GENDER AFFRMING SURGERY & RECONSTRUCTIVE UROLOGY
445 East 77th Street
New York, NY 10075
(212) 241-4812
Dr. Purohit presenting at the American Urological Association
Reconstructive Urologist & Gender Affirming Surgeon
Rajveer Purohit is the Director of Reconstructive Urology at the Icahn School of Medicine at Mount Sinai Hospital in New York City, and senior faculty in the Department of Urology. Dr. Purohit specializes in complex pelvic reconstructive surgery such as urethral strictures and fistula repair and gender affirmation surgery such as vaginoplasty, metoidioplasty and phalloplasty.
In 2018, Mt. Sinai appointed him co-director of its first fellowship in Reconstructive Urology that trains methods of gender affirmation surgery including vaginoplasty, metoidioplasty and phalloplasty.
Transgender & Urological Services
Quick Links
Introduction to Genital Gender Affirmation Surgery for Transgender Women
Introduction to Genital Gender Affirmation Surgery for Transgender Men
Introduction to Transgender Care
Phalloplasty Options
Resumption of Surgery and Office Visits
I want to thank my many patients who reached out to me over the last few months – it was profoundly moving and reminded me of how strong a bond I have been lucky to form with so many wonderful people many of whom just happen to also be my patients.
I am pleased to announce that we have resumed our full surgery schedule as of June 8 and our full schedule of regular office visits will resume as of June 22. We have made substantial changes to our practice including steps to minimize the risk of Covid exposure to patients and also will continue to offer telehealth visits in the future.
Rajveer Purohit MD, MPH
See Our Main Site At RajveerPurohitMD.com
Blog Posts Are Below:
Tag Archives: Transgender Surgery
F2M Female to Male Surgery: Metoidioplasty
During metoidioplasty, your surgeon creates a penis with the help of genital tissues that you already have. Prior to surgery, doctors suggest testosterone therapy to make the clitoris grow. Then, the surgeon will perform a metoidioplasty. This surgical procedure is less extensive than phalloplasty. After going through metoidioplasty, you can undergo a phalloplasty surgery. However, the process is non-reversible.
Dr. Purohit offers one of the best metoidioplasty surgeries in the United states for your gender affirmation. Patients should be 18 and older and have lived with their identified gender for at least 1 year per WPATH guidelines.
Metoidioplasty and other types of gender affiliation surgeries help gender diverse people to recognize and affirm their gender identity. The surgery of the genitals is called bottom surgery. Metoidioplasty is one of the bottom surgeries that creates a new penis by undergoing surgery on their existing genital tissues.
(Source)
Types of Metoidioplasty
When you decide to undergo metoidioplasty, the surgeon will ask you to choose from between four basic types of procedures:
Simple Release
Many surgeons also call the procedure simple metoidioplasty. In this method, the surgeon will release the connection of your clitoris from surrounding tissues. This method will increase the exposure and size of your penis. The simple release does not affect the vagina or create a new urethra.
Full Metoidioplasty
In full metoidioplasty, the surgeons will release your clitoris from the surrounding tissues and link it to the urethra with the help of neophallus. They might also remove your vagina through vaginectomy and add scrotal implants.
Ring Metoidioplasty
When the surgeon performs ring metoidioplasty, they will take skin from your vaginal walls. Then they will combine the flap with the labia majora and connect with the neophallus and urethra.
Centurion Metoidioplasty
In this method, the ligaments from the labia majora will spread around the labia. Then, the labia will surround the new penis. This method may provide extra girth
Eligibility for Metoidioplasty
When opting for surgery, surgeons will give you an option to think about the changes. To get ready for the surgery, you need to adopt various changes and explore the option medically and socially. People who undergo surgery already take measures for the change, such as chest surgery and supplements for hormones. Furthermore, to go through metoidioplasty surgery, you need to be 18 years old.
(Source)
How does this Procedure Work
This surgery requires 2-4 hours typically. However, the duration of the surgery also depends on the surgeon you select for the metoidioplasty procedure such as vaginectomy or not. You will need general anesthesia.
In addition to the metoidioplasty a scrotoplasty is often also performed. A phalloplasty may be considered after the metoidioplasty but typically it can take up to three to six months from the first surgery to another. After the surgery, most patients stay in the hospital between 1-2 days. This depends on your surgeon and how the procedure goes.
Results
After the surgery is complete, you will have 4 to 10 cm of a penis. However, penetrative sex with this length may be difficult. You can go through phalloplasty after the metoidioplasty. An implant after this may allow penetrative sex. With a successful metoidioplasty, you will experience a arousal and sensation in your penis.
Finding a Surgeon
The efficiency and accuracy of the surgery depend on the expertise of the surgeons. So you need to make sure that you are visiting a surgeon who is experienced and has the capabilities to perform your surgery.
Dr. Purohit will carefully analyze your condition and have a specialty to perform successful surgeries. Here are some qualities of our surgeon:
- Extensive experience and are highly trained
- You can find our success rate by communicating with our patients
- An extensive range of techniques and surgeries is offered
Conclusion
In short, metoidioplasty is a surgery that helps to create a penis from your genital tissues. In this procedure, you may consider a urethroplasty and vaginectomy. Having a scrotoplasty along with testicular implants is your choice. The procedure will create a 4 to 10 cm long penis. However, the sensitivity and erection will be normal.
When you undergo phalloplasty, you develop a longer penis with a similar procedure. But to experience an erection, various additional surgeries are necessary. You need to research all the methods and techniques before deciding the procedure. Although metoidioplasty is an expensive surgery, many insurance companies offer this surgery in their plan and we can help you get covered.
If you’re interested in the metoidioplasty procedure, contact top NYC reconstructive urologist Dr. Purohit for a private consultation:
Rajveer Purohit, MD, MPH
445 East 77th Street
New York, NY 10075
(212) 241-4812
Transgender Surgery
Do you want to learn more about transgender surgery? Numerous methods and techniques are used in gender affirmation surgery. For example, for top surgery in transwomen with smaller breasts, augmentation with implants can be successful to create a more feminine appearance. For transmen whose breasts are too large, a mastectomy or removal of breast tissue, is needed.
Surgery can treat a person’s gender dysphoria, help them live with confidence, and treat their distress and depression that the dysphoria causes. Gender affirmation surgery will not only help the person transition physically but emotionally as well.
(Source)
Why Transgender Surgery is Done
Surgery can help those are unable to be their true selves because the gender assigned at birth does not correlate to how they feel. Surgery is the most effective way to treat gender dysphoria but some may not go through surgery and may find that hormonal treatment adequately alleviates their gender dysphoria.
Mental Health Evaluation
Before proceeding with transgender surgery, you need to make sure you are mentally prepared. The World Professional Association of Transgender Health mandates that patients undergoing genital surgery such as vaginoplasty or phalloplasty have 2 letters from a trained mental health specialist to confirm that surgery is appropriate. The mental health counseling can also prepare you to cope with the stress and anxiety of the medical process. A professional who specializes in gender issues will guide you through the situation.
A gender mental health specialist needs to confirm that you have gender dysphoria. Gender dysphoria is a very specific condition that occurs when someone feels like they are in the wrong body, i.e., one that doesn’t align with their gender. This feeling can cause significant distress and depressed feelings.
After the therapist determines that you have gender dysphoria, they might recommend surgery and various other steps you can take to align yourself with your preferred gender. They will help increase mental satisfaction while reducing anxiety, depression, and other concerns you are facing.
(Source)
Hormone Therapy
Hormones control breast size, muscle mass, body hair, and many other gender-based characteristics. These are the secondary sexual characteristics, which your surgeon will help you manage.
When transmen transition with hormones they take various androgens (masculinizing hormones) or estrogens (femininizing hormones) for the transition. Masculinizing hormones such as testosterone help deepen their voice, enlarge the clitoris, grow their body and facial hair, and strengthen their muscles.
However, when a transfemale transitions estrogens can increase the tissue in their breasts, slow down facial and body hair growth, lower testosterone levels, and much more.
Most physical changes take time to accomplish, from a month to two or even three years. For instance, when transitioning transmen have to change the body’s muscle mass, the intensity of hair growth, etc. Hormone therapy will align your appearance with your preferred gender and reduce feelings of gender dysphoria.
However, hormonal therapy has some risks and health complications. You might experience blood clots, sleep apnea, weight gain, high blood pressure, infertility, heart diseases, liver enzymes, and other health issues. Furthermore, you frequently need to visit your doctor to make sure your treatment progresses according to plan.
Surgery
As part of their due diligence, surgeons make sure that you have gender dysphoria through letters from a mental health professional and have been living a life as your true gender for at least 1 year. After getting the necessary health and mental clearance, they will perform surgery. If your preferred gender is different from the one your parents assigned at birth, fully aligning your body with your preferred gender may require various surgical procedures. Your surgeon will give you the option of choosing between different surgeries and help you decide which ones you would prefer. They will explain the procedures and their effect on your quality of life after the surgery. Ideally surgeries have better results in terms of function and cosmetic appearance.
Different surgeries have varying risks of complications and success rates. You must choose after thoroughly studying the methods.
Conclusion: Consult Rajveer Purohit MD MPH About Transgender Surgery
When you undergo gender affirmation surgery, your health and post-surgery quality of life depends on the type of surgery you chose and the surgeon you pick. Most patients are satisfied with the result after going through the procedure but there are risks of complications. Hence, you must carefully choose your surgeon. By choosing a professional surgeon, you increase the success rate. Lastly, you need to visit your surgeon for post-operation guidelines and keep tabs on your progress.
If you feel like you are experiencing gender dysphoria, contact Dr. Rajveer Purohit for complete details about the procedure and benefits of gender affirmation surgery. He is a highly qualified and experienced surgeon who can help you with the surgery and any change that will help you live a life that reflects your gender.