Vaginoplasty with Fang RH
Contact information:
Address: Department of Surgery Veterans General Hospital, No. 201, Sec. 2, Shih-Pai Road, Taipei 112, Taiwan
Phone: 886 -2 -28712121 Department of Surgery 886-2-28757100
Fax:
Website: http://www.vghtpe.gov.tw/doce/
Email: lychang@vghtpe.gov.tw
General pages:
Fang, R.-H., Chen, C.-F., and Ma, S. (1992) A new method for clitoroplasty in male-to-female sex reassignment surgery. Plastic and Reconstructive Surgery, 89(4): 679-682.
Plast Reconstr Surg. 2003 Aug;112(2):511-4. Anatomic study of vaginal width in male-to-female transsexual surgery. Fang RH, Chen TJ, Chen TH.
Related pages:
Consumer experiences (most recent first)
Vaginoplasty with Manohar Lal Sharma
Contact information:
Address: 17, Nilgiri Apts, Alaknanda, New Delhi-India
Phone: +91-11-6462550,6466275
Mobile – 98100-11580
Website: http://www.geocities.com/genitaliasurgery/
Email: manoharls@hotmail.com
General pages:
LINK: http://geocities.com/manoharls/
Related pages:
LINK: Commercial site
I am working in the field of Plastic and Cosmetic surgery since 1979.
I am practising in New Delhi since 1987.
I am a Senior Consultant in Plastic Surgery at Holy Family hospital and Mool Chand hospital.
New Delhi. India Sex change surgery- Male to FemaleCase selection – Once the psychiatrist has certified surgery can be undertaken.
Person should be essentially healthy.
Preoperative – The surgery is to be done under General anaesthesia.
The penis is degloved out. Testis is removed. A small piece of Glans and prepucial skin hood is taken out based on the vessels/nerve and is used to create new clitoris.
The urethra is brought out in the front below the propsed clitoris .
A hole is created in front of the anal opening.
The degloved penis is inverted into it to create a new vagina.
The desired depth and size of vagina needs to be discussed in advance.
If needed skin is added to this penile skin tube to add to the diameter.
The scrotal skin is tailored to make the Labia.
Dressings are applies. Urinary catheter is put in.
Postoperative- The patient should take full bed rest and let the tissues heal up.
Most of the sutures are removed in 10 days. Others would dissolve away.
Recovery – the new vagina is healed well in three weeks and should become soft in 3- 6 months.
Do not rush for physical relationship till it all healed and softened.
The new vagina will not have any self lubricating mechanism.
These factors will have to be kept in mind at the time of physical relationship.
Also it will be skin lined blind end tube. This skin will need cleaning / hygiene like the rest of the body skin.
Consumer experiences (most recent first)
Kamol Pansritum is a Thai plastic surgeon who has served our community.
Background
Dr Kamol earned his medical degree from Khon Kaen University in 1986.
He earned diplomates from the Thai Board of General Surgery at Chula Hospital Medical School, Chulalongkorn University, Bangkok, Thailand, in 1992 and 1997.
Resources
Kamol Cosmetic Hospital (kamolhospital.com)
Former domain: (mtfsurgery.com)
- Former Address: Bangkok Hospital 668/128 Laksi Square, Anusawaree Laksi, Bangkane, Bangkok Thailand 10130
Phone: 662-521-7193 - Fax: 662-552-6548
- mtfsurgery.com/main.html
- info@mtfsurgery.com
Donald Rudolph Laub, Sr. (born January 1, 1935) is an American plastic surgeon who was based in California at Stanford University. He is an important figure in improving the health outcomes of trans and gender diverse people.
Background
Laub earned his bachelor’s degree at Marquette University and his medical degree from the Marquette University School of Medicine in 1960. After an internship at Yale School of Medicine, he was appointed to a position at Stanford University.
He then served as chief of Plastic Surgery at Stanford University School of Medicine from 1968 to 1980, before entering private practice.
During that time he co-founded the Stanford Gender Clinic.
Note: His son Donald R. Laub, Jr. is also a plastic surgeon based in Vermont. He was previously a surgeon at UVM Medical Center and their Cleft Palate Center. He serves as the medical director of the Vermont Cleft Palate – Craniofacial Center for the Vermont Department of Health. He also practices with Four Seasons Dermatology.
Former address
- Address: 1515 El Camino Real Palo Alto, CA 94306-1000
- Phone: (650) 327-7163
- General pages:
According to transhistory.org:
- Co-founded Stranford University Gender Dysphoria Clinic with Psychiatrist Norman Fisk, M.D. in 1969.
- Dr. Fisk is retired and Dr. Laub is semi-retired
- Dr. Fisk coined the term “gender dysphoria”
- First clinic to abandon “true” transsexual requirement for surgery or hormones
- Uses sigmoid colon resection for vaginoplasty
- Pioneered phalloplasty
Related pages:
Consumer experiences (most recent first)
I needed corrective work of a very specialized nature. After being examined by several plastic surgeons, I was told that nothing could be done. The last doctor I saw recommended Dr. Donald R. Laub. Dr. Laub utilized such great ingenuity and creativity that the problem was successfully resolved.
— Joyce C Laguna Woods, CA (undated)
Resources
Interplast (interplast.org)
Donald Rudolph Laub, Jr. is an American plastic surgeon who has served the transgender community.
Background
Laub got his medical degree at Medical College of Wisconsin, then did residencies at Oregon Health & Science University and Dartmouth-Hitchcock Medical Center.
Laub ran Green Mountain Gender Clinic in Williston, Vermont from 1999 until around 2007. William B. “Bill” Nash was the psychologist.
Note: His father Donald R. Laub, Sr. is also a plastic surgeon who was at Stanford University.
References
Archival links and contacts:
http://hometown.aol.com/grnmtclin
http://hometown.aol.com/grnmtclin/surgery.html
Dr. Laub Jr.
3 Timberland
South Burlington, VT 05403
(802) 860-3340
or
Green Mountain Gender Clinic
183 Talcott Rd. Suite 206
Williston, VT 05495
(802) 879-5333
Fax : (802)879-5333
http://hometown.aol.com/grnmtclin/index.html
wbnphd@aol.com
https://www.wbnphd.com/
Metoidioplasty and FTM Top surgery using double incision
Selected publications
- Vaginoplasty for gender confirmation.Laub DR Laub DR 2nd Biber S
- The Post-Modern Phalloplasty: Another Method to Consider.Laub D Jr
Resources
Northwestern Medical Center (northwesternmedicalcenter.org)
Four Seasons Dermatology (skinvt.com)
UVM Medical Center (uvmhealth.org)
Marvin L. Corman (born 1939) is an American surgeon who has served our community.
Background
Corman specializes in colorectal surgery and fistula repair. He was at USC for many years before moving to Stony Brook Medicine in New York.
Resources
Stony Brook Medicine (stonybrookmedicine.edu)
Archival contact information:
- Address: Professor of Surgery, Colon & Rectal Surgery, University of Southern California, 1450 San Pablo Street, Suite 5400 Los Angeles, CA 90033 USA
- Phone: (323) 442-6874
- Fax: (323) 442-5756
- Website: surgery.usc.edu/divisions/cr/cv-corman.html
- Email: mcorman@surgery.hsc.usc.edu
Indigo Pages from his time at USC: With my background and experience as an individual who has had a not inconsiderable experience with problems in this area, and having treated many patients who have undergone sex change procedures, I am uniquely qualified to deal with the complications and surgical problems that are not uncommon with individuals in these circumstances – e.g. recto-vaginal fistula, anal incontinence, and the requirement of revision. To arrange an appointment with Dr. Corman, please call (323) 442-6874. http://myria.home.mindspring.com/Indigo/Surgeons/Corman/CormanM2F.html
Roberto C. Granato, Sr. (April 10, 1926 – October 26, 2014) was an Argentine-American urologist and surgeon.
Granato performed 300 bottom surgeries for trans people, including ophthalmologist and athlete Renee Richards.
Historic contact information:
- Address: 40-46 75th St. Elmhurst, NY 11373
- Phone: 718 335-1437
- Fax: 718 899-1846
- Website: http://www.granato-urology.com
References
Zagria (2009). Roberto C. Granato, Sr. (1926 – 2014). A Gender Variance Who’s Who https://zagria.blogspot.com/2009/09/roberto-c-granato-sr-193-urologist.html
Granato RC (1974). Surgical approach to male transsexualism. Urology. 1974 Jun;3(6):792-6. PMID: 4836347 https://doi.org/10.1016/s0090-4295(74)80231-1
Resources
granato-urology.com (2001-2006) [archive]
Milton Thomas “Milt” Edgerton, Jr. (July 14, 1921 – March 17, 2018) was an American plastic surgeon who served our community. He is widely considered one of the most important American plastic surgeons of the 20th century.
Background
Edgerton was born in Atlanta and earned his bachelor’s degree in chemistry from Emory University in 1941. He earned his medical degree from Johns Hopkins University in 1944. Following his surgical residency, he joined the United States Army and operated on injured World War II veterans.
He joined the Johns Hopkins faculty in 1951 and got tenure in 1962. In 1970 he was recruited to the University of Virginia to found the Department of Plastic Surgery, where he worked and taught until retiring in 1994.
He had many students and colleagues who served our community as well, including Howard W. Jones, Jr. and John Gale Kenney. Edgerton was author of four books and over 500 scientific papers on plastic surgery. As shown in the selected bibliography below, his articles when read from earliest to latest read like an unfolding of the history of our community.
Dr. Edgerton died at age 96. The Milton T. Edgerton, M.D. Professorship in Plastic & Reconstructive Surgery at Johns Hopkins is named in his honor.
Selected publications
Edgerton MT. Plastic surgery: its roots and rewards. Ann Plast Surg. 2003 Mar;50(3):240-3. PMID: 12800898
Edgerton MT. Early plastic surgery at the Johns Hopkins Hospital. Plast Reconstr Surg. 2002 Jul;110(1):229-33. PMID: 12087260
Edgerton MT. Plastic surgery: the rainbow profession. Ann Plast Surg. 1997 Mar;38(3):197-201. PMID: 9088453
Edgerton MT, Langman MW, Pruzinsky T. Plastic surgery and psychotherapy in the treatment of 100 psychologically disturbed patients. Plast Reconstr Surg. 1991 Oct;88(4):594-608. PMID: 1896531
This paper reviews the senior author’s long-term experience with the surgical-psychiatric treatment of 100 aesthetic surgery patients with significant psychological disturbances. Patients with psychological disturbances of a magnitude generally considered an “absolute contraindication” for surgery were operated on and later assessed to determine the psychological impact of surgery. Patient follow-up averaged 6.2 years (maximum follow-up 25.7 years). Of the 87 patients who underwent operation (7 patients were refused surgery and 6 voluntarily deferred surgery), 82.8 percent had a positive psychological outcome, 13.8 percent experienced “minimal” improvement from surgery, and 3.4 percent were negatively affected by surgery. There were no lawsuits, suicides, or psychotic decompensations. Patients with severe psychological disturbances frequently benefited from combined surgical-psychiatric treatment designed to address the patient’s profound sense of deformity. This study suggests that plastic surgeons are “passing up” a significant number of patients who may be helped by combined surgical-psychological intervention. Comment in: * Plast Reconstr Surg. 1992 Aug;90(2):333-5.* Plast Reconstr Surg. 1992 Jun;89(6):1173-5.
Edgerton MT Jr, Langman MW, Pruzinsky T. Patients seeking symmetrical recontouring for “perceived” deformities in the width of the face and skull. Aesthetic Plast Surg. 1990 Winter;14(1):59-73. PMID: 2330857
This article describes plastic surgery patients who sought symmetrical recontouring of the width of the face and skull. The basic demographic and personality characteristics of these facial width deformity (FWD) patients and the surgical procedures performed on them are discussed. Details of the surgical and psychological management of three representative cases are given. Speculative conclusions regarding the general characteristics of the FWD population are offered. Suggestions are proposed for a combined surgical-medical psychotherapeutic collaboration in managing these patients.Comment in: * Aesthetic Plast Surg. 1990 Fall;14(4):299-300.
Pauly IB, Edgerton MT. The gender identity movement: a growing surgical-psychiatric liaison. Arch Sex Behav. 1986 Aug;15(4):315-29. PMID: 3741090
The evaluation and treatment of individuals with gender identity problems has resulted in an interesting and productive collaboration between several specialties of medicine. In particular, the psychiatrist and surgeon have joined hands in the management of these fascinating patients who feel they are trapped in the wrong body and insist upon correcting this cruel mistake of nature by undergoing sex reassignment surgery. Over the last two decades, some 40 centers have emerged in which interdisciplinary teams cooperate in the evaluation and treatment of these gender dysphoric patients. The model for this collaboration began at The Johns Hopkins Hospital, where the Gender Identity Clinic began its operation in 1965 (Edgerton, 1983; Pauly, 1983). This “gender identity movement” has brought together such unlikely collaborators as surgeons, endocrinologists, psychologists, psychiatrists, gynecologists, and research specialists into a mutually rewarding arena. This paper deals with the background and modern era of research into gender identity disorders and their evaluation and treatment. Finally, some data are presented on the outcome of sex reassignment surgery. This interdisciplinary collaboration has resulted in the birth of a new medical subspecialty, which deals with the study of gender identification and its disorders.
Edgerton MT. The role of surgery in the treatment of transsexualism. Ann Plast Surg. 1984 Dec;13(6):473-81. PMID: 6524842
The increasing use of surgery for sex reassignment in the treatment of transsexualism is described. The author’s early experience over a twenty-year period with the Gender Identity teams at The Johns Hopkins University and The University of Virginia is summarized. Many of the reasons for slow acceptance of this type of surgery by many members of the medical profession are analyzed. The satisfactory subjective results described by patients who have received sex reassignment continue to exceed the results obtained by other methods. The author concludes that further study of surgical treatment is justified, but that it should be limited to established multidisciplinary teams working in academic settings. Physicians are urged to withhold judgment on the role of surgery in gender disorders until they have had significant personal experience with these desperate and complex patients.
Edgerton MT Jr, Langman MW, Schmidt JS, Sheppe W Jr. Psychological considerations of gender reassignment surgery. Clin Plast Surg. 1982 Jul;9(3):355-66. PMID: 7172587
Edgerton MT, Sheppe WM Jr, Turner UG 3rd, Thorup OA. Transsexualism. An insight into the power of psychologic gender–a panel discussion. Pharos Alpha Omega Alpha Honor Med Soc. 1978 Oct;41(4):31-6. PMID: 724795
Turner UG 3rd, Edlich RF, Edgerton MT. Male transsexualism–a review of genital surgical reconstruction. Am J Obstet Gynecol. 1978 Sep 15;132(2):119-33. PMID: 356612
Transsexualism is a poorly understood, uncommon, and controversial entity of recent interest to the lay public and medical profession. Important features of the condition are discussed, surgical procedures for genital conversion in male transsexuals are compared, and our experience at the University of Virginia where 53 patients have been treated surgically is presented. All patients have made satisfactory postoperative psychosocial adjustment despite a surgical complication rate approaching 50 per cent. It is concluded that alternative (better) surgical procedures for male transsexuals should be explored.
Bralley RC, Bull GL, Gore CH, Edgerton MT. Evaluation of vocal pitch in male transsexuals. Commun Disord. 1978 Sep;11(5):443-9. PMID: 730836
A 49-year-old male-to-female transsexual was administered voice therapy following surgery. Tape recordings were made of her speech prior to and each week during therapy. Selected sentences from these reocrdings were analyzed. Results indicate that changes in both fundamental frequency and perceptual judgments of femininity were statistically significant and supportive to the client. The voice of the client was still discernible from that of a female speaker, although less so than before therapy. It is suggested that a composite treatment program combined with laryngeal modification through surgical intervention may be necessary.
Thomson JA Jr, Knorr NJ, Edgerton MT Jr. Cosmetic surgery: the psychiatric perspective. Psychosomatics. 1978 Jan;19(1):7-15. PMID: 622436
Edgerton MT. Liquid silicone injections to improve scars: is this a solution to the problem? Clin Plast Surg. 1977 Apr;4(2):311-9. PMID: 852228
Edgerton MT. The surgical treatment of male transsexuals. Clin Plast Surg. 1974 Apr;1(2):285-323. PMID: 4609668
Edgerton MT. Transsexualism–a surgical problem? Plast Reconstr Surg. 1973 Jul;52(1):74-6. PMID: 4713823
Edgerton MT, Bull J. Surgical construction of the vagina and labia in male transsexuals. Plast Reconstr Surg. 1970 Dec;46(6):529-39. PMID: 4923947
Edgerton MT, Knorr NJ, Callison JR. The surgical treatment of transsexual patients. Limitations and indications. Plast Reconstr Surg. 1970 Jan;45(1):38-46. PMID: 490284
Knorr NJ, Hoopes JE, Edgerton MT. Psychiatric-surgical approach to adolescent disturbance in self image. Plast Reconstr Surg. 1968 Mar;41(3):248-53. PMID: 5644617
Knorr NJ, Edgerton MT, Hoopes JE. The “insatiable” cosmetic surgery patient. Plast Reconstr Surg. 1967 Sep;40(3):285-9. PMID: 6037160
Turner, Edlich & Edgerton, 1978
Dept. of Obstetrics, Gynecology and Plastic Surgery, University of Virginia Medical Center, Charlottville, VA, USA
In structure and representation this publication is closely related to the one of Edgerton & Meyer (1973), that is, it is no follow-up study with reliable data. Related are mostly surgical techniques for MFTs and surgical complications. Under historical viewpoints it is an interesting statement that Edgerton was already in 1963 the director of the Johns Hopkins Gender Identity Clinic in Baltimore, MD, while everywhere else the founding of this institution is generally dated two years later. Also it is interesting that a psychologist is given a key role or a veto right to the indication to surgery. For the rest, the necessity for a successful one-year-long “Real-Life-Test” as it was already in Edgerton & Meyer (1973), the experimental surgical breast enlargement is recommended as a step if the patient and treatment provider are insecure regarding the stability of the female identity of the patient. In how far the statement: “The only justification for the ongoing evaluation of surgery as a definite treatment entity is that patients with this condition have proved resistant to psychotherapy and drug therapy” (p. 121) is a general postulate or if the corresponding possibility has been tested with those who underwent surgery is not to be discerned by the publication.
It is reported about 53 gender reassignment surgeries of MFTs that Edgerton made after changing from Baltimore to Virginia.
Forty seven females came to the follow-up study in the first year after surgery. Globally it is said that all were subjectively happy and self-secure and socially better adjusted. “Psychological testing has substantiated these subjective claims” (p. 128). Suicide attempts after surgery or desires to role re-reversal were not observed. Eighteen females had gotten married and six had adopted children.
In the series of the first 20 surgically treated, 14 females required corrective surgery; in the series of the second 20, only eight. The most frequent complication was the stenosis of the vagina. Injuries of the urethra or rectum with corresponding fistulae did not occur.
References
Smith, Harrison (July 16, 2018) Milton Edgerton, trailblazing plastic surgeon for children and transgender patients, dies at 96. Washington Post. https://www.washingtonpost.com/local/obituaries/milton-edgerton-trailblazing-plastic-surgeon-for-children-and-transgender-patients-dies-at-96/2018/07/16/28bcae0a-8836-11e8-8aea-86e88ae760d8_story.html
American Society of Plastic Surgeons (May 22, 2018). Craniofacial groundbreaker Milton Edgerton, MD, passes at age 96. https://www.plasticsurgery.org/for-medical-professionals/education-and-resources/publications/psn-extra/news/craniofacial-groundbreaker-milton-edgerton-md-passes-at-age-96
Morgan RF, Morgan EA (2019). Milton T Edgerton, MD: A Pioneer of Surgery of the Hand. Journal of Craniofacial Surgery: March/April 2019 – Volume 30 – Issue 2 – p 303–305 https://doi.org/10.1097/SCS.0000000000005063
Resources
Archival contact information:
- University of Virginia Medical Center, Gender Identity Clinic, P. O. Box 376 Charlottesville, VA 22908 USA
- Phone: (434) 924-5068