Recommendations to Prevent Complications After Sex Reassignment Surgery (SRS)
1. Avoid Medications That Cause Bleeding
Bleeding after Sex Reassignment Surgery is possible; however, the chance of major bleeding is very low when performed by a competent and highly experienced surgeon. At Chettawut Plastic Surgery Center, there have been no serious bleeding complications or cases requiring blood transfusion due to surgery. Dr. Chettawut meticulously controls and stops bleeding using an electrosurgical unit and hemostatic agents.
Certain medications or underlying diseases might increase the risk of bleeding during SRS. It is crucial not to conceal any known conditions or diseases that might cause post-operative bleeding or complications.
Recommendation:
The following medications must be completely stopped at least 2 weeks prior to surgery:
- Aspirin (ASA) or Baby aspirin, or any medications containing aspirin (e.g., Percodan, Endodan).
- Blood thinner medications (e.g., Coumadin, Pradaxa, Brilinta, Clopidogrel, Persantine, Plavix, Ticagrelor, Ticlid).
- NSAIDs (e.g., Advil, Celebrex, Diclofenac, Ibuprofen, Meloxicam, Piroxicam).
- Vitamin E
- Some antidepressants known as selective serotonin reuptake inhibitors (SSRIs), such as Prozac (fluoxetine) and Paxil (paroxetine).
