Archive of entries posted on May 2008

Should orchiectomy be performed if later anticipating MTF vaginoplasty

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Hi Missy, Thank you for your interest in orchiectomy on behalf of a friend. We do orchiectomy on MTF patients several times a month.  Contrary to what you may have heard, prior orchiectomy does not impede vaginoplasty later on.  The scrotal skin is very elastic and if you visit our web-site http://srsmiami.com/photography-m2f.html and look at …

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Douching after MTF Vaginoplasty

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Douching after vaginoplasty is required and also fun, as it feels good to be clean.  The mechanical aspect of injecting fluid with a reasonable spray that can mechanically remove collections of secretions, devitilized tissue, and bacteria is highly desirable. Jelly also accumulates in your vagina from stent usage and should be washed out at least every …

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Vaginal stenosis after feminizing vaginoplasty

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A patient who had vaginoplasty about one month ago, returned complaining of difficulty dilating. Intraoperatively she had a girth in excess of 1 1/4 inches.  EMLA cream was applied for 20 minutes.  A Q-tip size applicator was all she could accept initially and over 1 hour, she tolerated a 5/8″ stent and in the course …

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The American Urological Association meeting May 16, 2008

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In Orlando and already the lecture series has started.  Friday, how to administer testosterone and its safety in older men and in men who have had prostate cancer. Looking for conferences on vaginoplasty, metoidioplasty, and transsexual surgery in general  but thinly represented at this meeting.

Variant MTF patients

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Feminizing vaginoplasty is not always performed for those who clearly wish to leave all vestiges of maleness behind. A few times a week we receive inquires from prospective patients who simply wish to have a vagina. Our approach is in that this is not conventional surgery, and bisexuality is well recognized, 2 letters of clearance …

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Lady had breast biopsy and requests silicone implants

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Difference between ultimate size is 50 cc. You can do that with today’s implants, as they are not sold in pairs but singly. After any breast implant, the patient under anesthesia is sat up on the table and everybody stands by her feet an offers an opinion as to symmetry and position. The time to …

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4 penile implants this past week

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This past week, 4 inflatable penile implants were installed. Two were the AMS 700 model with inhibizone coating and new MS pump (one touch button begins inflation) and two were Mentor Titans. All 4 patients have been discharged and will be followed in the office this week. The oldest patient is 91 and very active …

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Which is better a metoidioplasty or phalloplasty

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Kristina from Macedonia writes: Dear Kristina, A metoidioplasty is a lot less expensive and is very satisfying for many especially those who do not desire penetrable sexually relations. Your sensation should be preserved 100% which is not always true for phalloplasties as there will need to be a neural hook up. Also with phalloplasties there …

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