Well first I want to say Dr. Gallagher is pretty awesome!
We discussed potential options. Heck she got a pen and paper and we sketched out different possible ways to do the external parts depending on how the internal was done. She was super receptive to my concerns and ideas as I have been studying the medical journals about this for some time.
Now then, her only issue is needing a urologist/gynourologist who will agree to do the Peritoneal pull through method. (Davydov Method). Doctors have a habit of being stuck in their ways. She has been reaching out to several in the IU hospital system. Most have told her the procedure won't work on a male pelvis because it would be deeper and narrower than a female pelvis. One is willing to go to NYU and see how they have done their Peritoneal cap. However, not what I want. A doctor who recently came to the University system may be more receptive to the idea. She will talk with them more.
Things in my favor though, I have researched this thoroughly. I have noted many videos of the procedure on MRKH women. Noted how those with no vaginal introitus would be just like starting with a male at birth patient from the outside perspective. Noted how a MRKH girls rectal-ureathral pouch is identical to a males rectal-vesical pouch as shown in literature review studies. Then my pelvis is female in shape and depth due to my PAIS. Perhaps this will all help with getting the urologist to want to do the procedure. Once they decide they can do it they will see how it can be done to any normal masculine pelvis also.
Waiting to see what happens. In the meantime, they will be going through the process of submitting to my insurance to get things lined up.
