August 7, 2011
Dear Dr. Reed,
What procedures are you doing for the MTF patients that would like look better in the neo-vulvovaginal area?
Good afternoon Kaitlin
Thank you for the clarification. I owe you.
Internet service down for a few hours, sorry.
Patients usually enter with a work-list of complaints, to which I supplement recommendations to be done at the same time. After all these patients show and tell to each other (or to a physician) and a good result will inevitably be an asset.
Problems include: skin laxity which needs to be reduced, an open anterior commissure which needs to be closed, elevated posterior introitus, elevated urethral meatus, meatal stenosis, retained spongiosum urethral rest, lack of sufficient fullness to labia majora, a desire for broader (more leafy) labia minora (which I cannot provide as this is usually a result of not using available penile skin with the initial procedure, an approach I do not do), adjusting the introitus for a more posterior entry, incising a ring like contracture at the junction of the inverted penile skin and scrotal graft extension, reducing clitoral size, hooding the clitoris, revising labial scars, inadequate vaginal depth, etc.
Hope that gives you some idea.
Harold M. Reed, M.D.