Proper usage should be: allow to dry and cover with clothing and do not share wash cloths unless laundered.

Harold M. Reed, M.D.

We would not recommend any surgery be done until a patient is over 18 years of age, unless there is some very strong compelling reason, and then your parents would need to be a part of the decision making process.

Have a restful Sunday,

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

Yes, two years on testosterone, have already had top surgery
Specific_Questions: It’s hard to find information about phalloplasties and sex. I’m just wondering, for phalloplasties, once the surgery is successful with an erectile device and is fully healed.. 1. what percent (estimate of course) of guys have complications with the device during sex? is there a big risk in the phalloplasty ripping or the device coming out…is it really suitable for sexual intercourse? 2. does the phalloplasty last long-term?  Nelson

Hi Nelson, 

It has been touted the incidence of revision surgery with an inflatable implant for FTM men is about 50%.   For genetic men, we tell them on average they may need a revision every 6 to 8 years.  Rarely a problem can become manifest in 3 months and recently revised one that had lasted 16 years.

Like a set of tires for you car, they don’t last indefinitely.

Semi-rigid rods may never require a replacement but there is a concealment problem (sometimes) and the continued pressure may lead to erosion.

We have done a few implants for FTM patients and the patient satisfaction rate has been good.  Most inflatable
implant manufacturers do warranty their product for life, bit the surgery and associated costs are not funded. 

If you have a friendly relationship with your urologist, usually he’ll understand you are not a money tree and charge token fees for revision to cover expenses only.  Please look at photographic examples of our work on penisdoctor.com   http://www.penisdoctor.com/prosthesis.htm

…

Have a restful weekend,

Harold M. Reed, M.D.

305-865-2000

Hi, I have been fitted with a Mentor silicone elastomer testicular implant a few months ago, but I am unhappy with the texture I found it too hard and not feel enough natural like my other (the real one).I would like to know:1. Do you have access to other type of prosthesis more
realistic and soft than the Mentor prosthesis ?

2. is there a difference between : silicone gel and silicone elastomer implants ?

3. Can I schedule an appointment for an
consultation only? and touch the different kind of
prosthesis?

4. How much will cost a consultation with you ? It is covered by my Quebec health insurance?

Thank you

Reply:

 January 7, 2008

Good morning and Happy New Year,

The technical term for hardness of an implant is called “durometer.”  The lower the number such as a 5, this equates to softness.   Too soft could be runny like a partially cooked egg, so that would not be desirable.  There are also techniques in surface finishing to reduce the possibility of capsular contracture.  

Our office has a vast experience with testicular implants
and we have been aware of the Mentor’s propensity for
capsular contracture many years ago.  Their published results, although the product does have some pluses such as percutaneous volume adjustments.

Yes, I do agree you should palpate demos that we have
in the office and I think you will be quite pleased.
You can initiate a consultation over the phone
by sending us your name, address, and phone number
in an envelope along with a check for 250 and we’ll get
started ASAP.

When you come to the office there is no additional
fee for your first visit.

Cordially,

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

There is a whole line of plastic prosthetics for the
“pee and pack” crowd of FTM transsexuals which
your wife could also use.

I think at the end of the day, your wife will
void in privacy like most women do.

Best wishes,

Harold M. Reed, M.D.

P.S.  Surely, breast implants can wait.

Dr.  Reed,  

Would it possible to add a penis to a female for urination purposes only and still have a operating vagina for natural child birth. does urine play a roll in the monthly activity of the vagina or is it just a way out of the body? My future wife is a vet student and she is always out in the field when she has to urinate, I thought having a penis would make life easier for her, I don’t mind the extra parts as long it makes her life easier. she’s no swim suit model! P.S. A penis is less noticeable and more useful than breast implants. 

Aramis

All 4 patients have been discharged and will be followed in the office this week. The oldest patient is 91 and very active and passed his cariac evaluation with flying colors, the youngest was 47, who had already 2 MI’s and stents. All patients of course are medically cleared and truly these cases should only be performed in a hospital setting with cardiac fellows available all night long and of course an overnight stay.

Two patients were explant-implants, one had a fluid loss and the other an overly long prosthesis (not my patient originally), one a radio-oncologist.

Harold Reed, M.D.

All four patients are doing well as of 5/21/2008