I am 7 years on Testosterone. 5 years post-op top surgery. Legally male in the state of Ohio.
Specific Question: Do you perform testicular implants as a procedure by itself. I typically take a long time to heal and do not want to complicate my healing by having multiple procedures at once. I’m ideally looking to have the scrotoplasty/implants done first and then decide on whether meta or phalloplasty is a better option for myself.

Sincerely, Seth

Good afternoon Seth,

Yes, we can. The attached may be of some help.  Please see  http://srsmiami.com/photography-f2m.html and http://penisdoctor.com/photo6.htm for photographic examples of our work.

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

I followed a GLBT advocate and counsellor. My talk on sexuality included as per syllabus from Dr. Clark…

Medical factors related to sexuality and sexual functioning

Objectives:

· Define the DSM sexual disorders, and discuss the following in relation to it: symptoms, factors increasing susceptibility, and prevention.
· Describe how surgical procedures, such as a hysterectomy, may affect a woman sexually, physically, and emotionally.
· Define hormone replacement therapy and explain its advantages and potential risks.
· Describe the incidence of, symptoms of, and treatment alternatives for penile cancer, testicular cancer, prostatitis, benign prostate hyperplasia, and prostate cancer. Describe tests for prostate cancer and treatment alternatives.
· Describe the reasons why women would choose to have or not have breast implants and controversies concerning the implants themselves.
· Learn how major disabilities my affect sexual function and expression. Learn coping and enhancement strategies for people with disabilities.

2 hours later with time for serious questions and answers, we were done. But aside from potty breaks their day was still going strong. Young therapists seeking their doctoral degrees, thirsty for knowledge. Commendable, Carol (who is a board certified sexologist with a doctoral degree, how many therapists can claim that!).   Dr. Carol L. Clark   (closest to our office)  305-757-6070 

Harold M. Reed, M.D.

305-865-2000

Good morning Mariah,

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, I have been on Testosterone for almost 5 years and had chest surgery done 3.5 years ago.
Specific_Questions: Can I have the metoidoplasty and scrotoplasty (to stand to void)done now and later obtain a hysterectomy?  Monty

Hi Monty,

 Medical technology continues to evolve.

In this day and age, we have come to recognize colpocleisis, removal of the vaginal lining with subsequent closure by healing, helps to minimize the occurrence of urethral fistula.  However, and this a big however, you cannot close up the vagina and leave the uterus inside, as where will secretions and any mentral flow go.  What is needed is a laparoscopically assisted vaginal hysterectomy with bilateral salipingo-oophorectomy (removal of ovaries and tubes) first.  Doesn’t have to be, but is a recommendation.

You could have an attempt stand to void metoidioplasty and scrotalplasty done now but I must advise the likelihood of a urethral fistula is probably over 50%. Even if you have colpocleisis, the likelihood of fistula is probably about 25%

This is always more upsetting for the patient than for the doctor as we will pursue these problems one by one and hopefully ultimately give you an intact extended urethra.

That is the nature of this type of surgery, and this needs to be put out front.

Believe me I am in your corner and will do whatever possible to assure that you have the best possible result.

Sincerely,

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