a surgery question?

[Kailana]

Hello anyone out there. I've been trying to find the name of a surgery. And i havent had much luck.
I need the name of or a support sight for the severing of imature mulleran ducts and reattachement to bile ducts. so that ovolation no longer drains into prostate/urinary track , but into bile ducts into colon/rectum to be voided in feces. It sounds sick. but this is what has so messed me up over the last 4 years and why i havent been around in a while. I used to know what the name of the surgery was, also where some medical references were but i cant find anymore. i Have a bit more problem finding things and remembering things. or at least were i found things before.
I have been stopping by and reading many posts lately but havent been able to login as i couldnt remember my login name and password. I have it now though. My brains not quite as sharp as it used to be.
Anyone out there with a little more knowledge, and patience"am having issues with frustration" out there? I could use some assistance.

also having horrendous issues over a few Doctors, surgeons who i really think need to die. Probably shouldnt of typed that. but damnit im getting tired of how some oh the Doctors and Hospitals as a whole have been treating me.
Also wanted to say that im finally on HRT. Had too go to Seattle to get treatment. Little towns, and outdated treatment standards truely suck when you need serious answers. Thanks
Kailana Sidani Alaniz

[neko2]

I have no idea what you're asking. Connecting the mullerian ducts to the bile ducts makes no sense at all. That's not even physically possible.

[Kailana]

sorry for any confusion.

It sounds odd only because im not sure what to call them.

I have two completely seperate gonadal sets. Internally ovaries, externally testies.

July 2002 during my last overdose i had the great fortune of being butchered by some very over zealous surgeons. Who had this great idea that i would feel better about myself, if they were too severe my internal ovaries from what they now say is in fact a prostate. There was a ? question about it. They/he/she/ "the incredibly misinformed overzealous bigoted surgeon" severed my ovaries from my prostate, i had short underdeveloved phelopean tubes/ what i call mullerian ducts, only because they arent exactly phelopeans tubes and im not sure what else to call them. But either way you want to call them, its not that important to me, what is, is how the tubes were reattached to the bile ducts in the pelvis/rectal area. so that my ovaries when i ovulate drain into the bile ducts/rectum for disposal, rather then passing threw my prostate/ urinary tract as they have done since the age of 13 1/2.
If your wonder if this is possible, you should know that this surgery is just one other way that some intersexed infants are subject too.
i am also far from perfect in explaining how im put together internally, its one of the other downfalls of having anatomy thats different then the so called norm. Also very hard to explain some things as Not all doctors are as open and honest as some of the ones ive had in the past. i still have many questions, and not all the answers.
Sincerely Kailana Sidana Alaniz

[Wyn]

While I don't wish to discount your understandings, it would seem far more plausible to me, that, if I were a doctor willing to do surgery in your case, and I wished to 'insure' your assignment as a male, I would simply remove the ovaries and the associated structures...not reroute the plumbing.

In point of fact, it has been suggested to me to have my ovo-testis removed so as to 'insure' my 'masculinity'....at least what there is of it. This, After moving my ovo-testis into the scrotum at 6 months, when they also took my uterus...they didn't have any prosthetic gonads in 1955, so they used the ovo-testis to take that place, and then submitted me to about 2 years of testosterone treatments to make my testis produce prodigous levels of testosterone to shut down the ovary and cause the atrophy of my remaining vaginal tract, which was sewn shut.

So, it begs the question; why would they do what you think they did? It would be FAR easier to remove, than to re-route, considering the complications that could ensue. Moreover, re-routing the fallopian tubes into the bile ducts could subject the body cavity to the presense of bile, as the fallopian tubes are open-ended structures...not physically 'attached' to the ovaries, because the ovary produces eggs all around its surface...not just at one place. Ill also say that if you have ovaries, you most likely would not need HRT, as they would produce enough estrogen to do what 'needs to be done'.

Simply my take on the situation...although, docs, as we all know, bring their own fears and predjudices into the operating theater all too often.

All my best to you! Hope you find some resolution to this.

[neko2]

The bile ducts are in the upper abdomen, between the liver and pancreas. The mullerian ducts are in the pelvis, between the bladder and rectum. It is physically impossible for these structures to be connected.

The reason menstrual blood residue appears in the bile is because macrophages dissolve it, forming bilirubin. The bilirubin is conjugated by the liver and excreted in the bile.

Often the mullerian structures can not be surgically removed because they are adherent to the prostate and seminal vesicles. There are reports of orchidopexy surgery involving splitting the mullerian ducts but leaving the structures in place. However this should only be done when necessary to bring a testicle into the scrotum, and doing this when functional endometrium is present and the ovotestes are not cryptorchid is gross malpractice due to the risk of endometriosis and the lack of any need for such surgery.

An ovotestis does not necessarily produce enough estrogen. Before I started HRT my estradiol level was only around 65 pg/ml, and I was having kidney problems due to the constant calcium loss.

[Kailana]

Thank you both for your responses.ido value your input greatly. i am not a doctor, noram i an endo, imjust me.i have only somuch knowledge availableto me. and that is far from perfect. All i do know is is that surgery was done. i had a rather rough time figuring out what was done. But had to live and feel threw the recovery. i've listened to and asked much of the staff who were involved with my care during my hospitalization. it is confusing, because of what ive had to experience, and what some staff say. Also what some Deny. After i woke up i had a new fresh scar on my lower back, the attending nurse asked me if i knew what day it was, knew where i was, and if i was in any pain. I said not really, but asked why my rectum was sore?She said " Didnt anyone tell you what they were going to do to you". I said "how could they. i dont remember anything since i passed out in the doctors office". that was 3 days before. She said,"Noones told you?". i said "told me what". She said " that isnt right". then wouldnt say anything else.
I was awake for a few hours. then when i next awoke, it was the following day and I was in another hospital. when i asked what i was doing there. (the new hospital),i was just told that this is where my father had me moved too.The next day was the first day, i had a shower and that was a interesting experience. When the bandaid came offand water hit my back, that nearly flored me. it stung quite bad, thats when i got out of the shower and went over to the mirror and looked. there i saw a brand new scar, quite small just to the right of my spine on my lower back. From that point on i started feeling alot of different things. essentially 3 months of extremely painful bowel movements. several years of painful erections, painful prostate when i got an erection, pain when going to the bathroom. fort last few years my testies have become extremely tender and swollen. The slightest bump makes them hurt, the spray from a shower could make me groan with agony. Over the last 4 years my monthly cycle which has always been there has led to some of the worst bowel problems that anyone should ever have to experience. Closest thing i can compare it to is Chron's disease. All of those symptoms dissappeared once i started HRT. In me my hormone levels have always been mixed. Some too high, some too low. Some just in the female rnge of normal, some just barely in the normal range for a man. Some 5 times higher then normal for a woman, just a great mix that makes me me.
I have a male phenotype with some female like characteristics. I have grown up with constantly being asked if i am happy being a boy, happy being a man. and in my 35 years of life one thing has always remained constant. As a boy, or as a man I AM PERHAPS ONE OF THE MOST MISERABLE PERSONS LIVING ON THIS PLANET. And that last statement comes from a very confused self identy. I know quite well what i am, as i have Doctors who are quite open about what i am. i have read and seen enough of my own labs and reports to know how i am different. What i dont have knowledge in is when things where done. or exactly why i was raised as a boy. What i do know is that once i was recognized as Dorothy Maree Alaniz, I was first recognized as a girl when i was born. I have been forced to live with a birth certificate that says male, is dated a month after i was born and is in fact what i consider a lie. My perspective of what i am is this i am a intersexed( a person born with ambigous genitalia) hermaphrodite( a person who possesses both ovarian and testicular reproductive organs(and yah ovotesties also fall in that category)). that is my gender. i am not male, i am not female. My gender identity is of a hermaphrodite. i am a little of both. Because i live in a world that only acknowledges the existence of being either male or female, i must choose. My parents and Doctors have forced a path onto me that doesnt match my own identity of what i am. I have been asked so many times if i am happy, that im sick of it. They keep ignoring what i say. so no more. I am taking HRT for MtF because i cant take this anymore. i am doing what is neccessary for me to be happy. I am not a man, there are no tests that will ever convince me that i am a man. I am not a woman, there are no tests that will ever convince me that i am. And yes i know quite well that genetically i was supposed to be a man, I know that how i was born, the corrective cosmetic reconstruction to makes me look normal didnt help anything, but only makes things worse.There may be some man out there who would be quite happy with my rather small male anatomy, i however am not. i know what its like to be teased by other men because of my size. I have had woman laugh at me or tell me how cute it is. There isn't much else that can kill your self esteem than to feel mocked by someone you really care about. Doctors use micropenis as one of the reasons for reassigning male to female just for that reason alone. i know what its like, my understanding goes far beyond many others. am i alone there? not at all. But if i am forced to only be one or the other, then for me. I choose Female. Why? because i hate my life as a man. i always have, and always will. Do i worry what other peopel think of me? i used to. That is where alot of the shame and depression came from. always being afraid of people finding out that hey im different. Well you know what i want everyone to know now. I'm stuck in a world where hospitals and Doctors still are withholding information, My parents are the same way, they will only acknowledge certain things. and I am very fed up with it all. I will not allow anyone to lie to me anymore. i will not accept people withholding medical information. i am very defiant these days. i almost welcome people laughing or mocking me openly just so i can crack a few heads. That actually is my only fear. i havemany strengths and a few weaknesses. but one thing is clear. i know quite well what i am and quite well what has been done to me. i just dont know why? That is the one missing piece of information that i need to be happy. I would like to say that that why question requires a much more detailed answer then a simple
"because we thought youd be happier as a boy, or because it was easier, or because your testies were dominant". It is a question and an answer that is multi-fascited. That is what im trying to understand.

Thanks to all who write a response, good or bad i thank you all.
Sincerely Kailana Sidani Alaniz

[Kailana]

I dont have phelopean tubes. thats why i called them mullerian ducts. therenot like the spermatic cord to my testies either, but sort of in between somewhere. Thats why i just use Mullerian ducts. and as for why surgery was done, well you would have to see me under ultrasound to truely understand, why there was a question with my prostate, essentially how i was put together internally allowed for things to mix, im not exactly sure how or why, apparently even though im sterile as a man, i apparently have enough viable sperm, that i am or was capable of fertilizing my own eggs. and my questionable prostate, and mullerian ducts? is and are marked with many signs of what i assume are signs of essentially ectopic pregnancies. I believe i have never carried for very long. But many of the experiences i have had to live threw and some of my temporary hospitalizations have involved terminated pregnancies. That is something that Doctors will not acknowledge. Where i have gotten a new diagnoses of being Delusional. And why surgery was done. Even though it is illegal to perform surgery on some one without informed consent as an adult. There is so much in my medical records that many people would be amazed, shocked, surprised, and overwhelmed. i am not any different then many of the other intersexed individuals but my experiences are intirely mine, some may be close,some may be similar, some may be worse, some may be more tramatic, or more horrendous, depending on how you/i look at them. But this is me. this is what i have had to deal with, i have a body that while looks male, i have had to live with a body that behaves as a females. i am sterile as man, i am sterile as a woman because of the odd mix of my hormones or my peculiar arrangement of anatomy.
Kailana Sidani Alaniz

[Kailana]

Sorry all, i think i really sound like a you knowwhat in those last few posts. I didnt mean too. it is just hard sometimes explaining what i've had to live threw and with for the last four years. Sorry Wyn, and neko 2.
Sincerely Kailana Sidani Alaniz.

[Kailana]

Again apologies. As i am not a doctor i do get things confused, There are ducts down by the Glutes. Im not sure what they are called, but they serve a similar function as the the bile ducts by the gall bladder. explaining how or the way im rerouted now becomes confusing for me or difficult to me: is due to the fact that i have had to do most of that research myself. And while i've come across Literature before that explains exactly this proceedure and the Hospital and Surgeon who first developed this proceedure. i have been unable to relocate that sight online. That is why I wrote this thread. i was asking if anyone has ever come across literature or a medical publication with similar information.

Thanks again Kailana Sidani Alaniz:drool02: