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Category Archives: Voiding difficulty after transgender vaginoplasty

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)

(FAQ) My urinary stream is not going straight down, will this improve? | The Reed Centre | Miami

Dr. Reed, (following transgender vaginoplasty) My urinary stream is not going straight down, will this improve? Leaning forward a lot to avoid accidents. Magdalena Dear Magdelena, I would allow a few months after transgender vaginoplasty, for any swelling to subside.  Just like when you kink a garden hose, the stream may not come out straight.…Continue Reading