Female Sex Reassignment Surgery: Our Approach to Vaginoplasty

April 18, 2016

Many patients who undergo male to female sex reassignment surgery for gender identity disorder will require a second procedure to address the construction of aesthetically appropriate labia minora. My goal, together with my surgical partner Dr. Rachel Bluebond-Langner, is to provide a superior postoperative result with only surgery. Revisions are sometimes necessary, yes, but we […]

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Transgender Medicine: My Approach

April 4, 2016

The World Professional Association for Transgender Health (WPATH) is a multidisciplinary organization committed devoted to transgender health. As the understanding and treatment of gender identity disorders progresses, there will be more opportunity for collaboration across medical and surgical subspecialties. As a reconstructive surgeon who is also a urologist, my interest in transgender medicine extends well […]

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Gender Reassignment Surgery: Training in Thailand

March 21, 2016

I just returned from a ten day trip to Bangkok, Thailand, where I was visiting the Preecha Institute to observe Dr. Preecha’s respected technique of male to female sex reassignment surgery.  It was an amazing experience both culturally and surgically. Learning and education is a lifelong process, and as a surgeon, especially a reconstructive surgeon, […]

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Keri and Gerry’s Story

February 9, 2015

I wanted to share a very special story of a patient who had a very happy ending. This patient had azoospermia and testicular failure.  I performed a microdissection testicular sperm extraction (MicroTESE) to find sperm in his testicle. MicroTESE is a very specialized surgical procedure that is performed at the time of in-vitro fertilization. The […]

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A Semen Analysis Saves A Life

September 10, 2014

This is a story of a patient that needs to be shared.  It speaks to how essential it is for all men with abnormal semen parameters to have a dedicated male fertility evaluation. Marc and his wife have been trying to conceive for well over a year. They went to a prominent local fertility center […]

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Testosterone Therapy Harms Sperm Production

August 14, 2014

All too often we will see a man with infertility, a low testosterone, and perhaps symptoms of hypogonadism such as: Decreased sexual desire Erectile dysfunction Decreased energy Depressed mood Difficulty losing weight Difficulty focusing Typically, he has been told that going on testosterone replacement therapy will help.  It seems to make sense, right?  If testosterone […]

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Mommy Make-over

May 12, 2014

Happy Mother’s Day to all the mothers and mothers to be! Becoming a mother is one of the greatest gifts in a woman’s life.  Before becoming pregnant, everyone will tell you of the joys and wonders of motherhood.  What no one tells you – no one – not your mother, sister, best friend or gynecologist […]

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Timing Sex for Pregnancy

April 9, 2014

It may seem logical to assume that the more sex you have when trying to get pregnant the better – but this is not the case.  Since timing is the number one reason why fertile couples have difficulty conceiving, the timing and frequency of intercourse is extremely important to optimize – and more is not […]

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Does Vasectomy Reversal Affect Sexual Function?

December 23, 2013

When I see a couple in consultation who are considering having a vasectomy reversal, eager and hopeful to naturally conceive a baby together, there is frequently a moment in our visit that the room gets a bit quiet, and he just has to ask….”Will the vasectomy reversal cause any problem in my sexual function?”   […]

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Vasectomy Reversal: It’s Never Too Late

December 20, 2013

I frequently get asked if I can perform a vasectomy reversal after a prolonged period of time: How long is too long after a vas reversal? Am I too old to have children? The answer is that it’s never too late.  Men seek vasectomy reversal for a variety of reasons, but the most common situation […]

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