Transgender orchiectomy before vaginoplasty

Dr. Reed, Will transgender orchiectomy before vaginoplasty lessen my likelihood to achieve a good vaginal depth result later on using the penile skin inversion technique?  How much is orchiectomy? Sandra

Dear Sandra,
In my opinion and experience, orchiectomy has no effect on using scrotal skin as an extension to inverted penile skin.  Doctors who use penile skin to form “floppy” labia minora (done in the Orient), may find the amount of scrotal skin insufficient to form a proper neo-vagina.  However, in that we invert sensate penile skin which I think preserves an important erogenous zone (ask any man), I don’t see being “short” if you have orchiectomy as a preliminary economical procedure to reduce cost of medication, adverse side effects,  and help with “tucking.”

Our orchiectomy fee which includes local anesthesia, IV sedation, surgery of course, use of the operating room and any followup care we provide is $2,500.  Hope this is an affordable orchiectomy fee for you.


Harold M. Reed, M.D.
The Reed Centre of Transgender Surgery | Dr. Harold Reed | Miami

Example #2: Male to Female Transsexual Surgery Note clitoral hood, glans, and sulci. Ample introitus is confirmed by passage of our largest stent.
Male to female vaginoplasty patient dilating picture, depth is about 5 1/2 to 6″ for patients between 5′ 6″: to 6′ 0″  in height.

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