As far as I can tell my options in the UK are

James Bellringer
Phil Thomas
Mr Terry

Which of them is likely to be best?

It's mainly a cosmetic revision, but there is one serious aspect in that I want my urethra relocated to a slightly more natural position. At the moment it is hidden behind the tissue which forms my sensate clitoris which I always worry may cause a major problem if I am ever hospitalised whilst unconscious and they try to catherterise me, because it says nothing on my medical notes about me being a post op trans... (I had some powerful friends in government in my youth and when I was in stealth my notes were carefully "doctored" to remove all references to my previous gender.)

Hmm... I don't think that the catheterization scenario is all that likely, but if you want the urethra fixed, do it.
I would think that problems with spraying when urinating would be a more prominent problem.

Sorry, I have no insight into UK surgeons.
I think that as an ego thing many surgeons like doing revisions on other's work.

Quote from: Renate on November 29, 2009, 07:11:16 AM
Hmm... I don't think that the catheterization scenario is all that likely, but if you want the urethra fixed, do it.
I would think that problems with spraying when urinating would be a more prominent problem.

Sorry, I have no insight into UK surgeons.
I think that as an ego thing many surgeons like doing revisions on other's work.

Spraying is only a slight problem - but yes it would be improved. Off the record I am doing it mainly for my own aesthetic satisfaction... but it helps to have a quasi medical justification for my partner so that I can justify spending the money.

As regards surgeons my own pre-dates all of the current candidates by several generations so I guess they would all get a kick out of it, which I have no problem with.

Actually I think the problems with my surgery happened because the surgeon who did it performed an early attempt to give me a sensate clitoris... It worked - but hence my problems with the look of the clitoral hood (virtualy non existant), the lack of labia minora and of course the fabled urethra poosition.

Hi,

I am not sure if I saw it on this website or another one, but those two UK surgeons you mentioned have a few pics of their results of their recent work, I think they look excellent cosmetically, they give that oval vulva shape and they create inner labia and clitoral hood, I reckon in your case they might even be able to perform it under local anesthesia. If you have a spraying problem, it might be the positioning of your urethra or it has a slight deviation, I think its a common issue amongst post-ops, it can develop over time, it can be corrected. The surgeon you choose will tell you all about it. When you have your consultation, can you please let us know of what they can do and how much they charge for a cosmetic revision? I am interested in cosmetic revision myself. Thank you.

Thank you Jade.

I will certainly keep you posted as to progress. I probably won't be doing anything until after Christmas because, as the senior family members, we usually end up as the hosts for our family gathering. Ironic given that we are both Wiccans, but a gesture which is appreciated by our clan.

The problem with the urethra is that it opens facing backwards from behind the sensate material it's difficult to describe. I don't think it has got any worse over the years, I've just never had the desire to go back and get it sorted because the problems are very minor and I hate being at the behest of doctors. Besides I've never had any functional issues as such.

Recently I came across some literature describing the advances that have been made in the last 25 years and I started to think that maybe I should "tidy things up" before I get too old.

So I'll let you know once I make a decision about who, and tell you about costs and how the result turns out. Mr Bellringer whom I have spoken with did suggest I approach my GP and try to get the NHS to stump up. But to be honest I really don't want the hassle - particularly since the NHS GIC's still seem to labour under the misaprehension that being trans, even when longterm postop, is basically a psychiatric condition. (something which I intensely disagree with.)