doi: scalp replantation and reconstruction: a thirty-six year experience. Recovery typically takes about two weeks. Sheckter CC, Li A, Pridgen B, Trickey AW, Karanas Y, Curtin C. The impact of skin allograft on inpatient outcomes in the treatment of major burns 20-50% total body surface area - A propensity score matched analysis using the nationwide inpatient sample. It is a complex surgery that typically requires multiple procedures. Microsurgery. Karp and Pu, eds. Always caring and understanding of my needs with quick responses. Please see our patient guide page to learn about: At OHSU, our gynecologic surgeon, Dr. Lishiana Shaffer, specializes in hysterectomies (uterus and cervix removal; often combined with oophorectomy, or ovary removal) for gender-diverse patients. Aesthet Surg J. Dr. Buntic is the head of the division of microsurgery at California Pacific Medical Center. 2019 Dec; 72(12):2056-2063. Recognized and respected throughout the medical community as one of the most experienced surgeons working in gender reassignment surgery in the world Dr. Kamol currently performs more than 500 male-to-female sex . (2011), Fujino T, Leslie JH, Eavri R, Chen JL, Lin WC, Flanders GH, Borok E, Horvath TL, Nedivi E. CPG15 regulates synapse stability in the developing and adult brain. 2009 Dr. Watt graduated Summa Cum Laude with a BS in Biology from Indiana University in Bloomington. We recommend that prospective patients leave the non-dominant forearm clear of tattoos if they have thoughts of desiring phalloplasty in the future. Dr Keith (New Jersey): same, except his wait list which is a little bit longer. 2009 Nov 20;105(11):1072-82. short-gap sensory nerve injuries reconstructed with processed nerve allografts Replantation. Watt AJ, Ching RP, Huang JI. Microsurgery. Despite the repeated failure of phalloplasty experiments, Dr. Crane seems to harbour a grandiose fantasy of himself as a great creator of new human . However, because the size of the new penis ranges from 4 to 9 centimeters, most patients cannot penetrate during sexual intercourse. Chen's wait time is VERY long. Simultaneous double second Rinker BD, Ingari JV, Greenberg JA, Thayer WP, Safa B, Buncke GM. 2017 Initial Management of Traumatic Digit Amputations: A Retrospective Study of Functional Outcomes.Ngaage LM, Oni G, Buntic R, Malata CM, Buncke G. Like Metoidioplasty, urethral lengthening,scrotoplastyand vaginectomy can be performed at the same time. Curtis Crane*, Ashley Deleon, and Richard Santucci Austin, TX Procedures: Vaginoplasty, Phalloplasty, Metoidioplasty Insurance: Private plans *Dr. Crane has settled 9 malpractice claims out of court regarding phalloplasty. Li S, Sun Y, Liang CP, Thorp EB, Han S, Jehle AW, Saraswathi V, Pridgen B, Kanter JE, Li R, Welch CL, Hasty AH, Bornfeldt KE, Breslow JL, Tabas I, Tall AR. Phalloplasty, or surgery to construct a penis, is one of medicine's most complex . Hand and Wrist: A Systematic Review and Case Report. News; Procedures; Surgeons; Account . Crane Center for Transgender Surgery now has offices in both San Francisco and Austin. 2010 Sep;35(9):1485-90. doi: 10.1016/j.jhsa.2010.05.012. Chin surgery (genioplasty), including reductive, implants or bone-cut options, Forehead reduction, including Type 3 sinus setback and orbital remodeling, Hairline advancement (done with the forehead), Lipofilling (transferring fat using liposuction and filling), Request for Transgender Health Services referral form. You are so lucky to have that kind of coverage omg, so glad for you! Can I used my dominant forearm (the forearm I write with or perform the majority of tasks with) for phalloplasty? Rinker B, Zoldos J, Weber RV, Ko J, Thayer W, Greenberg J, Leversedge FJ, Safa Alghoul MS, Gordon CR, Yetman R, Buncke GM, Siemionow M, Afifi AM, Moon WK. Hormone treatment may not result in fat distribution consistent with your gender. A native of Canada, his clinical interests include reconstructive microsurgery with a focus on reconstruction of traumatic injuries and defects caused by cancer. toe to digit transplantation: restoration of form and function. Surg. USE of arterialized saphenous vein ELY_M Junior Member. Rarely, prior injury or current diseases can impact on the suitability of the arm as a donor site check with your surgeon if you have any questions. Levi K, Ichiryu K, Kefel P, Keller J, Grice J, Belson O, Storne E, Safa B. Comparing the effects of single shot sciatic nerve block versus posterior capsule local anesthetic infiltration on analgesia and functional outcome after total knee arthroplasty: a prospective, randomized, double-blinded, controlled trial. He graduated from Northwestern University in the Honors Program in Medical Education where he received his Bachelors and Medical Degrees. Epub 2008 Aug 29. These flaps heal well with good sensation due to robust blood supply and innervation. J Hand Surg Am. Outcomes of short-gap sensory nerve injuries reconstructed with processed nerve allografts from a multicenter registry study. Most surgeons leave a long sliver of erectile tissue called the corpora cavernosa behind. Biomechanical evaluation of metacarpal fracture fixation: application of a 90 internal fixation model. Elife. Powered By MyBB, 2012-2023 Trans Media Network. I had forearm phallo with Dr. Crane on May 21, 2014, meaning I am six months post-op now. 2014 Feb;218(2):308-9. doi: To remove the bodys source of testosterone, As part of a vaginoplasty or vulvoplasty (surgeries that create a vagina and/or vulva), To relieve dysphoria (some patients choose only this surgery). correlation. Functional outcome following nerve repair in the upper extremity using processed We encourage patients to keep at least one ovary to preserve fertility without egg freezing. Dr. Crane also accepts credit/debit cards, cashier's check, money order, wire transfer and medical financing via CareCredit. The scars from the pubic phalloplasty are far less conspicuous and the procedure itself involves shorter stays in hospital though generally more of them and spread out over a longer . 2012 Nov;37(11):2340-9. doi: The only shadow is that I dont know his price Would have been too perfect right? I share in this episode the 3 stages of RFF phalloplasty that Dr. Berli at OHSU is using. 1. Dr. Safa is an internationally renowned reconstructive microsurgeon and hand surgeon at the Buncke Clinic, widely considered to be the birthplace of microsurgery. Epub 2013 Feb 18. J Am Coll Surg. Hazani R, Buntic RF, Brooks D. Patterns in blast injuries to the hand. Urology 216.444.5600. Parrett BM, Bou-Merhi JS, Buntic RF, Safa B, Buncke GM, Brooks D. Refining Use of the subscapular system by maintaining unilateral decubitus placement without repositioning in microvascular free tissue transplantation. The second is an inflatable prosthesis that you pump to achieve an erection. surgery in patients taking clopidogrel (Plavix). Data regarding demographics, operative techniques, and complications were collected and analyzed. Dr. Litwin is Co-Director of the UCLA Gender Health Program, Chair & Professor of UCLA Urology, Professor of Public Health and Nursing. Gladys Ng and Mark Litwin Los Angeles, CAProcedures: Vaginoplasty, MetoidioplastyInsurance: CA Medicaid, Private Plans, Dr. Anh Nguyen Houston, TXProcedures:Phalloplasty (no microsurgery), Vaginoplasty, MetoidioplastyInsurance: Medicare, Private Plans, Drs. Ear, Lip, and Tongue Replantation. Hormone therapy can bring out desired traits, but it cant change the underlying structure or remove hair follicles. It is unusual even in really lean patients, for the arm to be deemed too thin as a donor site. 2016 May;32(2):127-40. doi: 10.1016/j.hcl.2015.12.012. The best advice I can give to people who are about to receive this surgery is don't doubt. More closely align their bodies with their gender identity. Microsurgical reconstruction of the burned hand. Our surgical team includes microsurgeons and we perform free flap Phalloplasty. Traumatic Digit Amputations: A Retrospective Study of Functional Outcomes. Morrison SD, Shakir A, Vyas KS, Kirby J, Crane CN, et al. In Artificial Intelligence in Medicine. Oregon Health & Science University is dedicated to improving the health and quality of life for all Oregonians through excellence, innovation and leadership in health care, education and research. Althubaiti G, Buntic R, Brooks D. The utility of multimedia in the diagnosis Woon CY, Kraus A, Raghavan SS, Pridgen BC, Megerle K, Pham H, Chang J. Three- dimensional-construct bioreactor conditioning in human tendon tissue engineering. Let me introduce myself, I'm Gabriel, I'm 21 and I'm 9 months on T. As for pretty much everything in my life, I've done every step of my transition really fast (i came out in march 2020, started T on July 2020, change all my ID papers and had my top surgery in January-February 2021). The letterof support needed for some surgeries, with a gender-neutral space. So I know I will have to go at least to UK, but most probably to US, and there is so much surgeons I dont know who to choose. The most common, and the gold standard, is penile inversion vaginoplasty. A surgeon removes thyroid cartilage at the front of the throat to give your neck a smoother appearance. Jun is broadly trained, having completed fellowship training in both reconstructive urology and Gender Affirming Surgery. 2010 Nov;126(5):1630-8. doi: J Hand Survey of Plastic Surgery Residents and Fellows. Buntic, RF, In Mixillofacial Surgery. If you have any comment, suggestion, advice, new surgeon name, or even better, if you had surgery yourself with one of these surgeons (or not, any story is welcomed) and could share your experience with me, it would be amazing. Cross-leg flaps: preferred alternative to free The thickness of the skin and sub-cutaneous fat are important factors in determining the if the ALT flap is indicated. Correct name and gender on all records and print-outs (wristbands, orders, lab results, etc . Than 25 mm in the Hand. Tumblr and Reddit are also popular for public info sharing. Hammert W, Murray P. Hand Surgery Update VI, Nerve Substitutes: Conduits and Processed Nerve Allograft. Booking a Consultation 2017 Jun;78(6S Suppl 5):S292-S295. I also had testicular and penile implant surgery on April 30, 2015. He is board certified by the American Board of Plastic Surgery with a certificate of added qualification in Hand Surgery (CAQ). Thanks again for your comment, I appreciate it so much (and thank you for the compliment huhu). 2010 Nov;126(5):1630-8. doi: 10.1097/PRS.0b013e3181ef8ea3. Posts: 1 Threads: 0 Joined: Feb 2014 Reputation: 0 #11. OHSU offers nullification surgery to create a gender-neutral look in the groin area. replantation. Dr. Watt was selected for postgraduate training in Plastic & Reconstructive Surgery at Stanford University, where he excelled graduating in 2011. Dr. Pridgen completed medical school at Stanford University. simultaneous use of autogenous tissue and identical twin isograft. Most surgeons use tissue from the forearm. Mang Chen, M.D. doi: 10.1016/j.hcl.2014.07.004. So I randomly found this thread again and thought I would give an update. Anastomosis to the common and proper digital vessels in free flap soft tissue Medicare, Medicaid, Tri-Care, Kaiser, Ambetter and Oscar Health are not accepted. J. Neurosci. Drs. Epub 2011 Nov 28. J Hand Surg Am. Dr. Purohit is the Director of Reconstructive Urology at Mount Sinai and Dr. Djordjevic, a world-renowned transgender surgeon based in Serbia, joined our department in August 2019. Dr. Crane will solve everything. Transverse tensor fascia lata myocutaneous flap for microvascular breast reconstruction: case report and review of the literature. We perform a wide variety of procedures, including both trans masculine and trans feminine surgeries. We dont require a year of social transition. Review. 2001-2022 Oregon Health & Science University. Resources Phalloplasty Results Dr. Curtis Crane. . The most important thing for me is being able to have sex the way I want = to be able to erect. Diaz-Abele J, Safa B, Buntic RF, Islur A. Microsurgery. The surgeon uses a thin incision, tucked into a neck line or fold. Dec;124(6):460e-1e. By accepting all cookies, you agree to our use of cookies to deliver and maintain our services and site, improve the quality of Reddit, personalize Reddit content and advertising, and measure the effectiveness of advertising. These procedures can help improve quality of life, comfort, and confidence. He then completed a combined orthopedic and plastic surgery fellowship in hand and upper extremity surgery at the University of Washington in Seattle, a renowned center for hand and upper extremity fellowship training due to its high volume of complex hand trauma. Dr, Phalloplasty and metoidioplasty - overview and postoperative considerations, I also asked Dr, MD is a board-certified plastic surgeon in Austin, Photos show ALT Phalloplasty results at 1-18 months post-op, Curtis Crane Dr, but phalloplasty has a much longer pool of possible risks and complications tied in with it that metoidoplasty doesn .. At OHSU, expert urologists do orchiectomies (testicle removal). He has particular interest in advancing care in microsurgical reconstruction of the extremities, breast, and lymphatic systems. Plastic surgeons, urologists and other specialists who are leading experts in bottom surgery, top surgery and other gender-affirming options. Reducing or removing the scrotum (scrotectomy). Radial Forearm Flap Phalloplasty (RFF) Radial forearm flap (RFF) is the most common type of FTM phalloplasty. You can choose between the malleable rod or 3-piece inflatable penile implants. The rare complications that affect arm or hand function may be more profound if they occur in your dominant arm. Some patients have an ulnar artery that is not adequate for supporting blood flow to the hand. B, Buncke G. Use of Processed Nerve Allografts to Repair Nerve Injuries Greater Free Transverse Upper Gracilis Breast Reconstruction. If in-network, the consultation fee is the same as the specialist co-pay. PubMed He is an absolute stand-up guy -- direct, patient, thorough, friendly, knowledgable. Cureus. Brooks D, Buntic RF, De Jesus R. Creation of a four-joint-digit after second We offer: We offer many gender-affirming surgery options for transgender and nonbinary patients, including options within the following types. Dr. Rudy Buntic is a plastic, hand and microsurgeon. 2. Dr. Crane is one of only a few surgeons in the world who is trained as both a plastic surgeon and urologist and has also completed fellowships in . He did a fellowship in hand and microsurgery at Davies Medical Center in San Francisco with Harry and Gregory Buncke. In Atlas of Reconstructive Breast Surgery. 2016 May;36(4):345-50. doi: 10.1002/micr.22411. Clin Plast Surg. NSFW. In the United States, the two most commonly performed phalloplasty procedures are Radial Forearm (RF) and Anterolateral Thigh (ALT). 2014 Nov;30(4):445-57, vi. Early during my surgical training, I learned an important fact: Whenever multiple surgical options exist for one problem, it means that no option is perfect. Dr. Crane accepts insurance and is in-network with Cigna PPO, Blue Cross Blue Shield PPO, Commercial United Healthcare PPO, and Employer Health Network (Whole Foods). This will allow the tissue some time to adapt the new blood supply before being moved to the new location, usually about 4-6 months. Laub DR (Ed. Dr. Curtis Crane is a board-certified plastic surgeon who has a very unique background: he is one of the worlds only surgeons who is trained as both a plastic surgeon and reconstructive urologist with fellowship training in transgender surgery. infection of a penile prosthesis results in serious medical consequences for the bearer, requiring complete removal of the device and permanent loss of penile size and anatomy. Early during my surgical training, I learned an important fact: Whenever multiple surgical options exist for one problem, it means that no option is perfect. I was born deaf and and use sign language. Carey JN, Sheckter CC, Watt AJ, Lee GK. Gruber RP, Shih HB, Lin WC. Since 2012, Dr. Crane and his team have performed more than 600 Phalloplasty surgeries. the skin is thicker so it can bare more easily an erectile implant, plus good potential for urethroplasty. *The delayed flap is an additional step in the ALT Phalloplasty outlined above. 5. Phalloplasty and metoidioplasty - overview and postoperative considerations. 10.1097. reconstruction of the hand. 2011 Jan;31(1):72-80. We rarely perform Latissimus (MLD) flaps because some limitations of that flap, in our eyes, makes the RF and ALT preferable. I also had testicular and penile implant surgery on April 30, 2015. 2008;28(8):617-22. doi: 10.1002/micr.20578. mixed, and motor nerve reconstructions. Patel RA, Jablonka EM, Rustad KC, Pridgen BC, Sorice-Virk SS, Borrelli MR, Khosla RK, Lorenz HP, Momeni A, Wan DC. It also provides New York City geometric surveys to out of state truckers. 10.1097/PRS.0b013e3181ef8ea3. Surgical exposures of the hand. Gender Related Genitourinary Reconstruction: surgeries include phalloplasty, metoidioplasty, urethroplasty, scrotoplasty, fistula repair, vaginectomy, prosthetics . A Preliminary Assessment of the Utility of Large-Caliber Referrals and appointments are made through the OHSU Center for Women's Health, though the space is not in the center. Yes, most online phallo conversations are happening in private spaces: predominantly Facebook groups and mailing lists. Dr. Crane is one of only a few surgeons in the world who is trained as both a plastic surgeon and urologist and has also completed fellowships in reconstructive urology and transgender surgery, amounting to more than 10 years of post-medical school surgical training. Which flap provides a phallus that most resembles a cis-gendered phallus? We also offer a Transgender Gynecology Clinic with a gender-neutral space. Dr. Crane can use one of three different donor sites: forearm (RFF), thigh (ALT) or back (MLD). Since 2012, Dr. Crane and his team have performed more than 600 Phalloplasty surgeries. We do more than just perform surgery. I want to keep my original equipment. RFF Stages For Phalloplasty by Dr. Berli from OHSU. nerve allograft. reconstruction: a multicenter study of utilization and outcomes in sensory, J Lipid Res. But this can leave a significant scar on the arm. An observational J Hand Surg Am. At Mount Sinai, we can take tissue from the lateral chest wall to create a new penis. Plast Reconstr Surg. 2012 Mar;28(3):189-93. doi: 10.1055/s-0031-1301070. Dr. Joshua Schindler, an ear, nose and throat doctor who does Adams apple and vocal surgeries, completed his training at Johns Hopkins University. We usually insert this as a final-stage surgery, once youve healed from earlier procedures. Boyd JB, Jones NF. Rounds K, Buntic R, Brooks D. Artery-vein-artery venous flap for simultaneous In an office or an operating room: Our team can do a laryngochrondoplasty in either setting, which may limit a patients out-of-pocket expenses. 2008;28(8):623-7. doi: 10.1002/micr.20577. MetoidioplastyInsurance: Many private plans, Medicare, NJ Medicaid and Medicaid Managed PlansDr. Ann Plast Surg. The surgical technique currently recommended by the team at GrS Montral is phalloplasty by forearm free flap. For others, vocal surgery can be added to raise the voices pitch. We offer liposuction and fat grafting to reshape areas of the body. print], Berger I, Goodwin I, Buncke GM. Epub 2011 Nov 28. Dr Bouman & Dr Buncamper (The Netherlands): same but I wasnt able to find any photos. I had phalloplasty surgery with Dr. Crane on February 3, 2014. Hand Good question. Epub 2011 Sep 21. Review. Sep;12(5):NP121-NP126. His research focuses on improving quality of care in urologic oncology. 12. Devin OBrien-Coon and Arthur Burnett Johns Hopkins University, MDProcedures: Vaginoplasty, PhalloplastyPrivate Insurance: Many private plansPublic Insurance: MD State Medicaid, Out-of-state Medicaid, Dr. Joseph Pariser University of Minnesota, MNProcedures: Vaginoplasty, PhalloplastyInsurance: Call to inquireDr. If the perfect procedure existed for all . I'm happy as hell with my results. Skin graft loss resulting from collagenase clostridium histolyticum treatment of Dupuytren contracture: case report and review of the literature. Buntic RF in Reconstructive Surgery: Anatomy, Technique and Clinical Applications. doi: 10.1002/micr.20575. A variation of the surgery may permit urination while standing. 134. Basic Science of Tendon Healing. The donor site is thin and supple allowing the flap to be easily tubed and shaped into a phallus, and the relatively hairless skin provides erogenous sensation and often allows urethral reconstruction in a single stage. Katherine Gast MD Assistant professor of plastic surgery . We usually recommend a year of hormone therapy first, to shrink the uterus. We do nearly all these surgeries with a minimally invasive laparoscope and small incisions in the belly. We also offer a Transgender Gynecology Clinic with a gender-neutral space. 2010 Mar;63(3):e310-1. I booked a consult earlier last month-- it isn't until December 2022. Dr Christopher & Dr Ralph (London): didnt find any information about the price nor the current wait list, but the results are pretty good and they perform combined ALT/forearm phalloplasty. Diaz-Abele J, Hayakawa T, Buchel E, Brooks D, Buntic R, Safa B, Islur A. Anastomosis to the common and proper digital vessels in free flap soft tissue reconstruction of the hand. The surgeon creates a small controlled scar between the two vocal cords, shortening them to increase tension and raise pitch. The ideal phalloplasty criteria proposed by Hage et al. 2014 Jun;29(6):1149-53. doi: 10.1016/j.arth.2013.11.020. Without prior fertility treatment, orchiectomy also ends the ability to produce children. I want to keep my original equipment. 10.1016/j.bjps.2009.06.035. Outcomes of The surgeon uses a thin incision, tucked into a neck line or fold. He graduated from the University of Virginia as an Echols Scholar and then obtained his MD from the Stanford University School of Medicine. Swanson JW, Watt AJ, Vedder NB. 2019 Feb; 45(1):146-156. 02-08-2014, 11:16 PM . Dr. Crane sometimes performs a "delayed flap" procedure for stage 1 with ALT Phalloplasty, improving the donor site's vascularity prior to creation of the phallus in stage 2. Thom Loree and Mark Burke University of Buffalo, NYProcedures: PhalloplastyInsurance: Most public and private insurance including Medicaid plans, Drs. 216.444.6771. from the The University of Michigan School of Medicine. Hand (N Y). injury: an excellent indication for the dorsal thoracic fascial flap. Eds. Because of a possible link between hysterectomy and higher risk of cardiovascular disease, your doctors may recommend regular tests. Mark S. Litwin, MD. Min Jun, Angela Rodriguez, and Michael Safir San Francisco, CAProcedures: Vaginoplasty, Robotic Peritoneal Vaginoplasty, Phalloplasty, MetoidioplastyInsurance: Many private plans, CA Medicaid (Medi-Cal), Dr. Stanton Honig*Yale School of Medicine, CTProcedures: VaginoplastyInsurance: Many private plans, Medicare, CT Medicaid plans*Please see this poor experience review, Dr. Jonathan Keith Private Practice, NJProcedures: Vaginoplasty, Phalloplasty. (2011), Fujino T, Wu Z, Lin WC, Phillips MA, Nedivi E. cpg15 and cpg15-2 constitute a family of activity-regulated ligands expressed differentially in the nervous system to promote neurite growth and neuronal survival. This was followed by a full three-year residency in plastic and reconstructive surgery at the University of Texas Health Science Center in San Antonio, Texas. Tissue Eng Part A. Brownstein & Crane Surgical Services was re-named the Crane Center for Transgender Surgery in 2019. Unlike some other surgeries, however, there is a fairly high risk of complications associated . Results: A total of 101 patients with a mean age of 30.2 years were included. In, Global Reconstructive Surgery. Another option is the suprapubic phalloplasty, where we use tissue from the area above the groin. An in-person consultation is not required for booking a surgery date. doi: 10.1097/PRS.0b013e3181bcf253. She does more than 150 a year. In addition to the standard Glansplasty procedure, Dr. Crane also offers a glans implant that's designed to better maintain the coronal ridge of the glans. Since 1997 Dr Kamol has performed over 10,000 procedures on transgender patients and over 5,000 sex reassignment surgeries (SRS). While a resident, Dr. Watt received the recognition as the Department of Surgeries Critical Care Resident of the Year. We have no waitlist and have vast experience working with insurance companies. 2009 Mar;4(1):44-9. doi: 10.1007/s11552-008-9125-z. Posts: 1 Threads: 0 Joined: Feb 2014 Reputation: 0 #11. Our urology team approach lets us remove all penile erectile tissue while preserving the neurovascular bundle. *We would be happy to schedule a consultation for patients under the age of 18, however, we will not perform bottom surgery on patients under the age of 18.