Category Archives: Phalloplasty

Motivations before and outcome after Transmen gender confirming surgery

Taken from Journal of Sexual Medicine, volume 14, Number 12, December 2017.

Authored by Tim van de Grift and group from the Netherlands. 21 transmen followed at least a year after phalloplasty or metoidioplasty were asked what motivated them to have surgery.  100% said “gender confirmation.” 78% wished to enable sexual intercourse, and voiding while standing was reported in 74%.  Following surgery the genitalia were used more during sex, 78% vs. 31% before. Patients reported more pleasure, confidence, and less passivity.

Voiding symptoms were notably higher in those who had urethral surgery.

Harold M. Reed, M.D.
The Reed Centre for Transgender Surgery – Miami

Transman who had phalloplasty surgery elsewhere revised by Dr. Reed with insertion of malleable semi-rigid penile implant for penetration


Metoidioplasty patient of Dr. Reed

Considering female to male bottom surgery, how is the vagina removed?

Dear Dr. Reed, Considering female to male bottom surgery, how is the vagina removed?  What else is required?  Lisa Dear Lisa, In order to prepare for female to male bottom surgery which may be either a metoidioplasty and a phalloplasty, you will need to have your ovaries and uterus removed, usually laparoscopically. Removing the vagina is…Continue Reading

A matrimonial bilateral crossover, keep partners and dance

Dr. Reed, I am interested in an MTF sex change vaginoplasty and my wife is scheduled to have a phalloplasty.  Would you able to advise how soon can we have sex. Darlene Dear Darlene,  Given the most ideal of situations you could possibly have penetrating sex in 8 weeks, but 3 months is more likely for…Continue Reading

Lady with post orgasmic pain looking for a penis

Dr. Reed, Can you do a FTM Phalloplasty on me.  I have post-orgasmic pain that lasts for hours at times and brings tears to my eyes.  Have seen about 6 doctors and a diagnosis has yet to be established. Janice Dear Janice.  We talked on the phone and I recommended you seek consultation with a…Continue Reading

Penile transplant

Urology Times, August 2016 Penile Transplant  (by Randy Dotinga) raises technical and ethical issues. Donor procurement, a “very sensitive topic.” A 64 year old man underwent the 15 hour operation, 2nd time in the world an Allograft has been used (penis from another donor).  Some of the issues raised include permission from donor’s family to…Continue Reading

Phalloplasty patient requests Penile Implant| Dr. Harold M. Reed | Miami

Dear Dr. Reed,    Had flap phalloplasty 2 years ago and seek penile implant?  What’s available? Donald Dear Donald, Photos of penile implants can be seen on  You will see a semi-rigid and the rest are inflatables.  If your phallus is wide enough, we would suggest a paired implant which is normal for natal…Continue Reading