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Author Topic: Pros and Cons of having bottom surgery???  (Read 6403 times)

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Offline jacobRX8

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Pros and Cons of having bottom surgery???
« on: January 13, 2012, 02:16:37 pm »
As most of you know, I'm pretty new to everything. I'm slowly coming out to my friends, family, and the rest of the world. I'm 100% sure I want top and bottom surgery. I've done some research on my own about bottom surgery but I was wondering if there are any guys that have any personal opinions about it. Like the pros and cons of it, some info I've found say that there is pain and there can be issues just want to be sure that its not unnessasary pain you know? I hope this question isn't stupid lol.
-Jacob

Offline Inkwe Mupkins

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Re: Pros and Cons of having bottom surgery???
« Reply #1 on: January 13, 2012, 03:11:12 pm »
i am dead set on having top and bottom surgery as well. I've looked around and i am pleased with the results of dr. Sv perovic. He specializes in the mld flap phalloplasty. Check out www.medical-tourism-in-thailand.com
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Offline Assoluta

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Re: Pros and Cons of having bottom surgery???
« Reply #2 on: January 13, 2012, 03:43:52 pm »
Bottom surgery could hurt your arse though, couldn't it? It might cause constipation too...  :D

Seriously, though, I've heard that while phalloplasty is a more complex and longer operation than MtF vaginoplasty, it's similar in the sense that it mainly requires rest. It's unlikely you'll be in a world of pain, just fatigued and sore for a while. I know Dr. Ralph is one of the main surgeons in the UK for phalloplasty. Metoidioplasty is also an option too.
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Offline Elijah

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Re: Pros and Cons of having bottom surgery???
« Reply #3 on: January 13, 2012, 04:06:57 pm »
ok my personal opinion?

pros- you can pee standing up naturally
you wont have to pack
you can have sex in a more normal male way
no more vagina

cons- (this may not all be fact, but what I have heard)
may not be able to feel any sensation (this alone outweighs all of the pros for me)
may not be able to orgasm
the cost
the giant scar from where they took skin to make it
you have to pump up the device inside to get hard (i would want to get hard for real, blood, not a pump)
it doesn't look natural enough for me

and that ^ is for phallo, which despite the pros, isnt worth it to me

but medio, that seems more worth it, the surgery where they take the enlarged clit and turn it into a micro penis.

pros
can pee from it
looks more natural (natural for a micro penis)
it gets hard naturally
no more vagina
you can still feel sensation

cons
the cost
its small
you would probably still have to pack while in tight pants
more difficult to have penetration sex



Offline Jayr

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Re: Pros and Cons of having bottom surgery???
« Reply #4 on: January 13, 2012, 04:09:45 pm »
i am dead set on having top and bottom surgery as well. I've looked around and i am pleased with the results of dr. Sv perovic. He specializes in the mld flap phalloplasty. Check out www.medical-tourism-in-thailand.com
I'm not completely sure, but from what I've read Dr. Sava Perovic died in 2010 x:






Offline Nygeel

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Re: Pros and Cons of having bottom surgery???
« Reply #5 on: January 13, 2012, 04:25:23 pm »
With all the possible customization options available with bottom surgery, there's possibility for you to get all you want. For example...a guy that might want to keep his "front hole" because he enjoys it can. If you usually pack and feel that being able to not pack due to flesh and blood being enough then you can do that. So...pros: getting whatever you want or don't want (pretty much).

Cons: possibility of failure with urethral lengthening, cost, possibility of infection, discomfort/pain, multiple surgeries to get what you want, tissue rejection, possibility of loss of sensation

Offline Inkwe Mupkins

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Re: Pros and Cons of having bottom surgery???
« Reply #6 on: January 13, 2012, 04:38:54 pm »
Quote
I'm not completely sure, but from what I've read Dr. Sava Perovic died in 2010 x:
nnnnooooo,aaahhhh.

That was my only hope I haven't found any other surgeons that do the mld flap phalloplasty. With the mld flap scaring is minimal, you can pee standing up, you can have penetrative sex, its normal size of male penis, it's relatively hairless, and because the skin is taken from the side of the torso they can create a larger and more realistic penis.

However there are no veins and such in it.

D*mn it. Just d*mn it. I didn't plan on having bottom surgery for at least 15 years (because of the cost), so maybe by then some one with be doing the mld flap procedure or they'll have a better method. With SV Perovic it would've cost over 150,000 if you count transportation and such.
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Offline jacobRX8

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Re: Pros and Cons of having bottom surgery???
« Reply #7 on: January 13, 2012, 07:13:05 pm »
I'm still sure of the bottom surgery, I just want to make sure that I have the best doctor for it. I just wanted an idea of the pros and cons, I want to be able to fully penatrate my gf so I definately want to look into that route. Some research that my gf and I have done have found doctors that can perform a surgery where you have some sensation with the phallo surgery (hopefully I used the right term and spelling, I'm still learning). I remember it had to do with using a graft from the torso, in fact it may have been from the doctor that a few of you mentioned. I mean I care about having enough feeling for pleasure, but I also want to be able to have that connection with my gf.

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Re: Pros and Cons of having bottom surgery???
« Reply #8 on: January 13, 2012, 09:29:32 pm »
I don't really have anything to add other than an opinion.  For all of the risks (fistula, infection, failure, etc.), bottom surgery is crucial for me.  I'm leaning towards phallo, but may decide in the end to go for the metoidioplasty.  I don't care much about loss of sensation - orgasm to me isn't as important as wholeness.

Offline Cody Jensen

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Re: Pros and Cons of having bottom surgery???
« Reply #9 on: January 13, 2012, 09:49:37 pm »
i'm having difficulties deciding on which one but i'm definitely considering bottom surgery. i get all excited when i think of it, that one last thing (to me personally) that would make me feel like a real cismale.
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Offline Make_It_Good

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Re: Pros and Cons of having bottom surgery???
« Reply #10 on: January 13, 2012, 11:13:12 pm »
Ive recently been referred for lower surgery (phalloplasty) and have obviously done my research (years worth!).

For me, the pros far outweigh the cons.

Ill start with the cons for phallo:

-The scarring. (Ive seen different places used as the donor site; forearm, abdomen, hip, thigh, and ofcourse the MLD flap on your side).
-The risk of complications, as others have already mentioned, it is much greater than with meta. The risk for complication is increased when you have the urethral hookup (so you can stand to pee), and especially when you have the vaginectomy.
-The cost.
-The chance of having an insensate penis, though there are guys out there Ive spoken to who have sensation including erotic sensation.
-The actual surgery. Many surgeons do the phallo in stages, so you have to consider the time off work etc, and at different intervals.
-The aesthetic appearance may not be what you hope. (But again, surgeons seem to be improving on this).
-The available options for erectile devices. You can either have the pump up rod, though this device doesnt last a lifetime. Or you can have the malleable rod, which is semi erect permanently which could make you feel very self conscious! Also, there is the chance over time, of protrusion through the skin.

Pros:
-A full sized penis. No more packing, or self consciousness. This procedure gives you something meta cant.
-You can stand to pee.
-Balls to complete the picture.
-No more "wrong part" (or front hole as people may say), some people may choose to not have this dealt with, I personally do not understand at all why anyone would want to keep this. But I wont go into those opinions.
-Many surgeons do perform nerve hookups, including to the "little guy" you already have, to allow for erotic sensation, so there are cases of guys being able to cum from sex or just plain wanking!
-You can have penetrative sex.

Cons for Metoidioplasty:
-Risk of complication, thought this goes for any surgery, and it is much less with this, than it is for phallo.
-The cost.
-It will be no bigger than 3inches really. Some guys get this surgery then opt for phallo at a later date.
-Too small for penetrative sex.
-Have to accept the small size, no noticeable bulge. Just something to think of if you want this.

Pros:
-Sensation will be amazing.
-No visible scars.
-A much smaller risk of complication.
-Is performed in one stage and healing time is much quicker.
-You can pee to stand if you get the urethraplasty.
-Balls too.

I personally have always wanted the phallo, though I am adamant that I do not want the forearm phalloplasty. Though this seems to give the best results sensation wise, I can live with that aslong as I avoid that particular scarring.
  Also, I am not sure I will opt for any erectile device put in. Im leaning more toward no. Simply because once I have the surgery, I want everything to be done. I want to live my life without being reminded, and I dont want to have to come back years later to get stuff down there sorted or replaced.
I have seen that you can buy external devices out there somewhere, that you just slip on when you need and take off after. Seems simpler.
I dont like the idea of an internal erectile device malfunctioning, or beginning to protrude. Id rather just have my penis and no foreign object inside that could be a risk. (Although Im aware that to have balls, Id need implants. Even though it may sound contradictory, Ill have the balls, but not the erectile device :p)
    Loss of sensation doesnt bother me, standing to pee is whats high on my list of priorities.
  The London team I think do do great jobs for the phalloplasty, and to me, itll all be worth it to have a good sized penis there, that I can pee through and feel comfortable with. To have the wrong parts sorted and never have to deal with what feels so wrong ever again :)

Right, I know Ive rambled on, but yeah, thats my bit said!

Offline insideontheoutside

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Re: Pros and Cons of having bottom surgery???
« Reply #11 on: January 13, 2012, 11:46:50 pm »
Not that I'd ever considering fiddling with the junk I have, but my personal opinion on any kind of bottom surgery was always that there seem to be a high rate of complications. It also just seemed to be an arduous surgery and recovery process that often required "fix it" surgeries for when something went wrong during the recovery period. For me, personally, I wouldn't put myself up for the risks of surgery (even top surgery) but that's just me.

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Offline supremecatoverlord

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Re: Pros and Cons of having bottom surgery???
« Reply #12 on: January 13, 2012, 11:48:05 pm »
I'm 100% sure I want top and bottom surgery.
Agreed.
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Offline Felix

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Re: Pros and Cons of having bottom surgery???
« Reply #13 on: January 14, 2012, 12:22:05 am »
I was sure I didn't want it, but I'm starting to change my mind. I don't like the phallo results I've seen, but I'd jump at the chance for meto. Maybe more.
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Offline Felix

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Re: Pros and Cons of having bottom surgery???
« Reply #14 on: January 14, 2012, 12:38:29 am »
i want to be a buck-toothed girl in luxembourg

Offline Nygeel

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Re: Pros and Cons of having bottom surgery???
« Reply #15 on: January 14, 2012, 09:50:14 am »
Let's say you lost weight and have extra skin around your muffin top/lower stomach area. Would it be possible to use that as a skin graft and with that, do a tummy tuck?

Offline Inkwe Mupkins

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Re: Pros and Cons of having bottom surgery???
« Reply #16 on: January 14, 2012, 07:54:01 pm »
Quote
Let's say you lost weight and have extra skin around your muffin top/lower stomach area. Would it be possible to use that as a skin graft and with that, do a tummy tuck?

I don't know if that's possible but I like the way your thinking. If I lost weight I'd have epic amounts of extra skin they could use and its pretty hairless.
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Offline King Malachite

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Re: Pros and Cons of having bottom surgery???
« Reply #17 on: January 14, 2012, 09:14:15 pm »
At first I went for the phalloplasty but now I am leaning more towards the metoidioplasty.  I've heard of a lot of transmen who got the phalloplasty who were able to orgasm because the "nerve ending" was still buried at the base of the phallo but I don't like the idea of having scarring.  The metoidioplasty is less invasive and would utilize what I already have down there.  I'm not so much happy about the size but it's a lot better than my current junk and besides, a lot of other cismales are small.  Some men who have the metoidioplasty can penetrate.  I've seen metoidioplasties on the small side and on the larger side which were quite impressive. I'm not too worried about being able to penetrate because I doubt I'll ever have a girlfriend and I'm sure that the anime body pillow that I buy in the future will not mind my size.  Being able to stand up to pee with a metoidioplasty with practice is a plus so I'm not too concerned there.  Sensation is very important to me.  When I am with my body pillow I want to be able to obtain a more natural erection while retaining as much sensation as possible..  It sucks that I won't have a large package in my undergarments but I'll get over it.  For me a tiny penis is better than no penis at all.  I could call it "Little Malachite" and actually mean it.

Winner (for me personally): Metoidioplasty....for now

I'm also looking into the centurion method but that method seems a little early in it's stages to know much about it.
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Offline conformer

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Re: Pros and Cons of having bottom surgery???
« Reply #18 on: January 14, 2012, 09:59:04 pm »
At first I went for the phalloplasty but now I am leaning more towards the metoidioplasty.  I've heard of a lot of transmen who got the phalloplasty who were able to orgasm because the "nerve ending" was still buried at the base of the phallo but I don't like the idea of having scarring.  The metoidioplasty is less invasive and would utilize what I already have down there.  I'm not so much happy about the size but it's a lot better than my current junk and besides, a lot of other cismales are small.  Some men who have the metoidioplasty can penetrate.  I've seen metoidioplasties on the small side and on the larger side which were quite impressive. I'm not too worried about being able to penetrate because I doubt I'll ever have a girlfriend and I'm sure that the anime body pillow that I buy in the future will not mind my size.  Being able to stand up to pee with a metoidioplasty with practice is a plus so I'm not too concerned there.  Sensation is very important to me.  When I am with my body pillow I want to be able to obtain a more natural erection while retaining as much sensation as possible..  It sucks that I won't have a large package in my undergarments but I'll get over it.  For me a tiny penis is better than no penis at all.  I could call it "Little Malachite" and actually mean it.

Winner (for me personally): Metoidioplasty....for now

I'm also looking into the centurion method but that method seems a little early in it's stages to know much about it.

I've never even heard of centurion until now. Just looked it up on Hudson's guide and this is what it says:

"Centurion
The Centurion procedure is a unique variation of metoidioplasty that was first performed in 2002 by Dr. Peter Raphael. In the Centurion, the round ligaments (which run along the sides of the labia) are freed from the labia majora and brought together along the shaft of the clitoris to provide girth for the new penis. The extraction of the round ligaments from the labia majora leaves a hollowed-out area which serves as a "pocket" for solid silicone scrotal implants. The labia major are later joined to form a scrotal sac. A urethral extension to the tip of the new penis is formed by joining skin flaps around a catheter that runs along the underside of the clitoris. The catheter remains in place for about two weeks until the new urethral extension has healed.

The typical operating time for the Centurion procedure is about 2.5 hours; if it is also being performed with vaginectomy and hysterectomy/oophorectomy, the time increases to about 4-5 hours. The patient may require additional follow-up procedures and revisions at a later date. Recovery time is usually between 2 to 4 weeks of very limited activity.

Pros, Cons, and Risks
The advantages of the Centurion are that it results in a natural looking (albeit small), erotically sensate penis. Since the clitoris is made of erectile tissue, the patient can achieve an unassisted erection when aroused. The procedure takes advantage of existing genital tissue, and doesn't leave visible scars on other parts of the body.

The disadvantages are that the resulting penis is usually quite small, and as such often cannot be used for penetration. It also may not be a good choice for a trans man whose clitoris has not grown substantially as a result of testosterone therapy (most surgeons recommend being on testosterone therapy for at least 6 months to 2 years in order to maximize growth of the clitoris). And, as with any surgery, there are potential risks of complication, such as the extrusion of testicular implants, the formation of a stricture (an abnormal narrowing; blockage) or fistula (an abnormal connection; leakage) in the newly constructed urethral passage, and potential problems of infection and tissue death (though tissue death is less common in metoidioplasty/Centurion as compared to phalloplasty). One must also consider the usual risks of any surgery, including bleeding, infection, problems from anesthesia, blood clots, or death (rare).

When considering the Centurion or other metoidioplasty procedure, it is important to research the surgical options carefully and discuss them with the surgeons you are considering. Each surgeon has a different approach and technique. Also, if you are unsure if you wish to have additional genital surgery (such as phalloplasty) in the future, discuss with your surgeon which procedures will leave you with the most options for later surgery."

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Re: Pros and Cons of having bottom surgery???
« Reply #19 on: January 14, 2012, 10:07:23 pm »
A lot of people seem to think that you automatically lose all sensation with a phalloplasty.  There are surgeons who use microsurgical techniques to reposition nerves which achieves sensation, even partial, in the phallus. I know that some in Thailand do this.

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