Archive for May, 2011

Chaz Bono – New York Extreme Plastic Surgery

Date posted: May 23, 2011

Everyone remembers Chastity Bono as Cher’s precious, blonde daughter. Well, Cher isn’t the only Bono to have some work done! Chastity, now Chaz, recently undergone the biggest transformation of her life and underwent sexual reassignment surgery. Not only is sexual reassignment surgery extremely expensive, not all surgeons are willing to perform the operation, for many obvious reasons. Contrary to popular belief, this surgery is way more invasive and life changing than a tummy tuck. You have probably seen Chaz on various talk shows recently talking about her journey. Chaz explains that this is not an easy road and requires massive preparation. In order to undergo sexual reassignment, you must prepare mentally and hormonally before you go under the knife. It is important to do your research and find a highly specialized doctor and make sure that this is right for you. Not everyone is prepared to begin living their life as the opposite sex, as you can imagine!

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Categories: Plastic Surgery NYC

Reassuring news for hysterectomy in NYC

Date posted: May 22, 2011

There is reassuring news from New York City regarding the subject of hysterectomy. While the term refers to the removal of a woman’s uterus, hysterectomy is often done alone, without removal of ovaries. As it is the ovaries which produce the necessary female hormones, removal of the uterus will end the opportunity for childbirth, but have no influence on a woman’s mood, sexuality or femininity.
Removal of the uterus may be recommended for heavy vaginal bleeding, fibroid tumors, infection, pelvic organ prolapse, or cancer. While removal of the uterus is a surgical procedure, there are several distinctive ways to accomplish his goal. The three basic ways are (1) through an abdominal incision in the lower abdomen, (2) by means of laparoscopy, which consists of making several very small incisions in the abdominal wall and the removing the disconnected uterus through an opening in the vagina, or removing it piecemeal via one of the incisions in the abdominal wall. In some centers laparoscopic hysterectomy has been replaced by the use of a robotic machine, in which the sequence of steps are identical to those with laparoscopy, while allowing somewhat better control of the instruments within the abdomen, at the cost of extra abdominal incisions and longer time under anesthesia.
The last method (3) for removal of the uterus is via a natural orifice, a vaginal hysterectomy. When done by gynecologists at New York University Langone Medical Center, skilled and experienced in this technique, the time taken is the shortest, and there are no external incisions! Morbidity, complications and post-operative pain are less than with the other methods. When necessary, ovaries also may be removed via the vagina. Retaining the cervix is an option that exists for certain indications.
Currently in the USA doctors are mainly learning how to remove a uterus via laparoscopy or through an abdominal incision. While a laparoscopic or robotic hysterectomy may be “less invasive” than an abdominal procedure, neither of these methods can compare to a vaginal approach.
It should be kept in mind “minimally invasive” is not a medical term; it is an industrial construct. While often very helpful, the result has large economic consequences, without any appreciable benefit to the patient.
More later on the role of hysterectomy for the treatment of uterine prolapse.

Robert F. Porges, MD, MPH

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Categories: disease of vagina and labia

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