Welcoming care for every patient, every gender and every journey. 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. Bauback Safa and Andrew Watt Bunke Clinic, CAProcedures: PhalloplastyPrivate Insurance: Many private plansPublic Insurnace: Medi-cal, some additional CA Managed Medicaid PlansDr. Its done through the mouth under general anesthesia. 10.1016/j.bjps.2009.06.035. 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. Some patients with higher BMI who have minimal thigh fat may also be candidates for ALT. This is certainly true for phalloplasty. Replantation. Removing the penis and testicles or the uterus also affects the ability to conceive a child. 2013 Apr;70(4):438-41. Scrotal skin is removed only if the patient specifically requests it. 2. 2008;28(8):612-6. doi: 10.1002/micr.20569. Cho MS, Rinker BD, Weber RV, Chao JD, Ingari JV, Brooks D, Buncke GM. Outcomes of short-gap sensory nerve injuries reconstructed with processed nerve allografts from a multicenter registry study. Dr. Lin is an attending Plastic Surgeon with subspecialization in reconstructive microsurgery and hand surgery. Surg Am. All rights reserved. OHSU is an equal opportunity affirmative action institution. injuries. 6 months post-op. This means that you will need: Financing & Insurance Vocal surgery with a highly trained ear, nose and throat doctor. 2013 Jan 22;2:e00491. Than 25 mm in the Hand. Note: Photos below show RFF Phalloplasty unless otherwise indicated. Brennan PA, Schliephake H, Ghalis GE, Cascarini L eds. Our urology team approach lets us remove all penile erectile tissue while preserving the neurovascular bundle. connector-assisted coaptation. Osinga R, Buncke HJ, Buncke GM, Meuli-Simmen C. Subdivision of the sural Chen's wait time is VERY long. If there is an unsatisfactory result or complication from any stage then this is normally corrected before moving on to the next . In Tissue Engineering for the Hand: Research Advances and Clinical Applications. Aesthet Surg J. 507(5):1831-45. 2017 Mar;37(3):256-263. doi: Hysterectomy is usually safe, and we have a low rate of complications. People who formerly had to travel to Belgrade for his world-class care can now have their surgeries done closer to home but still be monitored postoperatively here in New York. If you didn't say it wasn't your first language I wouldn't know any better. We also offer a Transgender Gynecology Clinic with a gender-neutral space. B, Parrett BM, Buncke GM. Ed. Dr. Crane performs Top Surgery,Metoidioplasty,Phalloplasty,Breast Augmentation, Orchiectomy,Vaginoplastyand Vulvoplasty. Another option is the suprapubic phalloplasty, where we use tissue from the area above the groin. Dr. Pridgen is a plastic and reconstructive surgeon. techniques for microvascular anastomoses. 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. Boyd JB, Jones NF. doi: 10.1002/micr.20813. Phalloplasty, like all surgeries, comes with the risk of infection, bleeding, tissue damage, and pain. Epub 2019 Jul 12. The team will help you with details informed by the WPATH Standards of Care. Epub 2011 Nov 28. 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. Dr. Safa serves as Clinical Assistant Professor of Surgery at both Stanford and UCSF divisions of plastic surgery. Cross-leg flaps: preferred alternative to free A Preliminary Assessment of the Utility of Large-Caliber OHSU also offers Adams apple enhancement surgery. 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. Removing the uterus also ends the ability to carry a child. Most patients spend one night in the hospital and return to their regular routine in about two weeks. Microsurgery. Initial Management of Traumatic Digit Amputations: A Retrospective Study of Functional Outcomes.Ngaage LM, Oni G, Buntic R, Malata CM, Buncke G. Ann Plast Surg. Miroslav Djordjevic, MD, a world-renowned gender affirming surgeon based in Serbia, joined our department in August 2019. Glansplasty Swanson JW, Watt AJ, Vedder NB. Login; Register; Name Submissions; Abboushi, Nour: Register to see more Risks can include: Removing the penis and testicles or the uterus also affects the ability to conceive a child. Also see: Phalloplasty Sensation & Nerve "Hook Up" - Interview with Dr. Crane, More information about Dr. Curtis Crane . 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. Transverse Upper Gracilis Flap: Expert Commentary. Dr. Crane is incredible. Dr Bouman & Dr Buncamper (The Netherlands): same but I wasnt able to find any photos. He graduated from Northwestern University in the Honors Program in Medical Education where he received his Bachelors and Medical Degrees. Technical Assessment of Connector-Assisted Nerve Repair. Nullification surgery cannot be reversed. offer options such as freezing eggs and connecting patients with a surrogacy service. Which flap provides a phallus that most resembles a cis-gendered phallus? 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. Drs. Required from patients before receiving GCS: Full payment, In-person surgical consultation (no remote . Dr Buntic is an Associate Professor Affiliated in Plastic Surgery at Stanford and on the Clinical Faculty of the University of California. doi: And now its your time to shine lmao. Jens Berli, Daniel Dugi, and Geolani Dy Oregon Health Sciences University, ORProcedures: Vaginoplasty, Robotic Peritoneal Vaginoplasty, Phalloplasty, MetoidioplastyInsurance: Many private plans, OR Medicaid, Medicare, Drs. Press J to jump to the feed. Tissue Eng Part C Methods. 2019 Dec; 72(12):2056-2063. 10.1097. from the The University of Michigan School of Medicine. We provide specialized services tailored to the needs and goals of each patient. Dr. Crane is available phone consultations and in-person consultations in Austin. Hazani R, Coots BK, Buntic RF, Brooks D. Bilateral breast reconstruction: the Brooks DN, Weber RV, Chao JD, Rinker BD, Zoldos J, Robichaux MR, Ruggeri SB, Scroll Scroll Scroll 1. A collection of searchable discussions that are focused on surgery information and support for trans masculine people. (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. After both of my surgeries, he spent 15+ minutes sitting in the waiting room talking to my nervous mom. I am so happy with my result! Dr Schechter who has a really good reputation, a short wait list, but I wasnt able to find any photos nor any information about the price. Any tattoo that is present on the portion of the flap donor site (thigh or arm) used for the phallus will be transferred to the phallus, in whole or in part. J Hand 2011 Oct; 17(19-20):2561-72. Ann Plast Surg. and management of acute and subacute problems in hand surgery. 10.1097/SAP.0000000000001037. After completing more than 10 years of post medical school surgical training in urology, reconstructive urology, plastic surgery and transgender surgery, Dr. Crane joined the world renowned Dr. Michael Brownstein in San Francisco to form Brownstein & Crane Surgical Services. Dr. Safa is an internationally renowned reconstructive microsurgeon and hand surgeon at the Buncke Clinic, widely considered to be the birthplace of microsurgery. Drs. Tang JB, Amadio PC, Guimberteau JC, Chang J (Eds. 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. At Mount Sinai, the Department of Urology has two expert gender-affirming surgeons, Dr. Rajveer Purohitand Dr. Miroslav Djordjevic. Epub 2015 Apr 20. Individuals who previously had to travel to Belgrade for world class care can now have their surgeries done closer to home and their family and continue to be monitored post-operatively in New York. He is also highly sought after internationally as a surgical educator and has trained hundreds of surgeons around the world in all aspects of microsurgery, peripheral nerve surgery, and hand surgery. soft-tissue repair and radial artery reconstruction: case report. Bari AS, Woon CY, Pridgen B, Chang J. Overcoming the learning curve: a curriculum- based model for teaching zone II flexor tendon repairs. Isaacs J, Safa B, Evans PJ, Greenberg J. Services include surgery. 2017 Jan;12(1):55-59. doi: 10.1177/1558944716646782. PMID: 32002465; PMCID: PMC6968540. The nurses were also phenomenal. doi: 10.1177/1558944717701237. 10.1097/PRS.0b013e318230c2b6. Mount Sinai Doctors 77th Street Urology, New York Eye and Ear Infirmary of Mount Sinai, The Blavatnik Family Chelsea Medical Center, Heart - Cardiology and Cardiovascular Surgery, Mount Sinai Center for Asian Equity and Professional Development, Preparing for Surgery and Major Procedures, Complications from Prostate Cancer Treatment, Center for Transgender Medicine and Surgery (CTMS), Robotic Kidney and Reconstructive Surgery. Ali Salim Kaiser Permanente, CAProcedures: Phalloplasty, Metoidioplasty, VaginoplastyInsurance: Kaiser, Dr. Christopher Salgado* Miami, FLProcedures: Vaginoplasty, PhalloplastyInsurance: Many private plans, Medicare*Please see negative press coverage, Dr. Thomas Satterwhite San Francisco, CAProcedures: VaginoplastyInsurance: Private Plans, Medi-Cal, Drs. Pridgen BC, Chang J. 2011 Aug;36(8):1339-42. doi: 10.1016/j.jhsa.2011.05.023. I plan to get t. Karp and Pu, eds. Dr. Crane expanded the surgical offerings of Brownstein & Crane to include bottom surgery procedures, assembling the most highly respected and extensively trained board-certified surgeons across multiple specialities, including General Surgery, Female Pelvic Medicine & Reconstructive Urology, Plastic & Reconstructive Surgery and Craniofacial Surgery. Please contact me with any additions or updates to this listing.Insurance information can change rapidly and should be verified with the providers office, Drs. For over a decade, Dr. Christopher Salgado has established himself as one of the leading specialists in Gender Confirmation Surgery (GCS). He remained at Stanford for residency training in plastic and reconstructive surgery. I just know I need it, and I am ready for it. Ducic I, Safa B, DeVinney E. Refinements of nerve repair with Raghavan SS, Woon CY, Kraus A, Megerle K, Choi MS, Pridgen BC, Pham H, Chang J. Allografts. Herrera FA, Lee CK, Brooks D, Buntic R, Buncke GM. Epub 2016 May 14. He received his M.D. 2013. At Mount Sinai, the Department of Urology has two expert gender-affirming surgeons, Dr. Rajveer Purohit and Dr. Miroslav Djordjevic. Hormone therapy can bring out desired traits, but it cant change the underlying structure or remove hair follicles. muscle flap: preservation of donor-site form and function. injury: an excellent indication for the dorsal thoracic fascial flap. Hand (N Y). . 2010 Sep;35(9):1491-6. doi: Mickelson DT, Noland SS, Watt AJ, Kollitz KM, Vedder NB, Huang JI. But this can leave a significant scar on the arm. USE of arterialized saphenous vein venous flow-through flaps as a temporizing measure for hand salvage in I have full mobility and strength back in my hand/wrist, and have had for some time now. Forte AJ, Huayllani MT, Sisti A, Boczar D, Ciudad P, Manrique OJ, Buntic RF. 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. See reviews, photos, directions, phone numbers and more for the best Crane Service in Cranbury, NJ. 2012 Nov;37(11):2340-9. doi: PubMed, Trovato MJ, Scholer AJ, Vallejo E, Buncke GM, Granick MS. eConsultation in During said consult they told me that on average, surgeries are booked 5-6 months out of when you hand in your required letters and any relevant insurance or other payment information. Pridgen BC, Chang J. AI in Healthcare from an Academic Surgeons Perspective. Transverse tensor fascia lata myocutaneous flap for microvascular breast reconstruction: case report and review of the literature. Partial muscle harvest: our first 100 cases attempting Booking a Consultation Dr. Jun's special interest is robotic-assisted Peritoneal Flap Vaginoplasty, as well as Metoidioplasty and Phalloplasty. Buntic, RF, In Mixillofacial Surgery. 2008;28(6):397-402. doi: 2012 Apr;68(4):389-90. doi: 10.1097/SAP.0b013e318242e114. Microsurgery. Body Feminization, Body Masculinization, Vaginoplasty, Scrotoplasty, Phalloplasty. Loren Schecter and Ervin Kocjancic Chicago, ILProcedures: Vaginoplasty, Robotic Peritoneal Vaginoplasty, Phalloplasty, MetoidioplastyInsurance: Many private plans, Medicare, Drs. Dr. Crane performs Phalloplasty at the Austin location exclusively. Functional outcome following nerve repair in the upper extremity using processed Epub 2016 Dec 30. Review. Plast Reconstr Surg. Good question. The approach can decrease pain with arousal and ensure that you do not have a swollen mass in the vagina after surgery. To make the penis erectile and stiff, a penile implant is inserted. 14(5):587-94. 2011 Dec;128(6):607e-13e. Dr. Crane follows WPATH guidelines for surgery. Sep;12(5):NP121-NP126. MetoidioplastyInsurance: Many private plans, Medicare, NJ Medicaid and Medicaid Managed PlansDr. These procedures can help improve quality of life, comfort, and confidence. Woon CY, Pridgen BC, Kraus A, Bari S, Pham H, Chang J. Optimization of human tendon tissue engineering: peracetic acid oxidation for enhanced reseeding of acellularized intrasynovial tendon. Costa RP, Watt AJ, Sjstrm PJ. Top 5 Factors In Determining The Donor Site For Phalloplasty Written by Michael H Safir, MD, Crane Center 1. Phalloplasty Dr. Crane. Buntic and Buncke, in The art of microsurgical reconstruction. Correct name and gender on all records and print-outs (wristbands, orders, lab results, etc . 2017 Radial Forearm Flap (RFF) Phalloplasty is the most common type of Phalloplasty. With this combination of specialties, Dr. Crane is uniquely qualified to treat patients requiring . Surgical exposures of the hand. Microsurgery. Vaginal stenosis and shrinkage can also be a problem. Can you maybe send me the link to the discord server? Forte AJ, Oliver JD, McRae M, Colasante C, Eells AC, Watt A, Buntic R, Buncke G, Safa B. 2013 Jul;33(5):362-6. doi: As you may know, the radial forearm flap uses the radial artery, one of two major arteries to the hand, the other being the ulnar artery. Press question mark to learn the rest of the keyboard shortcuts. ), Wolters Kluwer, 2019. Recovery typically takes about two weeks. Scrotoplasty, and Testicular and Penile Implants are also optional. We can help you get clearance for surgery and get the information for obtaining coverage from your insurance carrier. I also had testicular and penile implant surgery on April 30, 2015. 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. [Epub ahead of print], Diaz-Abele J, Safa B, Buntic RF, Islur A. James Chang, ed. Dr. Crane has been performing gender-affirming surgery since 2005. Isaacs J, Safa B. Plast Reconstr Surg 2016;138:594-615. Chen J, Lin W, Cha JW, So P, Nedivi E. Structural basis for the role of inhibition in facilitating adult brain plasticity. Alternatively, we can use a small piece of colon to create the new vagina. 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. 2012 Nov;32(8):591-7. doi: 10.1002/micr.22037. It can also be done by one of our plastic surgeons, typically with other facial surgery. 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. Wraparound Flap. Microsurgery. Safa B, Buncke G. Autograft Substitutes: Conduits and Processed Nerve Allografts. I had doubts post op during the healing process, Dr. Crane kept reassuring me that it gets better. The thickness of the skin and sub-cutaneous fat are important factors in determining the if the ALT flap is indicated. Epub 2015 Apr 3. short-gap sensory nerve injuries reconstructed with processed nerve allografts Epub 2011 Jun 25. OHSU surgeons are leaders in gender-diverse care. The surgical technique currently recommended by the team at GrS Montral is phalloplasty by forearm free flap. Dr. Crane also accepts credit/debit cards, cashier's check, money order, wire transfer and medical financing via CareCredit. from a multicenter registry study. 2017 Jun;78(6S Suppl 5):S292-S295. doi: I want to get phalloplasty for STP reason. Radial Forearm Flap (RFF) Phalloplasty is the most common type of Phalloplasty. reconstruction: a multicenter study of utilization and outcomes in sensory, Laryngochrondoplasty is also known as Adams apple reduction or a tracheal shave (though the trachea, or windpipe, is not affected). Determining The Donor Site For Phalloplasty. We usually insert this as a final-stage surgery, once youve healed from earlier procedures. He pursued his medical training at the University of Michigan School of Medicine, receiving his Doctorate of Medicine with Honors in 2005. Obviously, I am open to any suggestions you would have. 2017 Jul 28. doi: 10.1002/micr.30206. It is yet another example that the world cannot compartmentalize its citizens., Automated page speed optimizations for fast site performance, male to female gender confirmation surgery, Click Here to View Dr. Crane's Surgical Results. The ovaries produce estrogen, which helps prevent bone loss and the thickening of arteries. Implant surgery can take place 9 months after Phalloplasty and Scrotoplasty. Elife. offer options such as egg freezing before treatment, and connecting patients with a surrogacy service. Microsurgery. He graduated from Indiana University, Summa Cum Laude. More closely align their bodies with their gender identity. difficult ring avulsion injuries. Dr. Crane is my first choice. We offer liposuction and fat grafting to reshape areas of the body. I didnt mention it, but Im French. Most surgeons use tissue from the forearm. Hazani R, Brooks D, Buntic RF. Because of his interest in complicated urologic surgery, Dr. Crane pursued a fellowship in trauma and reconstructive urology at Detroit Receiving Hospital with the distinguishedDr. Richard Santucci. replantation. Phalloplasty mainly involves removing a flap of skin from a region of the body to create the phallus.. Additionally, he has an interest in peripheral nerve surgery, including compression neuropathy, nerve transfer, nerve repair, and treatment of neuromas and painful amputation sites with targeted muscle reinnervation (TMR) and regenerative peripheral nerve interface (RPNI). Phalloplasty and metoidioplasty - overview and postoperative considerations. We can also use other approaches, such as taking skin from the abdominal (peritoneal) lining or from outside the scrotum. Dr Safir and Dr Santucci who both belong to the Crane center. The surgeon creates a small controlled scar between the two vocal cords, shortening them to increase tension and raise pitch. It can also be done by one of our plastic surgeons, typically with other facial surgery. Dr. Greg Buncke is a plastic, hand and microsurgeon. Oof, like I thought, Dr Chen's wait list is SO long :'D The more I think about it and the more Crane's team/centre seems to be the better option! We dont require a year of social transition. Our surgeons have performed more than 2,000 gender affirmation surgeries, including vaginoplasty, metoidioplasty, phalloplasty, orchiectomy, correction of complications such as urethral strictures, and placement of a penile prosthesis. Phalloplasty is the construction or reconstruction of a penis or the artificial modification of the penis by surgery. An in-person consultation is not required for booking a surgery date. After initially meeting some members of the trans community, I was immediately drawn to them. 6 months post-op - inside. His clinical interests in hand and upper extremity surgery include fracture care from the distal radius to the fingers, wrist arthroscopy, arthritis, Dupuytrens, tendon surgery, vascular disorders including Raynauds and scleroderma, and complex trauma requiring microsurgical reconstruction.