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CONTACT US

Office hours: 415-395-9895

Fax: 415-395-9897

After hours: 855-638-7424

ADDRESS

55 Francisco St. Ste 300

San Francisco, CA  94133

OFFICE HOURS

Mon - Fri: 830am - 4:30pm

Closed for lunch: 12pm - 1pm

Gender Realignment Surgery (GRS)

Gender Confirmation Surgery (GCS)

Transgender Surgery San Francisco 

SRS San Francisco

Peritoneal Pullthrough

 

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Common Issues Post-op 

In the postoperative period, there are many common issues that arise as part of the healing process. Usually incision care and time will work to let your body heal without any additional surgery. Included here are pictures of the most common types of conditions.

Separation

Swelling

Healing

These pictures are from the same person. She had separation at her 2nd post operative week due to swelling. The middle picture is at 3 months postoperatively. Her separation healed with time. The last picture is at 1 year. Her swelling decreased.

Post-op separation
Post-op swelling

Granulation Tissue

Granulatin tissue
Granulation tissue

 

  • Common in 1st year postoperative

  • Pink/red painless scar tissue which bleeds.

  • Easy to treat in office with chemical cautery- painless.

Post-op

Residual Erectile Tissue

Pre-op

Residual erectile tissue

This patient was referred for 4 reasons from her prior surgery done out of the country. 

  • Excessive erectile tissue

  • Covered clitoris

  • Hollow groove on mons

  • No clitoral hood

Yellow Discharge

Yellow Discharge, Swelling, Separation W

​This patient is 14 days out of surgery:

swelling, bruising, separation on left side, as well as, yellow discharge.

  • All of these are common and expected.

  • Yellow Discharge common post op on incision sites

  • Proteinaceous by-product of healing (not pus)

  • Goes away once incisions heal

Bleeding Concerns

  • Immediately Post Operatively: in first two weeks, oozing is expected onto the hygiene pads that cover the bolster.

  • First 3 months: Intermittent bleeding can occur postoperatively as part of healing within the first 3 months after surgery. Please make sure you are dilating the vagina and not the urethra. Also check for signs of a bladder infection ( see FAQs and Videos on Bladder Health/ Gyn 101)

  • Within the first year after surgery, occasional bleeding or dark brown discharge can be seen on pads. This is usually due to granulation tissue which commonly occurs within the first year after surgery. While scary, it's benign bleeding. This will be taken care of on your post-operative visits at 3, 6, 9, and 12 months. If unable to return to our office, please see a local provider like a gynecologist. Again, please make sure you are not accidentally dilating your urethra and also check for signs of a bladder infection ( see FAQs and Videos on Bladder Health/ Gyn 101)