(04-25-2015, 10:37 AM)Joshua Wrote: Obrigado, Paulo! I appreciate you returning to report back on what you found out.
Have you considered Dr. Ivan Mañero in Barcelona? I think he primarily does RFF phalloplasty but maybe he's also open to performing other procedures.
I will enter the information I got by email Dr Ivan Mañero. If not allowed to disseminate the values, please edit.
"The multi-specialty surgical team we have assembled for you in Mexico is
outstanding and really is a TEAM. Headed by Dr Ivan, he speaks excellent
English and is a reconstructive urologist, NOT a general or plastic surgeon turned SRS surgeon! Dr Ivan was recently invited to be a guest surgeon with the well-respected Dr Marcie Bowers in California. His skilled SRS team includes a general surgeon and a plastic surgeon.
First, know that we do abide by the WPATH standards for transgender
surgery. The standards for FTM are...
1. Minimum 1.5 to 2 years on hormone/testosterone therapy
-- testosterone causes the clitoris to grow, making for a bigger penis.
2. Living min of one year as a male
3. Letter from psychotherapist stating gender dysphoria
4. Healthy and fit for surgery (HIV & HEPATITIS negative)
The Phalloplasty is a 3-stage procedure and is a less expensive
alternative to microsurgical phalloplasties that uses conjoined bilateral
pedicled groin flaps.
The final penis size depends on the patient but averages just over 4
inches long by 1.75 inches wide. (7-10 cm). Scars are easily concealed by
underwear or a swimsuit.
Patients can stand to urinate, and sexual intercourse with a partner is
also possible. Erotic sensation and orgasm continues to be provided by the
clitoris preserved at the base of the neophallus. Patients report tactile
sensation in the bottom half of the penis.
Implantation of a malleable erectile prothesis are required, but
inflatable devices are not possible.
Surgery Stages (3 months apart)
- Stage One - Phalloplasty, create penis (using abdomen)
- Stage Two - Vaginectomy, Urethroplasty
- Stage Three - Penile and testes Prothesis Implantation
This three-stage procedure has a higher risk of complications and
reconstruction is long process. There is more healing time after each
stage and each surgery takes 5-7 hours! It can be taxing on the body,
just keep this in mind.
Surgery Costs:
Total for all stages of Kim FTM Phalloplasty is approximately $15,500 USD.
- Stage One requires seven nights stay in hospital - approx. $8,000 USD
- Stage Two requires 3-4 nights in hospital - approx. $3,500 USD
- Stage Three requires 3 nights in hospital - approx. $4,500 USD
The Metoidioplasty is a faster transformation...
Metoioidoplasty alone $ 5,000 USD
Complete Metoidioplasty : $ 10,000 USD
1. Liberate the clitoris
2. Urethra formation
3. Vaginectomy (hysterectomy too)
4. Prosthetics (testes)
5. No penile prosthetics at original surgery.
6. Penis will be 5-7 cm
It doesn't require a second surgical site and can later be converted to a
phalloplasty, if needed.
Patients have the ability to urinate while standing, it preserves erotic
sensation and can be combined with hysterectomy. It requires 4 days in
hospital and you need to stay 14 days post op discharge.
A hysterectomy can be performed at just about any stage. The cost is an additional US$4500 performed Laporoscopically.
You will have full nursing support both in the hospital and they will attend to you everyday in your hotel room once you are discharged, helping you with sterile bandage changes, hygiene, support and generally be the surgeon's eyes between your post-op visits to him. We want you home on time, on budget and well-healed!
You’ll learn more about all of the team as your journey with us
progresses. Once you are cleared to return home, the follow up should continue with your local doctor. "