I am a retired agricultural inspector and we originally talked about an orchiectomy. I am
covered Medicare and am rethinking about a vaginoplasty. Is this possible?
I have reviewed your chart, and you will have to ask your therapists to revise your letter of
clearance saying you are a candidate for vaginoplasty and this operation is “medically necessary”
or words to that effect. Because of your age I think a thallium or Cardiolite stress EKG is appropriate
within 2 weeks before your scheduled surgery. Similarly you have to re-present your proposed surgical procedure
to your internist and receive his approval for vaginoplasty, a 4 to 5 hour procedure. Have you given consideration
as to whether you wish a penetrable vaginal depth Not all patients at your age seek this and surely this would
reduce surgical time.
Harold M. Reed, M.D.
The Reed Centre – Miami