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Prospective MTF patient sends same questionnaire to all transgender surgeons

January 1, 2016

Hi Dr. Reed,

I am planning on getting a vaginoplasty in the near future. Your website and the trans community identified that you preformed this operation fairly regularly. I was hoping that you would be able to answer a few of the questions that I have. So, without further ado…
�  Questions about you:
�  � – How long have you been preforming surgeries?
�  � – How long have you been preforming vaginoplasties?
�  � – How many vaginoplasties have you preformed over your career?
�  � – How many vaginoplasties did you preform in 2015?
�  Questions about the surgery itself:
�  � – What is your technique?
�  � – How is your technique different from other surgeons in the US?
�  � – Has your technique changed over time? If so, how?
�  � – What are the most common complications that you encounter during surgery? How about during recovery?
�  � – How easy are they to deal with?
�  � – How often do they occur?
�  � – Do you have any pictures of results that you can share from patients after 3, 6 and 12 months?
�  Questions about prior patient experiences:
�  � – How and when do you follow up with your patients several months after surgery?
�  � – Are they happy with the results?
�  � – How do they rate their sensation after surgery? 3 months, 6 months, 12 months?
�  Misc Question:
�  � – Do you recommend or require genital hair removal?
�  � – If so, laser or electrolysis? and what specific areas need to be hairless?

Karen,

Good morning Karen,

Thank you form visitinjg our web-site
Taking your thoughtful questions in the order posed…

How long have you been performing surgeries?
In practice as a urologist since 1973

How long have you been performing vaginoplasties?
Since 2003

How many vaginoplasties have you performed over your career?
About 1500, could be more

How many vaginoplasties did you preform in 2015?
30 to 40.

Questions about the surgery itself:
What is your technique?

See previously attached article

  • Aesthetic and functional male to female genital and perineal surgery: Feminzing vaginoplasty. Seminars in Plastic Surgery, Vol. 25., No. 2, pp. 163-174, 2011

How is your technique different from other surgeons in the US?
Generally similar.

Has your technique changed over time? If so, how?
Very little since the article was published about 4 to 5 years ago.

What are the most common complications that you encounter during surgery? How about during recovery?
See article

How easy are they to deal with?
Usually quite easy.

How often do they occur?
See article.

Do you have any pictures of results that you can share from patients after 3, 6 and 12 months?
See article but we have not taken photos using this format.

Questions about prior patient experiences:

How and when do you follow up with your patients several months after surgery?
Patients request need or if recent as per appointment.

Are they happy with the results?
Generally yes.

How do they rate their sensation after surgery? 3 months, 6 months, 12 months?
I have not done routine post op- surveys on all, but to my knowledge all are orgasmic except
2… One an inveterate smoker and the other a diabetic in poor control.

Misc Question:
Do you recommend or require genital hair removal?
Definitely yes, see our electrolysis diagram posted on our web-site srsMiami.com

If so, laser or electrolysis? and what specific areas need to be hairless?

Electrolysis under local anesthesia with higher settings seems to be
mire economical and more effective, but a good laser technician is better than
an inadequate electrologist.

Cordially,

Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America
International Society for Sexual Medicine
Member WPATH

305-865-2000

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