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Feminism: Sex and gender discussions

Horrific case report after genital surgery *TW distress*

157 replies

Faffertea · 23/04/2023 20:59

This link has been shared by @FOJN on the Marci Bowers thread but I feel the person involved deserves to be remembered and for the horrific injuries inflicted on them in the name of so called medical care to be known more widely so that when this house of cards finally falls these doctors are held to account.

If you read the journal article be warned there are graphic medical images at the end.

For those who cannot, this is a case report of the death of an 18 year old from complications after genital surgery. They died from overwhelming infection originating from their own bowel which was used to create a facsimile of a vagina after puberty blockers and cross sex hormones meant they didn’t have enough penile tissue to use.

Necrotising fasciitis is one of the worst post operative complications I have ever seen and this young person, just legally an adult had 60% of the body area of their skin and subcutaneous tissue removed to try and treat it.

The article lists serious surgical complications as 0.6% or roughly 1 in 200 patients. That’s about the same as the failure rate of a vasectomy and 5x higher than the most serious complication (perforation of the womb) when fitting contraceptive coils.

I am here in tears having read this case, knowing the suffering this young person will have been through. They deserve to be remembered.

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SirSamVimesCityWatch · 23/04/2023 21:29

Thanks for this. I have read the twitter thread but I can't bear to read the paper this evening as I know I won't sleep after reading it. Will come back to it tomorrow though.

MavisMcMinty · 23/04/2023 21:38

I can’t get the paper from the archived link in his tweet. What do I need to do to get it? I just get a few paragraphs, not the paper itself.

moonspiral · 23/04/2023 21:49

Who invented this surgery? It doesn't sound well thought through tbh.

thenightsky · 23/04/2023 21:55

MavisMcMinty · 23/04/2023 21:38

I can’t get the paper from the archived link in his tweet. What do I need to do to get it? I just get a few paragraphs, not the paper itself.

It worked for me. Be warned. The photos at the end are graphic.

<a class="break-all" href="https://web.archive.org/web/20230422170900/sci-hub.st/doi.org/10.1016/j.jpag.2016.09.005" rel="nofollow" target="_blank">Sci-Hub | | 10.1016/j.jpag.2016.09.005 (archive.org)

Sci-Hub | | 10.1016/j.jpag.2016.09.005

https://web.archive.org/web/20230422170900/https://sci-hub.st/https://doi.org/10.1016/j.jpag.2016.09.005

thenightsky · 23/04/2023 21:56

Oh bugger. It didn't link properly.

EmmaEmerald · 23/04/2023 21:59

Has this particular procedure been in use for long? I am wondering if it was even run past the relevant safety authorities.

there's a case going on with someone who doesn't seem to have had medical procedures explained to them at all, so I'm not going to be surprised if crucial safety aspects are overlooked.

nocoolnamesleft · 23/04/2023 22:03

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

moonspiral · 23/04/2023 22:05

EmmaEmerald · 23/04/2023 21:59

Has this particular procedure been in use for long? I am wondering if it was even run past the relevant safety authorities.

there's a case going on with someone who doesn't seem to have had medical procedures explained to them at all, so I'm not going to be surprised if crucial safety aspects are overlooked.

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

moonspiral · 23/04/2023 22:06

nocoolnamesleft · 23/04/2023 22:03

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

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.

MavisMcMinty · 23/04/2023 22:06

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

Motorina · 23/04/2023 22:08

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?

Noicant · 23/04/2023 22:14

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

paisley256 · 23/04/2023 22:18

This is so upsetting what a shame.

Faffertea · 23/04/2023 22:30

@nocoolnamesleft
Same.
And reading the details of the clinical events knowing how catastrophic they were had me in tears before the photos.

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DrBlackbird · 23/04/2023 22:33

"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.

ArabeIIaScott · 23/04/2023 22:39

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.

ArabeIIaScott · 23/04/2023 22:40

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.

ginghamstarfish · 23/04/2023 22:43

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

EmmaEmerald · 23/04/2023 22:46

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?

lampformyfeet · 23/04/2023 22:52

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.

dimorphism · 23/04/2023 22:54

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.

lampformyfeet · 23/04/2023 22:54

And was this informed consent or coersion?

lampformyfeet · 23/04/2023 22:55

*coercion

EmmaEmerald · 23/04/2023 23:06

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