Archive for January, 2010

FTM phalloplasty patient asks about therapy clearance

Tuesday, January 26th, 2010

January 26, 2010

Hello I am trying to get an idea for the phalloplasty procedure early on and I have  a few questions about the FTM phalloplasty operation. How much could one expect to  pay for a full procedure? Is it required to consult with a therapist  before being aproved for the procedure?   Randy

Hi Randy,

We can consult without a therapist clearance, however, before you have irreversible surgery, you will need 2 letters of therapy clearance.  Phalloplasties have many variables including stand to void result, penile implant to provide penetration ability, orgasmic sensation versus somatic sensation (what you might feel on the abdominal wall).  So please confer with me and then we can provide a fee estimate.

All the best,

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

Anticipating MTF Orchiectomy with Dr. Reed

Tuesday, January 26th, 2010

I am contacting your office because of my interest in undergoing the orchiectomy procedure, however, I did have a few questions for you.

1. I know there are several places for incision, but I am curious where Dr. Reed chooses?

2. I live in St. Louis, Missouri and because of that, flying to Miami is quite costly. Will a consultation prior to surgery be necessary? I would like the Doctor to know that I have currently had another consultation in St. Louis, though I choose not to go with that doctor due to her lack of experience with MTF patients.

3. What does the $2,500 cost exactly include? If there are additional costs, could you tell me how much those additional costs usually run?

4. How long does Dr. Reed recommend the patient stay in the Miami area before flying home?

5. One of the major reasons I want to have this procedure performed is to have my gender marker on my birth certificate and subsequently my driver’s license change. In the State of Missouri, what is required for this is receipt of a certified copy of an order of a court of competent jurisdiction indicating the sex of an individual born in this state has been changed by surgical procedure and that such individual’s name has been changed, the certificate of birth of such individual shall be amended. Will the notarized documentation that Dr. Reed provides to me after the surgery use the key language “the sex of [Chloe] has been changed by surgical procedure”? I ask this because that language is key to having it amended.

6. Lastly, how many orchiectomy procedures has Dr. Reed performed on MTF transsexuals?

I have done a lot of research on Dr. Reed, and find that she would be a wonderful surgeon for me. I hope to hear from you soon, and I thank you for your cooperation.   Carla

Good afternoon Carla,

Yes, for lack of a more appropriate term, we do have to gather information before surgery about your medical history, review therapy letters of clearance, review laboratory tests, examine you and answer many questions you may have and put out information to you.  This can be initiated over the phone and with the help of Email.

We will see you the day before your orchiectomy and give you instructions to help you prepare. We recommend you stay at the Baltic Hotel so I can follow you there for 2 days, and then you are good to return home.

We are equidistant between Ft. Lauderdale and Miami airports, so take the flight that is most economical.

At Miami, you can use SuperShuttle for ground transportation, and in Ft. Lauderdale.. Go-Transportation for a significant savings.

Carla,  I can write words to that effect when we say you have had irreversible gender altering surgery. That you have been living as a female for (—) years and are recognized as a female by your psychotherapists.  We have never had a notarized letter (signed by me) of this import rejected.

I have performed about 400 or more orchiectomies on MTF patients.  We use a small 1 inch vertical scrotal incision

Your surgical fee includes: surgery, use of the facility, local anesthesia with IV sedation, my followup visits with you and of course several confirming letters.

Have a restful evening,

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

Desirability of Touch up after “one stage” MTF vaginoplasty

Tuesday, January 26th, 2010

Good morning Kim,

Like the stewardesses say, “be careful accessing the overhead racks as articles tend to shift in flight.” I have never seen a class A result either from this office or from any other doctor, where after a few months something could be done to improve the appearance. May be a noticeable scar, or small separation that healed with a scar, or a urethral opening up too high or an elevated posterior lip, or a clitoris that is too prominent or could use more hooding, or labia majora that simply do not look youthful.

I strive to have all my patients be a visual “turn on.” Yes, I find the female genitalia very attractive and feel if someone is paying big bucks and entrusting their care to me, they deserve something really extraordinary.

We only want walking positive advertisements. For that reason, we do touch ups at no charge under local with IV sedation, with the understanding if the patient is overly anxious, or has a history of drug tolerance, or needs a fair amount of work to be done, they do have to pay for the services of anesthetist which never exceeds 600 and could be less. Everything else is on me and don’t forget to bring that ring pillow back again. Sitting on your incision line is not good for wound healing!

Sincerely,

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

Another MTF Vaginoplasty revision requested

Sunday, January 24th, 2010

Dear Dr. Reed,

You have my photographs.  Hope you can make me as pretty as what I see on your web-site   srsMiami.com

April,     PS:  here is Camilla’s enthusiastic letter.

Dearest Dr. Reed, First of all, I will d?like to say THANK YOU VERY MUCH for your wonderful revision labiaplasty you did on me. I?M VERY HAPPY! Let me say hello and thanks to you secretary Anne, as well, such kindly and lovely. I had all of kind of attentions and care about the staff, and lots of care from you. I consider to advice all the folks need procedures about any kind of ?sexual gender problems? to go to Dr. Reed. He’s definetelly, is the best of surgeon and as good person. Thank you forever. Camilla

September 23, 2008

Good afternoon April,

Thank you for your excellent medical photographs.  Very helpful.

Yes, I agree the labia and clitoral hood are the most notable areas that need revision.  I do believe you will receive a result that will make you smile at last, no more double-take looks.

Last week we did a similar case, perhaps not as exaggerated as yours, and she was very pleased.  Here is a “thank you post” from our http://srsmiami.com/blog/

Thanks for Vaginoplasty Revision

September 21st, 2008

 

  1. Camilla F. | pinko@pallino.it | srsmiami.com | IP: 87.18.47.195 Dearest Dr. Reed, First of all, I will d?like to say THANK YOU VERY MUCH for your wonderful revision labiaplasty you did on me. I?M VERY HAPPY! Let me say hello and thanks to you secretary Anne, as well, such kindly and lovely. I had all of kind of attentions and care about the staff, and lots of care from you. I consider to advice all the folks need procedures about any kind of ?sexual gender problems? to go to Dr. Reed. He?s definetelly, is the best of surgeon and as good person. Thank you forever. Camilla

MTF Vaginoplasty revision

Sunday, January 24th, 2010

Dear Dr. Reed I recently emailed you advising that I had SRS MTF sutgery. I asked about vaginal deepening procedures and labiaplasty. You wanted me to come in to your office. I will be in the Miami SOuth Beach area 02-28-2010 until 03-04-2010 iwanted to know if i can come into your office on a friday or monday .  Please email me back or call to verify appt dt and time !!!!!!
How you heard about us: annelawrence.com

January 24, 2010

Dear Nicole,

What a pleasant surprise to hear from you.

Preesently on retreat in the Carolinas followed by 2 fully booked weeks in Miami. But do call the office on Monday February 1, 2010 and schedule in.

Anne our amiable office manager should be very helpful.

With every best wish,

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

When will a scrotal graft be necessary?

Sunday, January 10th, 2010

Re: When will a scrotal graft be necessary, Nessie

Hi Nessie,

The use of a scrotal graft is really necessary for any one who is seeking adequate depth for penetrating sex. For the past year we counsel the patient pre-op and do it at no extra charge, because we want you to be a happy. You never know when Mr. Right comes along.

Very rarely when a patient says do not do it, if they are confirmed asexual or lot older, and it is desirable to save 45 minutes of operating time, that step will be eliminated in the interest of patient safety. Unless someone has a stretched penile shaft skin length of 7 inches, we heartily recommend that
scrotal graft extension be done.

In conjunction with this we also recommend electrolysis starting 3 months before. We have seen hair grow back on patients who have last moment epilation in the operating room. Even if successful the trauma to the scrotal tissue may reduce ideal graft take.

The scrotum will stretch almost like a latex glove, so once the graft is above the level of the pelvic floor, you can build upon our depth to suit, providing you embark upon early and dedicated stent usage, until again Mr. Right comes along.

If dilation is painful initially, this is quite normal. Then consider EMLA cream or lidocaine jelly 2%. Please do not procrastinate. Your doctor will show you, using the palm of your hand, how hard you can push safely. Even if you just gain an 1/8″ every week, it adds up.

Harold M. Reed, M.D.
305-865-200