Eugene Shrang

2002 update: please see the Eugene Schrang's site with his recommendations for electrolytsis prior to SRS.

SRS surgeon Eugene Schrang has some information from 2002 on hair removal prior to SRS:

Hair can be removed by electrolysis or laser prior to surgery.  But better still is the cutting away of the hair follicles while thinning the graft with scissors which can be done by me at the time of surgery followed by electrocoagulation of the follicles.  This saves the patient time and money not to mention great discomfort from painful electrolysis.  Since electrocoagulation is time consuming, we charge an extra $500 for this. 

No matter what method is used to remove hair, the removal of ALL hair follicles is usually never completely accomplished and some hair may grow in the neo-vagina.  This is why you must begin early to remove as much hair as possible from the scrotum if you wish me to use your scrotum as a full thickness graft and do not want me to remove the hair at surgery.

He wrote in a June, 1997 patient correspondence:

Full thickness grafts are excellent sources of lining material and can be obtained from various places such as from across the lower abdomen (if enough hairless skin is present) leaving a transverse scar which resembles a Hysterectomy scar or the bilateral flanks which leave oblique scars of varying length and width that can often be covered with even scanty attire - but scars result all the same!

For years my objection to the use of scrotal skin as a source of graft material was the fact that it contains hair and has a rough texture.

On April 16, 1998, I wrote to Dr. Schrang to follow up on his comments about scrotal grafts. He's currently very excited about a procedure in which he scrapes the hair follicles off the underside of scrotal grafts prior to use:

What I have come across, however, is a technique whereby I remove the hair follicles at the time of surgery. After the scrotal skin is removed, I turn the graft over and cut away the underlying fascia exposing the hair follicles which I then remove both by cutting them away with my scissors and cauterizing them with my electrocoagulation machine. This is VERY effective in removing the hair from the scrotum but I still tell my patients to get as much hair removed from the scrotum as possible before surgery because no matter what method or combination of methods are used, some few hairs always seem to escape our best efforts.

The following diagrams are scanned from SRS surgeon Eugene Schrang's information package. Thanks to Gwen Smith for this scan! The caption reads:


All of the hair on the penile shaft should be removed plus 1.5 inches [3.8 cm] to 2 inches [5 cm]

above junction of the penis with the pubis.

Dr. Schrang's statement on laser hair removal

In a 1997 letter about the benefits of preoperative genital hair removal, SRS surgeon Eugene Schrang recommended laser hair removal. On April 16, 1998, I wrote to Dr. Schrang to follow up on his comments from a year earlier. I asked him six questions (in bold). Dr. Schrang's responses follow in purple:

1. In 1997, you planned to purchase a laser-- what has been your experience?

"I was very excited about it until I realized that it is efficacious only in persons with dark hair and light skin...

I never got a laser because I see so many patients with brown to light hair that would not respond to laser that I did not think it would be cost effective."

2. Have you personally experienced or read clinical data showing permanent laser hair removal?

[No response]

3. If a patient had a choice between lasers or electrolysis for genital hair removal, which would you recommend?

"Which method would I chose? --- Laser if I had very dark hair; Electrolysis if I had very light hair but most likely a combination of the two if my hair was brown. Then I would ask my surgeon to finish things off with his scissors and electrocoagulation machine at the time of SRS."

4. Could you give your opinion of laser permanence in one sentence?

"Permanent means permanent to me no matter what modality is used. I do not believe that we have any foolproof method of hair removal at this time."

5. I say, "If you cannot afford to risk your time, your money, or your surgical outcome on unproven hair removal technology, invest in the only method proven permanent for over a century: traditional electrolysis." Do you agree?

"I agree with number five if you have light colored hair or hair which does not respond well to laser but my experience with onsite surgical removal is by far the best especially if efforts at removal have already been tried."

6. The quotation on your AOL profile says, "The Bitter taste of Poor Quality lasts long after the sweet taste of cheap price is forgotten." Do you think this applies to lasers?

Although the quotation applies in many cases, best is not always the most expensive. I charge an additional $300 to remove the hair at surgery which method, as I said, is very effective and not that costly.

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