UKMP - Første konsultasjon om falloplastikk
Dette er en transkripsjon av min første konsultasjon om falloplastikk med Dr. Liedl hos Urologische Klinik München-Planegg i Tyskland. For mer informasjon om klinikken, se Nedre kirurgi: Del 5 - De tyske klinikkene.
Transkripsjonen er på engelsk. Under konsultasjonen ble det vist noen visuelle eksempler i form av bilder og/eller tegning på ark. Dette kommer dessverre ikke frem i transkripsjonen. Unødvendige ord og setninger har blitt fjernet i etterkant.
Her er lenker til alle konsultasjonene jeg har hatt i kronologisk rekkefølge:
- Første konsultasjon med UKMP
- Første konsultasjon med Dr. Lubos Kliniken
- Andre konsultasjon med Dr. Lubos Kliniken
- Andre konsultasjon med UKMP
Transkripsjon
Dersom du vil ha transkripsjonen i PDF-format kan den lastes ned her.
Sted: Urologische Klinik München-Planegg
Dato: 03.04.2023
00:00:15 Levi Do you speak English? 00:00:16 Dr Liedl Yes. 00:00:46 Dr Liedl 00:00:49 Dr Liedl So what is your wish? 00:00:51 Levi So I'm here because I'm seeking phalloplasty and they don't do that in Norway, where I'm from. 00:01:00 Levi So I came here because you have a very good reputation with those kinds of things. 00:01:06 Dr Liedl Yes. 00:01:06 Dr Liedl Okay, good. 00:01:08 Dr Liedl Did you have surgery before? 00:01:10 Dr Liedl Any surgery before? 00:01:11 Levi I have had top surgery and I will be having hysterectomy this fall. 00:01:17 Dr Liedl You will have? 00:01:20 Levi Yes. 00:01:38 Dr Liedl Can I make a letter in German? 00:01:44 Levi I suppose so. 00:01:45 Levi If you are not able to do it in English. 00:01:48 Dr Liedl I could, but it is much more work for me. 00:01:51 Levi Yes, I understand. 00:01:54 Levi I think it should be fine. 00:01:58 Dr Liedl I make it in German and if you need, I can translate it. 00:02:03 Dr Liedl Of course, if you need. 00:02:05 Levi I mean, I don't understand German myself, so if you're able to do it in English, that would be great. 00:02:13 Levi If not, I can have someone else translate the form. 00:02:16 Dr Liedl Ok, that makes sense. 00:02:18 Dr Liedl So, Drammen. 00:02:46 Dr Liedl Where is Drammen? 00:02:47 Levi It's in the south-east part of Norway, 40 km southwest of Oslo. 00:03:08 Dr Liedl Since what time do you have hormone therapy? 00:03:10 Dr Liedl 00:03:12 Levi October 2018. 00:03:20 Dr Liedl And physiotherapy since what time? 00:03:24 Levi I'm sorry? 00:03:25 Dr Liedl Psychotherapy. 00:03:27 Levi Psychotherapy? 00:03:28 Dr Liedl Yes. 00:03:29 Dr Liedl Or logical examinations. 00:03:30 Levi Yes, I have that since 2019 through the public healthcare in Norway. 00:04:47 Dr Liedl Levi is a male name? 00:04:49 Levi Yes. 00:04:50 Dr Liedl 00:05:27 Dr Liedl And you want a complete phalloplasty with electile function? Erectile prosthetic? 00:05:33 Dr Liedl 00:05:35 Dr Liedl 00:05:37 Levi Yes. 00:05:38 Levi On the long term, that's what I want. 00:05:39 Levi 00:05:46 Dr Liedl The vagina. 00:05:47 Dr Liedl Should it be closed? 00:05:49 Levi I don't want to close it if I don't have to. 00:05:52 Dr Liedl You don't have. 00:05:53 Dr Liedl Okay. 00:05:54 Levi Then I would rather leave it. 00:05:56 Dr Liedl Okay. 00:06:06 Dr Liedl Are you a smoker? 00:06:07 Dr Liedl Non smoker. 00:06:11 Dr Liedl 00:06:11 Dr Liedl Right handed or left handed? 00:06:12 Dr Liedl 00:06:13 Levi Right. 00:06:20 Dr Liedl What is your profession? 00:06:22 Levi IT engineer. 00:06:33 Dr Liedl If you have any sickness before any disturbances of your health. 00:06:41 Levi No, no. 00:06:42 Dr Liedl But no regular drug therapy. 00:06:48 Dr Liedl Only hormonal therapy. 00:06:51 Dr Liedl Or the other drug therapy. 00:06:55 Levi I take testosterone. 00:07:00 Levi I also take. 00:07:01 Levi Take a little bit of melatonin. 00:07:04 Dr Liedl Melatonin? 00:07:04 Levi Yes. 00:07:05 Dr Liedl Okay. 00:07:05 Dr Liedl But there's no. 00:07:06 Dr Liedl No for heart like this. 00:07:12 Dr Liedl Okay. 00:07:14 Dr Liedl Can I see your arm? 00:07:21 Dr Liedl Good. 00:07:21 Dr Liedl This arm would be best for phalloplasty. 00:07:24 Levi Okay. 00:07:24 Dr Liedl Here you have no hair. 00:07:26 Dr Liedl This will be the urethra and the artery is very good. 00:07:32 Levi Okay. 00:07:32 Dr Liedl Okay. 00:07:33 Dr Liedl Good. 00:08:29 Dr Liedl The best technique for you would be the radial forearm flap. 00:08:32 Levi Yes, that's what I was hoping. 00:08:35 Dr Liedl There is another possibility to use anterlater, but it will be very thick and there are some disadvantages for this flap. 00:08:47 Dr Liedl So I would recommend radial forarm flap. 00:08:49 Levi Yes. 00:08:50 Levi I read that if you use the thigh, you don't get the same sensation. 00:08:54 Dr Liedl As yes, it's much more complicated. 00:08:59 Levi Yeah. 00:09:01 Levi I was hoping to use that. 00:09:03 Levi 00:12:03 Dr Liedl So this is the letter you need for your insurances, that everything got necessary is a fan. 00:12:19 Dr Liedl So the first step. 00:12:43 Dr Liedl [Printing papers] 00:12:45 Dr Liedl 00:13:02 Dr Liedl 00:13:05 Dr Liedl 00:13:30 Dr Liedl 00:13:31 Dr Liedl 00:14:12 Dr Liedl And if a patient management. 00:14:20 Dr Liedl On patient management. 00:14:23 Levi I'm sorry, I'm not familiar with the term patient management. 00:14:28 Dr Liedl They organize surgeries and you can phone, you can mail, everything they organize for you. 00:14:36 Dr Liedl This is a letter for you once for use personally. 00:14:42 Dr Liedl And you see you need here from your geotherapist, you need statement and you need from your insurance is a statement. 00:14:54 Levi Okay. 00:14:55 Levi So the way it works in Norway is I send some documentation to the public healthcare and. 00:15:03 Levi Okay, so I might need some documentations. 00:15:07 Levi From you, but I suppose I would get that from the patients. 00:15:09 Dr Liedl Yes, yes, yes, yes, yes. 00:15:12 Dr Liedl Ok, this is first then. 00:15:16 Dr Liedl Do you have questions? 00:15:19 Levi None that I can think of right away. 00:15:22 Levi Or. 00:15:23 Levi Actually I do have one surgical question. 00:15:27 Dr Liedl Yes. 00:15:28 Levi Because I do you take the clitoris inside of the penis or do you leave it outside? 00:15:35 Levi I know some people do that. 00:15:37 Dr Liedl Both is possible. 00:15:43 Dr Liedl Most people want to have it within. 00:15:49 Dr Liedl And we do it in the way we remove parts of the skin and so we can incorporate into the urethra, so that most of the feeling is intact. 00:16:05 Dr Liedl And we additionally make a nerve anastomosis to the clitoral nerve. 00:16:11 Levi Okay. 00:16:12 Dr Liedl We have normally two nerves here, and one nerve is anastomositimized with the clitoris and another nerve with the nerve of the groin. 00:16:23 Levi Okay, interesting. 00:16:27 Levi Yes, that's okay. 00:16:29 Levi But I got the answer to why I was wondering. 00:16:33 Levi Yeah, I think I have all the. 00:16:36 Levi Everything I need. 00:16:37 Dr Liedl Okay. 00:16:38 Dr Liedl Of course there are complications, especially the urethra. 00:16:43 Dr Liedl They are strictures, fistulas. 00:16:46 Dr Liedl But we can manage it. 00:16:48 Dr Liedl It's no big problem to manage all these problems. 00:16:52 Levi Okay. 00:16:53 Dr Liedl Okay. 00:16:53 Levi Yeah, yeah, I'm aware. 00:16:55 Levi I've read a lot of people say that it can be a lot of complications. 00:17:00 Dr Liedl And the risk of this would be the loss of the flap. 00:17:07 Dr Liedl But I think that the risk is in our department, less than 0.3. 00:17:14 Levi That's very low. 00:17:16 Dr Liedl Yes. 00:17:17 Levi You have done this a lot, I assume. 00:17:20 Dr Liedl Okay. 00:17:21 Dr Liedl The risk is very low. 00:17:22 Dr Liedl Okay. 00:17:22 Dr Liedl That's very low. 00:17:24 Levi That is very comforting. 00:17:25 Dr Liedl I have been, because we have a. 00:17:26 Dr Liedl Very good micro surgeon is very exact. 00:17:33 Dr Liedl And. 00:17:36 Dr Liedl I'm very proud to have him. 00:17:41 Levi That is very comforting. 00:17:43 Dr Liedl Yes, yes. 00:17:45 Levi Okay, well then I'm glad I. 00:17:46 Levi Okay, thank you very much.
Kommentarer
Legg inn en kommentar