Vaginal stenosis/atresia post feminizing vaginoplasty
May 26, 2011
Hello, im a 40 years old post op transsexual from New Haven, i had a surgery done in Baltimore in 1992 and i lost almost all my depth and wanted to find out some info on the procedure to fix it time needed to be there, price, success rate,and of course depth. can you please provide me with some info? Thanks so much, Taylor B. New York
May 26, 2011
Good morning Taylor
We did such a case just 2 days ago and I will be seeing the patient at 7 AM this morning.
I will pose your question to her and see what her reposnse is. I do believe
the pain is a lot less, because less surgery is done.
The 9000 provides for my surgery, anesthesia, use of our facility and any followup
care I provide including daily visits to one of 2 hotels, the Baltic, more economical and
Daddy O’s.
Travel, food stents, and hotel accommodations are on you. Mention my name for a
discount at the hotels.
Please initiate a consultation over the phone as proposed to qualify you as a surgical
candidate.
With my best wishes,
Harold M., Reed, M.D.
305-865-2000
The natal female pelvis has many suspensory ligaments and intra-peritoneal
features designed to maintain patency and suspension of the vagina.
The male pelvis does not, and nature abhors a vacuum. Dilation ideally
several times a day are advised if you are not sexually active.
Yes, we do surgery for vaginal stenosis. Please see
http://srsmiami.com/photography-m2f.html
example # 13/1-3 The attached is a letter we send
to prospective MTF patients which may be of interest.
Our novel approach has been done so far on 9 patients
with generally good results, but with one notable surgical
site bleeding complication.
We create the space, pack for one week, remove packing
and allowing your skin to re-epithelialize the space
extending your vagina inwards. All the time you must be very
diligent with stent dilations to maintain the space and build
upon that.
Other approaches include:
A. The McIndoe procedure (creating a vagina with a skin graft).
B. The Vecchietti procedure.
A semi-surgical method that takes advantage of laparoscopy
to accelerate dilation. An olive-shaped device, placed at the
vaginal opening, is connected with sutures to a traction device
on the lower abdomen. Under laparoscopic guidance, the traction
device is tightened daily, gradually pulling the olive-shaped device
inward to create a vagina. This takes approximately one week.
The device is then removed and further manual dilation performed).
C. Colonic augmentation.
Requires an abdominal incision and removes part of your bowel
to become a vagina. May have some unpleasant odors and can
have narrowing at the junction or a red stop light sign in the vulvar area
that will raise questions. Colonic mucosa is more red than pink.
Lubrication varies, but most doctors who do a rectal exam for
other medical reasons put lubricant on their gloves. Some patients
swear by it (like it).
Please see http://www.mayoclinic.org/vaginal-agenesis/treatment.html
Each has its pros and cons.
Our fees are 250 for consultation which can be initiated over the
phone. 9000 for surgery to include closure of anterior commissure
if that needs to be done. Included is use of the facility,
anesthesia and any followup care we provide. In the unlikely event
of hospital transfer I will provide care there gratis, but you may expect
a bill from the hospital and any consultants who may participate
in your care.
You will be required to purchase 500 worth of medical grade
vaginal stents. If you are not sexually active you will need to
dilate after wound healing several times a day to maintain
your vagina. This is also true for MTF patients who never have
stenosis.
Plan on staying at an nearby hotel (the Baltic or Daddy O’s
for a good 10 days post op, so we can start stent dilations
in the office after removal of your packing.
Best wishes and have a productive week,
Harold M. Reed, M.D.
305-865-2000
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