Sex Change MTF FTM SRS

Yes, I have been on Testosterone for almost 5 years and had chest surgery done 3.5 years ago.
Specific_Questions: Can I have the metoidoplasty and scrotoplasty (to stand to void)done now and later obtain a hysterectomy?  Monty

Hi Monty,

 Medical technology continues to evolve.

In this day and age, we have come to recognize colpocleisis, removal of the vaginal lining with subsequent closure by healing, helps to minimize the occurrence of urethral fistula.  However, and this a big however, you cannot close up the vagina and leave the uterus inside, as where will secretions and any mentral flow go.  What is needed is a laparoscopically assisted vaginal hysterectomy with bilateral salipingo-oophorectomy (removal of ovaries and tubes) first.  Doesn’t have to be, but is a recommendation.

You could have an attempt stand to void metoidioplasty and scrotalplasty done now but I must advise the likelihood of a urethral fistula is probably over 50%. Even if you have colpocleisis, the likelihood of fistula is probably about 25%

This is always more upsetting for the patient than for the doctor as we will pursue these problems one by one and hopefully ultimately give you an intact extended urethra.

That is the nature of this type of surgery, and this needs to be put out front.

Believe me I am in your corner and will do whatever possible to assure that you have the best possible result.

Sincerely,

Harold M. Reed, M.D.
305-865-2000
 

Filed under:
FTM, metoidioplasty, Testicular Implants by Dr_Reed