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LDyutagrl.bsky.social

Q SCDS DE VC MEU BEBÊ

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PMhyunjin.femboy.gg

tô literalmente com protetor auricular e não esta sendo suficiente pra eu conseguir dormir apesar do barulho eu to tentando desde 21h20 e eu acordo 5h os pensamentos scds já chegaram

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Clixsunggie.17-carat.club

tipo eu trabalhava em scds eu nao vou ter mais nenhum motivo pra ir pra la sem ser no maximo ir na festa do breno ou encontrar o pessoal e msm assim acho dificil marcar la

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BDbigbadbri.bsky.social

You have my absolute empathy, they can't do much for me now bar bone anchored hearing aids and medication to make living with SCDS livable 🤔🫣

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BDbigbadbri.bsky.social

I'm bilateral, had TM to plug and resurface on right ear, failed, lost most hearing, 3 types of very loud tinnitus.. SCDS is hell

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AHamyhoy.bsky.social

it's genuinely such a terrible disorder bc we were thinking, maybe i have permanent brain damage from the cfs leak, maybe it's long covid brain "fog," maybe it's SCDS… but it's fuckin migraines

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BPspatulatrix.beesky.social

oh hell yeah okay so check it out i had robots all up in my shit like doctor octopus da urologist

OPERATIVE REPORT
 
9/22/2022
 
PREOPERATIVE DIAGNOSIS: Gender Dysphoria

POSTOPERATIVE DIAGNOSIS: Same

PROCEDURES PERFORMED: 
Robotic Penile inversion vaginoplasty with Supplemental Scrotal Skin Graft which Includes:
1. Total penectomy
2. Urethroplasty
3. Robotic Assisted Laparoscopy, surgical, colpopexy (suspension of vaginal apex)
4. Robotic Assisted Laparoscopic construction of artificial vagina with graft
5. Scrotectomy
6. Bilateral labiaplasty via adjacent tissue transfer of scrotal and mons skin flaps, ~12 cm x 5 cm bilaterally
7. Clitoroplasty
8. Perineal Flap 2cm x 2cm to augment posterior vaginal introitus

SURGEON: REDACTED
FELLOW: REDACTED
RESIDENT(S): REDACTED

ANESTHESIA: General
ESTIMATED BLOOD LOSS: 100 ml
COMPLICATIONS: None. 
SPECIMEN: Penis and Urethra
DRAINS:
- 16 Fr foley catheter
- 4 x 12 cm allura vaginal stent
- JP Drain x 3 - right and left labial, right lower quadrant

BRIEF OPERATIVE INDICATIONS: 
REDACTED is a 36 year old transgender female with gender dysph
DESCRIPTION OF PROCEDURE:  
After informed consent was obtained and preoperative antibiotics were given, the patient was taken to the operating room, placed supine on the operating table. SCDs were utilized for VTE prophylaxis. General anesthesia was induced and she was intubated. The patient was placed in lithotomy. The genitalia and lower abdomen were prepped and draped in a sterile fashion. A timeout was performed. 
 
We opted for an early excision approach to scrotectomy. A butterfly shaped incision was made over the scrotum to excise extra skin.  We then thinned the full thickness scrotal skin grafts on the back table. The scrotum was removed in entirety using electrocautery.
 
A 16 Fr foley catheter was placed. A stab wound was made above the umbilicus and the abdomen was insufflated with a Veress needle. The remaining 4 ports for a total of 5 were placed in the standard fashion with the assistant port in the left paramedian location, 2 robotic ports on the right side, 1 robotic
We created a 2x2cm rectangular perineal flap at the posterior introitus. This was to augment the introitus and create a flatter posterior fourchette to allow future dilating. We dissected this carefully to ensure the skin remained viable after flap creation.
 
The urethra was transected at the level of the distal bulbar urethra. The urethra was spatulated for about 3cm ventrally, allowing the dorsal aspect to be sewn to the neoclitoral and clitoral hood skin dorsally using 3-0 Vicryl interrupted suture - thus creating a mucosal, lubricated inner vulvar vestibule.  The urethral spatulation ended at the mid bulbar urethra. The edges of the urethrotomy was oversewn to decrease bleeding and evert the mucosa.   
  
We then turned our attention to creating a midline opening superior to the penile skin tube. This midline opening would later become the opening for the clitoris and urethra. 
 
The wound was then irrigated with hemostasis obtained. The penile skin tube was then sewn to the scrot
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NTsrr.dev

once the dog thing happened i googled "loud sounds make me dizzy" and up popped SCDS. As I was reading the symptoms a bunch of other things started making sense. Before the tinntus, I had been getting dizzy from straining but assumed it was because i was so out of shape

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NTsrr.dev

I don't have to wait until November!!! Seeing the SCDS expert on June 12th. Hoping for some good news...

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