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Category Archives: Male to Female Gender Reassignment Surgery

Had MTF vaginoplasty and my clitoris doesn’t look right

Dr. Reed,  Had a vaginoplasty somewhere else and my clitoris doesn’t look right.  Can you do a clitoroplasty?  My urinary stream is seldom going down and is variable at best.  Have to lean forwards to avoid accidents. Almerinda

Dear Almerinda,

We do vaginoplasty revision every month.  A clitoris of course should be sensate and provide orgasm.  Hope yours does.  We can provide a lower setting if need be, and also do a clitoral hood. It is not unusual to have upward urinary stream diversion, when penile skin inversion technique is used for vaginoplasty, because the skin and everything attached to it wants to return from here it came.

In a natal female, the urethral opening is well below the pubic symphysis (midline junction of the 2 pubic bones).  That’s also easy to fix.

Cordially,

Harold M. Reed, M.D.
Reed Centre of Transgender Surgery | Dr. Harold Reed | Miami
1-305-865-2000

Example #2: Male to Female Transsexual Surgery

Note clitoral hood, glans, and sulci. Ample introitus is confirmed by passage of our largest stent.

Vaginoplasty with clitoroplasty and clitoral hood (patient of Dr. Reed)

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Vaginoplasty with clitoroplasty and clitoral hood (patient of Dr. Reed)

Male to Female Transgender insurance The Reed Centre for Transgender Surgery | Dr. Harold Reed | Miami

Dr. Reed, Please advise which transgender insurance program will you accept that covers male to female transgender surgery? Will I be orgasmic and look natural?  We spoke over the phone about 6 months ago. Natalie Dear Natalie,  While we are not contracted providers with any insurance company, if your insurance company pays for hospitalization and anesthesia…Continue Reading

Post-Op Transgender Genitalia, Photographic Examples – The Reed Centre

Dr. Reed, How close does your post-op transgender genitalia approximate natal female vagina?  Daliah Dear Daliah, Creating credible transgender genitalia should be the goal of every transgender surgeon.  This is not just about male genital ablation.  Our goals are to provide a labia majora, labia minora, sensate clitoris, with clitoral hood, a urethral opening that…Continue Reading

(FAQ) How is MTF genital surgery done? | The Reed Centre | Miami

Dr. Reed, How is MTF genital surgery done?  Are there many options?   Olivia Dear Olivia, MTF genital surgery could imply a simple orchiectomy, but if we are talking about MTF vaginoplasty, a general comments can be made.  The procedure is normally done under general anesthesia after important  medical and psychological requirements are satisfied.  The essential differences…Continue Reading

(FAQ) Orchiectomy | Dr. Harold Reed | The Reed Centre for Transgender Surgery

Dr. Reed, I have been living as a transgender woman for 3 years, have been on estrogens and spironolactone for 2 years, and would like to have an orchiectomy.  Do you have any FYI packets.  Francine Dear Francine, We do several orchiectomies every month at the Reed Centre for Transgender Surgery. The advantages are reduction…Continue Reading

(FAQ) Anal Sex before and after Sex reassignment vaginoplasty | Dr. Harold M. Reed | The Reed Centre for Transgender Surgery

Dr. Reed,  I have been a transgender woman for 6 years and have been pleasing my boyfriend with anal sex.  Is this a good idea in that I am considering transsexual male to female vaginoplasty?  Sarah Dear Sarah, We do not recommend anal sex for at least 8 weeks before surgery as this tends to…Continue Reading

Male to Female Gender Reassignment Surgery | Dr. Harold Reed | Miami

Dr. Reed, Am ready for male to female gender reassignment surgery.  Can you do it in one stage, one visit? Marla Dear Marla, Thank you for visiting tssurgery guide.  This past year we have done several one stage Male to Female Gender Reassignment Surgery procedures.  As with all vaginoplasties, dilation needs to be started on…Continue Reading