Sex Change MTF FTM SRS

I had my SRS in July 2008 with Dr. —- in Thailand, and have been on hormones for over three years. I’m essentially fully transitioned.
Specific_Questions: Hello Dr. Reed, I believe that I have what a patient in your blog described as a ‘urethral spongiosum rest’ and am inquiring about getting this problem corrected. During sexual arousal, a circular mass of what seems to be leftover erectile tissue swells to about 1/2′-1′ outwards from my pubic area, surrounding my urethral opening and making urination very difficult until the swelling has subsided (sometimes as long as an hour or two afterwards). When I’ve been more sexually intense or if it has been awhile since my last time, there is bleeding afterwards. Also, I have been unable to use dilators larger than 1′ (or copulate) because the swelling is larger than a US $.25 quarter and occupies space into which my dilation would have extended were there not erectile tissue in the way. Can you give me an estimate of what the cost would be if my health insurance will not cover this correction of a urological dysfunction? How extensive is the procedure and what would I do well to expect?    Kathy

Good afternoon Kathy,

Thank you for your interest in what we do.  The attached is more applicable for “virginal” MTF patients but could be of interest.

Removal of a urethral spongiosum rest or erectile tissue surrounding the urethra, in our office based surgery center is 2750 when done under local.  If you have other critiques, there will be some lesser add-on charges. 

If you initiate a consultation with our office by sending us your name, address and phone number in an envelope along with a check for 250, that might be a good time to enclose some well focused photos as well.

We have a great deal of experience with removing this annoying remnant.  Please understand doctors are very skittish about doing this primarily, if there is untoward bleeding in the first portion of the surgery, as the urethra is also a well known source of oozing when transected.  However, when this area alone is focused on, there are a few techniques we employ to minimize this.

Have a safe and restful Labor Day weekend,

Harold M. Reed, M.D.
305-865-2000