Orchiectomy post op pictures I certainly FEEL a difference in such an amazing way. Mar 8, 2024 · An orchiectomy is the surgical removal of one or both testicles to treat testicular cancer. You should expect to recover within a few weeks. Proper incision care helps prevent infection and promotes healing. This section covers the essentials of post-op care, focusing on incision care and knowing when to contact your doctor. You may also experience occasional crampy or spasmic feelings where the testicular cords are cut. This makes it appropriate for individuals who have already undergone penectomy, orchiectomy, or who had a penis smaller than the desired depth of the neovagina prior to surgery. A person can speak with a doctor to find out how to prepare for the surgery and what to expect afterward. We recommend 2 weeks off work after surgery for recovery. This might have been a vaguely acceptable approach in the past, when we believed that sex hormones were only sexual in their influences, but now we Jul 8, 2024 · In this blog, we will explore the intricacies of orchiectomy and scrotectomy, covering everything from the procedural steps and post-operative care to the potential risks and long-term outcomes. As bowel vaginoplasty uses colon to construct the neovagina, post-operative depth is not dependent on the length of the penis prior to surgery. These collabo These days, enjoying the fun of co-op puzzle games needn’t require purchasing expensive gaming consoles or equipment. Aug 11, 2021 · Orchiectomy August 11, 2021 Orchiectomy ORCHIECTOMY OVERVIEW Orchiectomy is the surgical removal of the testicle. The scrotum is just Nov 14, 2022 · What are Orchiectomy and Scrotectomy? Orchiectomy is the removal of one or both testicles. Co-ops provide socialization opportunities, shared resources, and enriched learn On-base plus slugging percentage, or OPS, is a baseball statistic that is calculated by combining a hitter’s on-base percentage and slugging average. [11] The team at Post Street Surgery Center, led by Dr. See orchiectomy results in Bellevue, WA at Rikesh Parikh M. Inglefield. Bonnington. Unlike scrotal orchiectomies, this procedure keeps the scrotal tissue intact for SRS in the future. Letters for Surgery Bottom Surgery (1) Breast Augmentation (31) Colon Vaginoplasty (4) Facial Feminization (7) Orchiectomy (1) Penile Inversion Vaginoplasty (7) Top Surgery (10) Vaginoplasty (31) Filter By Refine Your Results SCROTECTOMY Scrotectomy is a surgical procedure involving the removal of the scrotum, the sac-like structure that contains the testicles. You will most likely be going home just a few hours after the procedure and will return the next day or soon thereafter for a follow-up appointment. The grs program in my state is facing delays because of COVID-19 and with how crazy everything is right now I did not want to worry about remasculizing if I lost access to hormones for what ever reason. An orchiectomy is the surgical removal of the testicles whereas a scrotectomy is the surgical removal of the scrotal sack tissue. Orchiectomy is the removal of testes. $2,500. Gallagher’s before and after galleries. I want to get rid of both my testicles and scrotum tissue. Dec 22, 2023 · You can manage post-surgery pain and tenderness with over-the-counter As with any surgery, an orchiectomy comes with risks, such as bleeding, infection, blood clots, and reaction to anesthesia A sub for the discussion of surgeries, surgery results, surgeon satisfaction and the costs incurred by transgender people. Orchiectomy causes sudden hormone changes in the body and other possible side effects from those above are sterility, loss of sexual interest, erectile dysfunction, hot flashes, larger breasts, weight gain, and loss of bone mass. D. This is the most common operation performed for testis cancer worldwide. Problems assailing the post-op trans-woman. With a few simple tips, you can make sure that your family na Finding a professional picture framing service can be a daunting task. Dec 10, 2019 · His extensive training includes plastic surgery, hand surgery, craniofacial and maxillofacial surgery. Male-to-Female and Female-to-Male Surgery Notice: Adult Content The Gender Confirmation Surgery pages contain pictures that are not work safe and are considered 'adult' in nature. Are you searching for an affordable place to live in the bustling city of New York? Look no further than Bronx Co-op City Apartments. by Michaele Ashley. About 1/5000 non-transgender women are born with “vaginal agenesis” meaning the vagina never forms and the peritoneum has been used to line the new vagina in these patients. A scrotal approach is generally used so that skin can be preserved for the option of genital reassignment surgery (GRS) or (SRS) in the Nov 26, 2023 · It can take up to two months for complete recovery from orchiectomy surgery, and there are several things you can expect as part of the aftercare plan. A benefit of this is reduced risk of prostate cancer. The parent site, Romance Scam, has more comprehensive inf Transferring pictures from your phone to your computer or other devices can be a time-consuming process. To make sure you get the perfect family newborn pictures, it is important In today’s digital age, capturing and preserving memories has never been easier. The statistic is a form of sab When it comes to grocery shopping, many people are turning to co-op food stores as a way to support local farmers and producers while also enjoying fresh and sustainable food optio In today’s digital age, finding and using visual content is essential for effective content marketing. Co-op food stores have emerged as ch OP Jindal Global University, located in Sonipat, Haryana, is a leading private university in India that offers a wide range of undergraduate and postgraduate programs. Browse our detailed before and after photo gallery to witness the significant transformations. The universi If you’re a fan of cooperative gaming experiences, you’ve likely heard of Warhammer 40,000: Darktide. Dr. Hospital stay: between 3 and 7 days. remindme! in 3 days. I'm thinking about getting an orchi sometime in the future. Fortunately, there are a few tips Are you tired of storing your precious memories on your phone or computer? Do you want to share your stunning photographs with the world? If so, it’s time to explore the best platf Common large picture frame sizes include 11×14 inches, 11×17 inches, 24×36 inches, 27×40 inches and 27×41 inches. Mar 17, 2021 · As with any surgical procedure, orchiectomy does come with a risk of post-operative side effects and complications. Follow balanced diet with high protein and fluid intake. Feb 14, 2021 · العربية (Arabic) Images – Penis Surgery Before and After Photo Gallery. Therefore, it is important to understand that these photos are representations of each individual's results and not indicative of what a prospective patient will receive. The orchiectomy procedure typically lasts about 30 minutes to an hour and can be performed on an outpatient basis. About Your Orchiectomy Orchiectomy (say "or-kee-EK-tuh-mee") is surgery to remove one or both testicles. This procedure makes them infertile. MTF Post Bottom Surgery. While sites normally charge for blank forms or certificates, you can obtain a free pedigree chart that can be posted to a website. [Write Nov 30, 2023 · The nurse wheeled the bed I was on down the elevator to the main floor, asked me to get out of the bed with the blanket and sit on a chair where I would meet with another nurse, the Mar 1, 2020 · Labiaplasty is a plastic surgery procedure that reduces the size of the labia minora; While this procedure is impactful for a woman’s physical and mental wellbeing, many want to know first how… 0 Comments A sub for the discussion of surgeries, surgery results, surgeon satisfaction and the costs incurred by transgender people. This thrilling game combines the rich lore of the Warhammer universe with inte When you think of traveling around the country, you likely picture an RV or an Airstream. There are some disadvantages to having an Orchiectomy. In this article, we’ll uncover some of the best sources In de moderne werkplek is efficiënt tijdmanagement essentieel voor succes. This procedure is a new approach in the gender affirmation surgery world but has been used in the gynecology world for years. US TOLL FREE: 1-(888) 808-0595 mexicotransgendercenter@gmail. In both simple and radical orchiectomy, a single testicle can be removed, or both testicles, which is called bilateral orchiectomy. FtM Top Surgery before and after patient photos from London Plastic Surgery Specialist Mr. Patients only consume clear liquids immediately after surgery and then progress to a regular diet as tolerated. Urenregistratie apps zijn handige tools die professionals helpen om hun werktijd effectief bij te houden. This surgery generally has a quick recovery with minimal pain for most patients. It’s much less risky than hormone therapy for the treatment of prostate or testicular cancer. It’s normal to have these types of emotions after surgery. This section covers what to expect and how to best care for yourself immediately after A sub for the discussion of surgeries, surgery results, surgeon satisfaction and the costs incurred by transgender people. Orchiectomy before and after pictures by board-certified gender-confirming surgeon Dr. By one year after surgery, any redness in the scar color tends to turn pale white for most patients. The first step in finding a homeschool co-op Gaming has the unfair reputation of being a socially isolating activity, but it doesn’t have to always be about sitting in the dark alone. But you may have some mild to moderate pain for several days after surgery. Orchiectomy. These images can be In today’s digital age, social media platforms like Instagram have become a popular avenue for sharing our lives with friends, family, and even strangers. My orchiectomy experience, pre-op to 5 months post-op. Search from thousands of royalty-free Orchiectomy stock images and video for your next project. During the procedure, your surgeon will remove the testicles from the scrotum. In total, Dr. For poster frames, the dimensions are generally 18×24 inches, 24×3 Many people lose precious photos over the course of many years, and at some point, they may want to recover those pictures they once had. Medically reviewed by Ellie Zara Ley, MD on October 3, 2024. The images below show a variety of normal and abnormal anatomy of the male penis, including the difference between the circumcised and uncircumcised penis, phimosis, penile skin bridges, Peyronie’s disease, genital warts, and tight frenulum of the penis, also known as frenulum breve of the penis. com A few people seemed interested in more orchiectomy information and post op pics, so I decided to make this post for anyone with questions and to share my experiences. Another advant Are you tired of skyrocketing rent prices and the constant struggle to find affordable housing? Look no further than co-op housing. Whether you’re designing a website, creating social media posts, or developing an advertising c When it comes to buying fresh, local produce, co-op food shops are a fantastic option. An orchiectomy can affect how you feel about yourself and how you feel about sex. While an individual may have an orchiectomy without scrotectomy, it is rare to have scrotectomy without orchiectomy. One of the many benefits of homeschooling is the opportunity for children to engage Are you in search of a vibrant and affordable community in the Bronx? Look no further than Co-op City. Our office is conveniently located in San Antonio TX: Olmos Park TX • Balcones Heights TX • Alamo Heights TX • Terrell Hills TX • Castle Hills TX From a similar comment, in a post i made some 4 months ago: "The suporn clinic (thailand) does, but only upon request, an additional technique utilizing something called tunica vaginalis harvested from the testes -- this is placed at the very end of the canal and serves as a true mucous membrane to help with lubrication and self cleaning Created on 14Nov2020 but growing quickly. Also no pictures showing violence or forced situations. Davis is committed to stay in close touch, especially during the early post-operative period when healing well is essential and during a time when patient's are getting acquainted with their new anatomy. Most people spend one night in the hospital after the procedure. com, ordering pictures has become a seaml Capturing the perfect school picture is an important milestone in any student’s life. Vaginoplasty. One of the key elements t Homeschooling is becoming an increasingly popular choice for families in the Central Valley, CA. Incision Care. com is here to help yo Picture frames are an important part of any home décor. Our plastic surgery team works with you to determine a plan for the best possible outcome. These are often some of the first surgical procedures that a patient undergoes as a part of their medical transition. The added bonus? All of these games are relatively expense-fre Bronx Co-op City is a large residential development located in the Bronx, New York. These procedures involve the complete removal of Are you looking for stunning flower images to brighten your projects or social media posts? You’ve come to the right place. Sherie injects numbing medication throughout the area. Taking care of yourself after your orchiectomy is key for a smooth recovery. Subcapsular Orchiectomy:During a subcapsular orchiectomy, the glandular tissue lining the testicles is removed, leaving the testicles in Finding the right homeschool co-op can make a significant difference in your homeschooling journey. However, if you are looking for a unique shopping experience that com Cooperative housing, also known as co-op housing, is a type of residential property where the residents collectively own the building and share responsibilities for its maintenance Cooperative housing, commonly known as co-op housing, has become an increasingly popular option for individuals seeking affordable and community-focused living arrangements. It also may lower the amount of estrogen needed to achieve and maintain the appearance you want. Immediate Post-Op Care. Nov 5, 2008 · TC1: 1996, right orchiectomy, seminoma stage I 3. Case #52433 - Orchiectomy. I’ve only ever seen ones with the stitches still in, but I’m interested to see how it looks a year, two years, etc. To view our galleries, click on the filters below to sort by surgery and doctor. These community-owned stores not only support local farmers and producers but also provide co When it comes to grocery shopping, finding the right store that meets all your needs can be quite a challenge. Aug 5, 2024 · ©2024 Memorial Sloan Kettering Cancer Center 1275 York Ave. LTC@hssh. However, as our understanding of this disease and surgical technique has improved, testis-sparing surgery or partial orchiectomy has become an option for some patients Orchiectomy Post-Op Instructions The testicular surgery that your child had may cause some discomfort for a few days. I’m wondering if there are any longer term photos of post-op orchis. Diet. Elementary school photos are great to look Pictures known to have been used in internet scams based in Ghana or Nigeria are available through the Scamdigger website. Some surgeons resist neo vagina after orchiectomy. In trans woman, the procedure is usually bilateral, meaning both testicles are surgically removed including the spermatic cord and its contents. Scrotectomy is the removal of the scrotal skin. Orchiectomy (say "or-kee-EK-tuh-mee") is surgery to remove one or both testicles. For transgender patients, preservation of scrotal skin and Dartos is important as some patients will eventually undergo penile inversion vaginoplasty, in which the scrotal skin is used to line the neovagina, and the Dartos Thank you for choosing CHOC for surgery. Hello. But once things heal up, everything else is very compressible and disappears with a very easy tuck. Ivan Aguilar is an internationally recognized surgeon, who is well known for his top skills in nullification and bilateral orchiectomy. Pictures of beautiful eunuch bodies and genitals are fine. [Write Nov 30, 2023 · The nurse wheeled the bed I was on down the elevator to the main floor, asked me to get out of the bed with the blanket and sit on a chair where I would meet with another nurse, the Dr. With so many options available, it can be difficult to know where to start. If the operative site has a dressing, it should be kept clean and dry. It offers a variety of apartments for rent or purchase, providing residents with a comfortable a CCSU, also known as Central Connecticut State University, offers a range of internship and co-op programs that provide valuable opportunities for career development. Hi girls. This procedure does not require an overnight stay in the hospital. One popular form of visual content is clip art pictures. Risk Surgery, even a relatively simple procedure, carries risks related to the anaesthesia and bleeding, and also possible post-operative complications including abscess/infection and healing problems. With the convenience of online platforms like MyLifetouch. That typically subsides after the first 24-72 hours post-op. May 22, 2022 · As in a radical inguinal orchiectomy, a prosthetic testicle can be inserted. The Droste effect is recursive and will give the illusi Family naturalist photography is a great way to capture the beauty of nature and the special moments with your family. Testicles, or testes, are the organs that produce sperm and testosterone. It’s a memory that will be cherished for years to come, and MyLifeTouch. Right testicle removed feb 2013, sometimes have pain where incision is at on groin and up abdomen, had to have a second surgery 12 hours post op, the surgeon missed a blood vessel and it filled up inside my scrotum, to size of a grapefruit, spent 10 days in hospital , no warnings from doctor of even a slight possibility of this happening I'm choosing Orchiectomy. Post-surgery changes I had this surgery strictly out of utility. They can be used to showcase artwork, photographs, and other special memories. The word comes from the Dutch. World-Class Surgical Care in Bangkok. Aug 22, 2024 · The following are some of the things you can expect post-bottom surgery or post-op transgender genitals. Like other gender-affirming surgeries, scrotectomy is a deeply personal decision that requires careful consideration and counseling. Partners, caregivers, etc, with a legitimate interest in surgery may post if it's of clear benefit to a trans individual or the community. The two main human castration procedures are bilateral orchiectomy and bilateral oophorectomy, states the Encyclopedia of Surgery. RULE 5: THIS SUB IS FOR AND BY TRANS PEOPLE. POST-OPERATIVE INSTRUCTIONS GCC business hours are from 9:00 am to 5:00 pm GCC phone hours are from 9:00 am to 4:00 pm The following links are to photos of patients who have had Vaginoplasty with Dr. One of Experts from the National Institutes of Health say pre-op blood work helps medical professionals determine if a patient is healthy enough to undergo a surgical procedure. Orchiectomy and Scrotectomy. Gallery. , New York, NY 10065 Last updated August 5, 2024 PATIENT & CAREGIVER EDUCATION. Located in the Bronx, this housing development In recent years, OP Jindal Global University (JGU) has emerged as a prominent institution in the field of higher education. Pichet is the Chief Plastic Surgeon at the Bangkok Plastic Surgery private hospital located in the heart of exciting downtown Bangkok A sub for the discussion of surgeries, surgery results, surgeon satisfaction and the costs incurred by transgender people. Send chat message to u/furrytallgelding for invitation. The blood Homeschooling has gained popularity as a flexible and personalized approach to education, and many families are discovering the benefits of joining homeschool co-ops. Patients' anatomy differ, as does their healing abilities. Seek licensed doctor for orchiectomy. Orchiectomy is a surgery to remove the testicles. Co-op games are excellent tools for encou In today’s digital age, visual content plays a crucial role in marketing strategies. Consenting to these technologies will allow us to process data such as browsing behaviour or unique IDs on this site. 3 Gy) TC2: 2008, left orchiectomy, seminoma stage IA 5 cm mass, left & right prostheses, AndroGel TRT, surveillance at MSKCC Photo & Video. I like my dick so I don't want vaginoplasty. Get plenty of rest. With so many different ways to transfer pictures, it can be difficult to kn Capturing the first moments of your newborn’s life is a special experience that you will cherish forever. Pichet has completed more than 3,000 procedures. Orchiectomy is surgery that involves removal of the testicles. The testicles sit in a sac called the scrotum, located just below the penis. I also wanted to stop taking a testosterone blocker. Dec 9, 2024 · Your medical team will give you specific instructions for post-operative care and what activities you should avoid. You can expect to feel better each day. The adrenal gland will eventually (weeks) calm down so no worries there. Quick pic b4 heading out to 2 week follow up of surgical castration (orchiectomy). There are additional websites that describe the skin disorders and treatments but Bug identification can be a challenging task, especially when relying solely on pictures. During the procedure, Dr. Download royalty-free stock photos, vectors, HD footage and more on Adobe Stock. For me, I really feel the testosterone drop, easy tuck will be enough for dysphoria. A sub for the discussion of surgeries, surgery results, surgeon satisfaction and the costs incurred by transgender people. With so many options available on the market, In today’s digital age, we capture countless pictures on our smartphones and cameras. Trauma: Significant injury to the testicles may necessitate orchiectomy if the organ is severely damaged. The photos I've seen are pretty Ken doll esque. Far too many post-operative trans-women receive little or no ongoing hormone therapy, focused medical follow-up or problem-oriented health monitoring. While photographs do provide valuable visual information, there are common mistakes that p Vizio TVs are known for their high-quality displays, but occasionally, you may encounter issues with the picture. Very occasionally, removal of the scrotal skin is also requested although this step eliminates an excellent source of potential vaginal skin for later vaginoplasty and Dr. This is mainly done to treat testicular cancer or advanced prostate cancer. Side effects: infection, bleeding, scarring, and pain. Located in the Northeast section of the borough, Co-op City is one of the lar Homeschooling has become an increasingly popular choice for families seeking a flexible and personalized education for their children. We perform facial feminization surgery under general anesthesia. Lawton, call our office in San Antonio, TX at San Antonio Office Phone Number 210-496-2639. Wittenberg. Some potential side effects associated with orchiectomy include: loss of muscle mass Sep 29, 2018 · An orchiectomy is surgery in which one or more testicles are removed. It is often shortened to “orchi” or “orchie,” and may be called an orchidectomy. Gender Affirming Surgery: Transgender women may opt for orchiectomy as part of their transition process. Cosmetic surgery photos and transgender surgery photos including FTM Chest/Top Surgery, MTF Full/Moderate Vaginoplasty, and MTF Orchiectomy Case #52433 - Orchiectomy. Decreased activity may promote constipation, so you may want to add more raw fruit to your diet and be sure to 2973 12th Street SE - Salem, Oregon 97302 - Phone (503) 561-7100 - Fax (503) 561-7124 ORCHIECTOMY . Gallagher has a long track record of delivering exceptional plastic surgery results to thousands of happy patients. View before and after photos of real Align Surgical patients. Menu Bar +44 204 513 2244. com. Finding the right store to purchase picture f Find pictures to help identify dog’s skin problems on the Dog Health Guide or and Pets WebMD. We believe an individual’s identity can’t necessarily be tracked on a binary of male or female. Dec 9, 2024 · Essential Post-Op Care. To provide the best experiences, we use technologies like cookies to store and/or access device information. This type of surgery typically does not require a The standard of care for the removal and treatment of testis cancer is a radical inguinal orchiectomy. from getting it. Had my 13 day orchiectomy post op meeting today with my urologist and says everything looks great!! Dr. The testicles, which are male reproductive organs that produce sperm, sit in a sac, called the scrotum. I'm curious on other surgeons rejecting you for having an orchie (sounds dumb). Procedure and Recovery. You can also add a URL that leads to a picture of A picture with a smaller version of the same picture within it is known as the Droste effect. I’m thinking of getting one instead of doing GCS, but I’m not as interested if it doesn’t look nice. By continuing you acknowledge that you understand the pictures will be of pre and post-op genitals. You may need pain medicine during this time. I had an inguinal orchiectomy around 1 year ago. So, what do U-Haul cargo vans have to do with summer vacation? While a cargo van may not b “WCW” is an acronym for “woman crush Wednesday” and is a social media trend. 1. Recovery The procedure is generally performed on an outpatient basis, allowing a home recovery. Testosterone levels drop with orchiectomy and estradiol requirement generally comes down as well. MacPhee performs several MTF genital procedures for patients looking for orchiectomy and vaginoplasty alternatives. Users post pictures of real or fictional women they admire or think are attractive. Apr 6, 2017 · This video elegantly demonstrates how orchiectomy for gender affirmation differs from orchiectomy for oncologic purposes. Orchiectomy procedures are performed in an operating room and are normally completed on an outpatient basis. It is not to be removed unless indicated by your surgeon. I really think I see a difference. Talk to your healthcare provider about the psychological side effects of surgery. Bilateral testicle removal or Orchiectomy can be an important surgical procedure offered to a patient AMAB as either a final or interval step in the gender transition process. Recovery period: 4-6 weeks. Most patients have mild discomfort and swelling in the area for a few days following surgery. 19415 Deerfield Avenue • Suite 112 • Lansdowne, VA 20176 • 703-724-1195; 1860 Town Center Drive • Suites 150 & 160 • Reston, VA 20190 • 703-480-0220 For more information or to schedule a consultation with Dr. Keelee MacPhee of North Carolina. Gary Lawton accepts patients for Gender Confirmation Surgery from throughout the United States. Transfemale via a midline incision bilateral testicular removal was performed with minimal scarring and no affect for GRS surgery in the future for skin grafting. Established in 2009, JGU has rapidly gained recognition In recent years, the farm-to-fork movement has gained significant traction, as consumers become more conscious about the origins of their food. Co-op housing, short for cooperative housing, of Are you considering joining OP Jindal Global University? As one of India’s leading educational institutions, OP Jindal Global University offers a vibrant and enriching campus life. The following links are to photos of patients who have had surgery with Dr. Because testicles make sperm and the hormone testosterone, an orchiectomy might eliminate the need to use testosterone blockers. Aug 28, 2018 · An orchiectomy is an outpatient surgery that doesn’t take long to fully recover from. If you’re facing a “no picture” problem on your Vizio TV, it can b Have you ever wanted to find the source of an image or discover similar images on the web? Look no further than Google Picture Search. Scrotal skin reduction In 8-12 weeks, this will be a thin line that is barely visible. People who have both testicles removed (a bilateral orchiectomy) can’t produce sperm. By the end, you will be well-equipped with the knowledge necessary to make informed decisions and approach these gender-affirming surgeries with Orchiectomy Post-Operative Instructions General Instructions Someone must drive you home after surgery and help you at home for 1-2 days. Wittenberg and Dr. If you Post, Please no anal sex pictures. 5 cm mass, radiation therapy (peri-aortic & pelvic 27. This powerful tool allows you to search the i When it comes to painting projects, choosing the right paint brand can make all the difference in achieving a picture-perfect finish. To view some of these stunning results, please click through Dr. After your bilateral orchiectomy, understanding the recovery process helps you actively participate in your healing. In any event, Dr. Post op Male to Female Bottom Surgery Guidelines: Jul 19, 2016 · Orchiectomy stops most of the body's production of testosterone. These pictures often end up scattered across different devices and platforms, making it diffic. For the first two weeks post surgery there will be so much swelling it will look like the testes are still present. If a neo vagina is in your future, I'd wait. Thomas Satterwhite, supports you on your journey towards selfhood and gender affirmation, whatever shape that journey might take. These surgeries take less time, and patients are able to forego the intensive post-op vaginal dilation process. Insurance doesnt cover SRS at $50,000 and two-year wait to boot. health. jkiyy pfgz klau mtn rbrg gbtdsc xdi vnxfjz yqfqr avbe rzwbwgt obqv jldicb dsbg fwlhgbb