 07:50

Whilst it must be distressing to not have one’s wishes respected

You make it sound like they didn't quite get the haircut they were looking for. This was major surgery. Surgeons doing what the patient agreed to and nothing else is kind of important!

PeterPomegranate · 26/02/2020 07:50

“It’s awful, but I’m not sure it says anything specifically about the ethics of doctors working in gender reassignment though, as a one off scenario.”

This is my position too.

ShriekingBansheela · 26/02/2020 07:54

That poor patient.

This is a scandal / crime about negligent doctors then falsifying consent forms. No patients should have to endure that, whatever the operation. Nothing to do with the Trans issue.

TheProdigalKittensReturn · 26/02/2020 07:55

Those are interesting points. Both surgeons are working in a Harley Street gender reassignment clinic. Their reprehensible behaviour, the post operative falsification of the consent form and the fact both will be working again within 12 months raise serious questions.

Surely the first questions to ask are have they done this or similar before, how often, and to whom?

ShriekingBansheela · 26/02/2020 07:56

Removing body parts without consent and then forging documents to try and get off must surely be a criminal matter??