Good morning Carlos,
While we do not accept Cigna, would you be kind enough to find out how much they  allow for metoidioplasty with urethral lengthening, with possible buccal graft.

We would not recommend you have urethral extension without having vaginal vault obliteration first  (colpocleisis) as the incidence of urinary fistula is very high, which means return visits.    Who pays for that?

Sincerely and enjoy your Sunday,

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

Arianna

July 5, 2010

Good morning Arianna,

Sounds like you are well on your way. 

Thank you for your interest in what we do.

Fair to say you probably do not need therapy but simply a letter of clearance by a licensed therapist and a letter of concurrence by a second therapist.  This can be easily arranged..

Here are some great, compassionate, no nonsense therapists, all with doctoral degrees, many who will do tele-therapy or evaluations to be confirmed by a face to face meeting when you are in the south Florida area..

Dr. Maylin Batista   4005 NW 114th Ave., Doral, Fl   (305) 316-4079

Dr. Krista Bloom  Plantation  754-234-6991

Dr. Carol L. Clark   (closest to our office)  305-757-6070

Dr. Kathleen L. Farrell   (St. Petersburg, Fl)   727.551.9851

Dr. Anagloria Mora , South Miami,  (also speaks Spanish)  305 333 2263

Dr. Gladys Sanchez-Bello   (also speaks Spanish)  954 201 2309

Dr. Marcia Schultz (3111 N. University Drive Suite 400 Coral Springs, Fl. 33065)   954 649 1957

Dr. Marilyn Volker, (Coral Gables, Fl), 305-443-8850

Dr. Marcy D. Weiss, (West Palm Beach, Fl)  561 702 2228

Please present your history briefly:  age, MTF, how long you have been living 100% en femme, and the surgical procedure you would like to have.  Ask for an estimation of a price quote, and possible initial telephone
interview.

Anticipate we will show you every courtesy.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Fl 33154-2041

July 5, 2010

Good morning Aretha,

Sounds like you are well on your way.

Thank you for your interest in what we do.

Fair to say you do not need therapy but simply a letter of clearance by a licensed therapist and a letter of concurrence by a second therapist. This can be easily arranged..

Here are some great, compassionate, no nonsense therapists, all with doctoral degrees, many who will do tele-therapy or evaluations to be confirmed by a face to face meeting when you are in the south Florida area..

Dr. Maylin Batista (4005 NW 114TH Ave., Doral, Fl) (305) 316-4079

Dr. Krista Bloom Plantation 754-234-6991

Dr. Carol L. Clark (closest to our office) 305-757-6070

Dr. Kathleen L. Farrell (St. Petersburg, Fl) 727.551.9851

Dr. Anagloria Mora , South Miami, (also speaks Spanish) 305 333 2263

Dr. Gladys Sanchez-Bello (also speaks Spanish) 954 201 2309

Dr. Marcia Schultz (3111 N. University Drive Suite 400 Coral Springs, Fl. 33065) 954 649 1957

Dr. Marilyn Volker, (Coral Gables, Fl), 305-443-8850

Dr. Marcy D. Weiss, (West Palm Beach, Fl) 561 702 2228

Please present your history briefly: age, MTF, how long you have been living 100% en femme, and the surgical procedure you would like to have.  Ask for an estimation of a price quote, and possible initial telephone interview.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Fl 33154-2041

I am a female and wish to BECOME: Male – FTM
Hormones/Conversion: Yes, I have been on Testosterone since Dec  2, 2002. I have had a full lap hysto and chest reconstruction.
Specific_Questions: Is the vaginectomy included in the 12,500  meta?
If it is then everything for bottom surgery is 12,500+5000 = 17,500?? How much extra is the mons reduction so the penis sticks out farther?

Can you at least tell me the length of stay in Miami for each surgery:

Mons/pubis reconstruction
Metoidioplasty/vaginectomy/ureathral hookup
testicular implants.

Great. Please let me know what you have available in July, the 5th Monday would be good. I wll be in Clearwater, Florida and I could drive down for the appointment.

Do you recommend doing the mons/publis reduction first? If so we could schedule that for late may 2011.   If you only require me to be in Miami one or two weeks for the metoidioplasty surgery I could maybe do it earlier than may of 2013.    Please let me know.

I can schedule the 3 sugeries separately correct?  Mons reduction first, then metoidioplasty/vaginectomy/ureathral hookup and then testicular implants last. How far in advance can I schedule surgery?

Thank you in advance for answers to these questions.

Denar

Good afternoon Denar,

Sounds like you are well on your way.  Yes, we’ll be happy to include vaginectomy (colpocleisis) in your fee for 12,500.  Testicular implants are 5000 extra and I would propose that this be done as a secondary stage.  We can do pubic reduction gratis as an additional procedure, but remember the pubis is the delta which drains the lymphatics from the perineum and labia, so too much surgery there causes a swelling and sub-optimal wound healing down below.  Best to have that done as a procedure unto itself.

If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope along with a check for 250 and you will receive a call ASAP.  We’ll have a lot to talk about.

There is a lot of information we need to put out to you, as well as answer your all questions and concerns.  This fee provides for followup discussion and covers your first visit at the office excluding laboratory work.

 If you believe I am the doctor for you, please initiate a consultation with our office by sending us your name, address, and phone number in an envelope along with a check for 250 and you will receive a call ASAP.  We’ll have a lot to talk about.

There is a lot of information we need to put out to you, as well as answer your all questions and concerns.  This fee provides for followup discussion and covers your first visit at the office excluding laboratory work.

Anticipate we will show you every courtesy.

With kindest regards,

Harold M. Reed, M.D.
305-865-2000
1111 Kane Concourse, Suite # 311
Bay Harbor Islands, Fl 33154-2041

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

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

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