Had my SRS yesterday by Dr.Sutin from PAI. Best decision in my life and it was nice to see that the body and mind were agreeing, as I was on the operating table already being prepared, my blood pressure was normal and heart beat was relaxed, which the anesthetic nurse found surprising :)
Feeling a bit dizzy and I have slight fever, but otherwise I´m fine, no real pain, just discomfort.
The staff at the hospital have been really great!
Congratulations - let me know how you go overall, Dr Sutin is on my shortlist!
Em x
Congratulations :icon_flower:! It's wonderful that you were so calm just before the surgery.
Best of luck with the recovery, and keep us updated! I am going to have my surgery with Dr. Sutin in October ^-^
Had that packaging removed today, and lets just say, that I don´t ever again, not in this lifetime, not in next, never, want to experience anything like that. Most of the anxiety comes, when your mind doesn´t know where you are being touched, what is happening, there is no previous reference, everyhing is new and at least for me, created panic.
After that, I had a complete meltdown, crying eyes off from my head, as I couldn´t pee. The catheter needed to be put back. I know, that this is not rare, everything is just swollen and still need to wait a bit. I know and perhaps the crying was just stress release from weeks, months and years?
The positives; Even with the swelling, I can see past the swelling, and if nothing unexpected happens, the result will look great! Really!
I also already have a sense of feeling downstairs as when the nurse was showing how to clean places, it suddenly felt good, differently good than before, but good. Again, brain didn´t know how to react, so only giggling came out. Definitely can feel!
Mendi here's a big hug from me. I am sorry to hear some of this caused you to panic, but you also are experiencing some great things. Your next days will improve and continue to go more smoothly. And congratulations!
Hi Mendi
Thanks for sharing your experience. Great to hear you have sensation...get well and I look forward to reading about your recovery.
Take care
Liz
Hi Mendi! I'm having Sigmoid srs with dr sutin next month! I will have my surgery at phyathai 2. I'm extremely nervous but excited. Is there any pointers you can give from your experience so far? I wish you a smooth recovery!
Quote from: Seline88 on July 12, 2018, 02:09:27 PM
Hi Mendi! I'm having Sigmoid srs with dr sutin next month! I will have my surgery at phyathai 2. I'm extremely nervous but excited. Is there any pointers you can give from your experience so far? I wish you a smooth recovery!
I was operated and stayed at Phyathai 2 also. The hospital is nice, no real complaints really. The nurses don´t speak that good English, some of them not much at all, but then again, you wont have much to talk with them either, if and when everything goes as planned with the recovery.
Get a laptop, book or something that you like to do, because it will get boring otherwise. I at least wasn´t that much in pain, not with morphine and without it, that I couldn´t chat, read news, movies etc. from laptop.
I would do it all over again and now having experienced the whole process at PAI and at Phyathai 2, I really don´t think this cost anything at all. Back at home, I would have not ever gotten treatment like this, not even close!
I was taken back to a hotel with a young woman, who had gotten Sigmoid srs. At least at this point, she didn´t have any complaints and seemed happy of her choise.
But if your legal gender is still M, don´t get upset, because everywhere will read Mr. I think it´s just for legal purposes, because everyone will call you Madam and treat you properly.
I noticed this also at hotel, that they put Mr., but still they treat me as a woman. I just love Thailand, it doesn´t seem to matter what some official paper says, you are who you say you are, and that´s that.
Thank you so much Mendi! That makes me feel so much better! May I ask do still have a lot of sensation down there? Please get us updated with your recovery.
Quote from: Seline88 on July 12, 2018, 06:08:51 PM
Thank you so much Mendi! That makes me feel so much better! May I ask do still have a lot of sensation down there? Please get us updated with your recovery.
There is sensation, but at this point I am too afraid to do anything else or touch more than required with cleaning, than I could say much more. I somehow mentally am in constant alert mode, that it is going to hurt soon, perhaps now. It´s strange.
I still have that catheter. This was something that I wasn´t mentally prepared, I had thought all other things that can happen and went through those in my mind that what then.
But not this peeing problem and it´s really getting me down and making me cry here. Tomorrow I´ll try again to pee, but as I´m already anxious and crying here, I don´t know how that is going to work, which makes me then even more anxious.
Try to be mentally prepared to all possibilities, even to rare ones. This peeing problem happens to 5 to 10 % of women.
Awe don't cry! It's going to be fine. I see the peeing problem is common. I've gotten prepared for that, I'm packing a couple of maxi dresses so I can hide my catheter. Is walking a problem for you? I requested a wheelchair for my departure from the hospital to use until I head back home. That way my husband can push me to the stores and restaurants around town.
Your probably feeling your hormone levels crash and it's what's making you emotional. I am not sure how long it will last but it will stop once your permitted to return to HRT. Try not to worry about things and realize these problems are only temporary and will end shortly.
I also found myself very emotional after surgery and like you, the fact I couldn't pee didn't help. The nurse came in to discuss how I would pay for the additional hospital time and that made me emotional. Realize that I had the money but it was in a saving account and I couldn't write a check on it until after I returned home. An easily solved problem but it still upset me.
Hi Mendi. Dont overthink everything it will be ok. The difficulty in peeing the first time is quite common, give it a day or two. I will come by to visit you this weekend. And your hormone level , as Dena says will cause emotional and physical stress until you start again.
I can walk, slowly. But can. This morning it feels like most of the actual pressure in very lower abdomen/upper genital area that I was feeling yesterday and before is gone and without catheter I think I could actually probably walk quite normally.
I know part of this emotional distress is because now there is no hormones, nada, zombie ;D
Tomorrow, if the internal examination shows that everything is ok I can resume taking hormones and perhaps part of my emotions will be better under control.
Congratulations Mendi, so happy to hear you are doing well. There always seems to be something with surgery to drive us a little crazy, but you will be fine. It's kind of like renting a car, a surgery like this. You feel like you need to get out the owner's manual to see how things work, only there is none. Keep smiling!
Moni
With more crying and teeth grinding, I managed to pee. It´s not a continues stream and requires some pushing, but I can. However, the catheter would be back, unless I would have tried all sort of positions above the toilet seat :) I mean sitting directly at the toilet seat wont work at the moment, due to the sensation of swelling and tightness, but squatting above the seat like a ski jumper worked! ;D
Just have to keep a bit of track how much I drink and how much comes out, because the stream is not continues and requires a bit of pushing.
The positives; First dilatation today and at that point when 6 inch of the size 1 dilator was inside I started to laugh and asked from Dr.Sutin, that did you put a bottom at all to my vagina? He also seemed honestly surprised. 6 inch and a bit more is the depth at the moment that I could take in comfortably and carefully.
I've heard some women find it easier peeing standing up after the catheter comes out - in the shower is probably best.
I had to chuckle at your toilet description, I didn't realise I may need some gymnastic skills for the first little while after surgery in order to pee....you can imagine the mental images that your description created :D It certainly made me smile... Its good that your body is starting to return to its normal function.
Sounds like you are making great progress.
That is a great result for depth for your first dilation. Congrats
Take care
Liz
I mostly used the shower to pee during the first couple weeks after GCS/SRS.
After GCS-2 revision earlier this week, for the first 3 days I again used the shower for this.
Hih, yeah I still continue my ski jumping trainings in toilet ;D
Now, if bowel would start to function as well, I might feel mostly ok :)
Now that I´ve dilated few times by myself, in peace and relaxed and not with 3 people staring and one taking photographs, the depth is 6,5 inches and closing the 7 inch mark. I think I could reach the 7 inch mark, but I rather have Dr.Sutin to check next week, that everything is ok before trying.
Am I happy? More than that. I really didn´t have much material to begin with, if you use the length as an indicator. I was just borderlining, can the inversion be even done without skin grafts. But for some reason, I seemed to have enough skin even for two people :)
If you haven't had a moving experience, it's time to have a discussion with the medical staff about a laxative. If your not careful, you could damage the surgery by pushing to hard.
Hi Mendi! I'm so glad your recovery is going well! May I ask is there any pain while dilation? Did you have just the inversion or did you do it with scrotal graft?
Quote from: Dena on July 14, 2018, 11:52:58 PM
If you haven't had a moving experience, it's time to have a discussion with the medical staff about a laxative. If your not careful, you could damage the surgery by pushing to hard.
I got laxatives yesterday and there has been movement and stuff coming out today, nearly without pushing, but it´s not all and the feeling is not that comfortable. But going towards better days I hope...
Quote from: Seline88 on July 15, 2018, 12:17:31 AM
Hi Mendi! I'm so glad your recovery is going well! May I ask is there any pain while dilation? Did you have just the inversion or did you do it with scrotal graft?
No pain with dilation, it´s just feels, something new. Of course it is thight feeling at the entrance, but past that, just a feeling of fullness. You will know what I mean.
But no pain, don´t worry about that even at first dilation and examination. And if there is, you need to say immediately.
Just inversion, no skin grafts were needed, because like I said, I seemed to have more than enough of skin :)
That's awesome! My penis is right at 7 inches I should have enough skin for the inversion. I still may consider the inversion over the colon once I speak with dr sutin. The only bad part now is I've not had laser hair removal. I should have went ahead did it.
Quote from: Seline88 on July 15, 2018, 09:42:54 AM
That's awesome! My penis is right at 7 inches I should have enough skin for the inversion. I still may consider the inversion over the colon once I speak with dr sutin. The only bad part now is I've not had laser hair removal. I should have went ahead did it.
From Peeras emails, I understood, that the laser and/or needle epilation is recommended, not 100% necessary. But then again, you still would have time to do one laser treatment and perhaps one needle epilation to the area, of course depending when in August your surgery was.
With 7 inches, I would think, that you have a great result. But when in consultation, they don´t promise huge results. I mean we talked about 5.3 inches to 5.7 inches as a guarantee. And I get 6.5 to 7 inches...thats why I started to laugh :)
I can understand of course, that they dont want to promise straight out huge results, because surgery is surgery, there is always element of surprise.
I'm actually going to set up an electrolysis appointment tomorrow. I honestly could live with a 5.5 in depth ,my husband is only 6 but he's huge in width. May I ask do you have a lot of scarring on the outside or did he do your sutures inside the labia's? I've heard you can request how you want your labia to look.
Quote from: Seline88 on July 15, 2018, 07:51:12 PM
I'm actually going to set up an electrolysis appointment tomorrow. I honestly could live with a 5.5 in depth ,my husband is only 6 but he's huge in width. May I ask do you have a lot of scarring on the outside or did he do your sutures inside the labia's? I've heard you can request how you want your labia to look.
To be honest, the labia looks better than I was expecting. Immediately after removing the package at the hospital, I was a bit worried and was fixed on looking the labia. But now that the swelling is going down slowly, day by day, it looks better. Better than the pictures they showed me before surgery, where there were complications. I think the stitches must be inside, because the top of the skin doesn´t show stitch marks, other than in upper part of the labia, but I´m not sure if those are from stitches or just swelling. Of course, there is a line showing, that the skin has been cut. But when swelling is gone and things settle down and if everything is just on spot, those lines will be on the labia edge and wont be really visible. But that I will see later.
And I´m not saying all this and previous things to promote PAI or my choice and I am a very critical person. Judging the appearance at the moment is difficult due to the swelling. Because I can see forexample, that I also immediately noticed that inner labia were asymmetrical...but now with swelling going down, it is starting to settle in symmetrical position.
So judging the surgeon result with just 1 week post-op, is difficult and it´s not fair to the surgeon. I will update this topic in 3 months, but of course for you that will be late then, you will know by yourself already :)
But I am happy and I would definitely say if I wasn´t. I mean even with bowel problems and peeing problems, I still sometimes start to giggle here by myself, for being just happy.
That's great! Thank you Mendi for answering my questions. You're being a big help! I'm scared but ready!
4 weeks post-op coming up:
- Left Bangkok more than a week ago. Flight back home, 14 hours, wasn´t that nice but I made it and no complications from sitting that long. Getting wheelchair and assistant was the best decision ever! Got through from security checks via VIP lanes and the assistants in Bangkok, Istanbul and Helsinki just pushed through other queues, saying priority passenger! ;D
- Swelling is going down and has come down significantly. The area also is not super sensitive anymore and I can even spread labia minora to clean a bit better.
- There is still the feeling of tightness or stretching and it´s mostly in the upper part of labia minora and up from clitors. Of course, sitting here with only me and my vagina and having nothing else to do than to worry, I´m worried, that too much erectile tissue was left and that is causing the tight feeling. It´s not erection feeling though, just tightness...so perhaps I´m worrying too much. Need to see some people perhaps...not just me and my vagina ;D
- I was worried week or two ago, that I had a tearing at the vagina entrance, but with swelling gone down, that wasn´t the case. No tearing, just swelling.
- Everything really looks good and I´m able to walk more and more naturally.
- With dilatation no problems, the depth is 6 to 6,5 inches. No pain during dilatation and even when inserting it´s not that tight on entrance.
- Only the douching applicator or whatever you call that, doesn´t feel that nice. When I insert it, it always seem to hit something and it sometimes hurts and I´m getting more and more anxious of even using it. Few more weeks and I can ditch it...just don´t know if I can go on with it that long.
Hi Mendi, what a fantastic post detailing your experience.
I am scheduled for GCS with Dr. Sutin at the beginning of Sep. I have been speaking (email only) with Peera and I am considering direct wire transfer of all surgery funds before I depart from US.
I have instructions for wire transfer into bank account in Singapore which perhaps is a common practice there however personally it feels a bit questionable?
In your own opinion is it safe to trust Peera and PAI with such transaction and have you had a similar experience?
Quote from: innainka on August 02, 2018, 01:46:45 PM
Hi Mendi, what a fantastic post detailing your experience.
I am scheduled for GCS with Dr. Sutin at the beginning of Sep. I have been speaking (email only) with Peera and I am considering direct wire transfer of all surgery funds before I depart from US.
I have instructions for wire transfer into bank account in Singapore which perhaps is a common practice there however personally it feels a bit questionable?
In your own opinion is it safe to trust Peera and PAI with such transaction and have you had a similar experience?
Hi
Yes, I transfered the advance payment also to that Singapore bank account. I know I felt the same, that it feels funny, but it is what it is.
When you get to Bangkok and see the staff at PAI, you will laugh, that you doubted that procedure :)
I wish I would have also transfered everything via that bank, because I carried the cash with me. Granted, I had it stored under pantyhose on my waist, so it would have not gotten stolen no matter what, but still wasn´t a nice feeling.
thank you hon for your thumbs up, I will certainly sleep better with this knowledge and will proceed to transfer funds before departure. I can only imagine the stress of carrying such amount and worrying of it being somehow lost.
I am so happy for you and as well for my self to be granted such an opportunity of this life saving surgery which only lately has become a standard procedure. As only several decades ago this was quite experimental and perhaps dangerous operation.
All my love <3
Mendi you give me so much relief with your recovery! Innainka I will be having my srs with Dr Sutin the beginning of September as well. Maybe I will see you around. Mendi I don't want to sound annoying but did the scarring go inside your labia after the swelling went down? I know its surgery but I hate scars and definitely don't want a bad one on my vagina.
Quote from: Seline88 on August 02, 2018, 02:08:16 PM
Mendi you give me so much relief with your recovery! Innainka I will be having my srs with Dr Sutin the beginning of September as well. Maybe I will see you around. Mendi I don't want to sound annoying but did the scarring go inside your labia after the swelling went down? I know its surgery but I hate scars and definitely don't want a bad one on my vagina.
It is too early to say about the visibility of scarring. That will take months, if not closer to a year for it to first of all fade. Now it´s a red line of course and before that redness fades, I cannot really say how it will look.
Also, not all swelling is gone yet. Especially the labia majora are swollen.
Update 4 months Post-Op;
Healing really went as they instructed from PAI in the first place. Two months of sick leave and almost exactly of two months from surgery I was back at work. Also, 2 month mark was the first experience with sex, which went fine.
First orgasm with clitoris vibrator I achieved around 3 month mark. Intercourse itself does feel good, but I´m not sure if I will reach orgasm like that ever. It feels good though. Clitoris area is super sensitive. I can touch it and use vibrator, but a guy will be too rough unfortunately. Needs a very gentle touch!
No real problems has occured with healing. There is still a bit swelling around the clitors area. I can feel that swelling now and then, but it´s not constant. The urethra area is still a bit reddish and now and then some fresh blood, but very tiny amount. The urine spread is still a shower and not a single stream, but that really hasn´t bothered me much.
Depth has settled around 6,5 inches. I´ve had sex several times with different partnes during the past 2 months and in regards depth, I´ve had no problems at all. Width is another thing. I had one guy, who had such a thick tool, that I could not fit that in. Felt a bit depressed about that, but then again, there is so much variation that this is bound to happen to a cis woman too.
What comes to asthetics, I´m happy to the result. Also all of the guys that I´ve been with have been amazed of the look and comments have been, that it looks beautiful. But then again, those are guys and I take their comments with a grain of salt ;D But I´m happy how mine looks and I cannot really think of anything to correct with surgery. The scars of course are visible and reddish which is a bummer I guess, but I know that 4 months is not enough for them to fade away. Four years perhaps. I´ve left hair as it is and only trimming my hair down there.
Happy! Next BA job at PAI!
So glad everything is well. As for thick tools, try practising using a larger wider dilator.I use the extra large Rabbit viibrator.
Quote from: warlockmaker on November 11, 2018, 09:41:50 AM
So glad everything is well. As for thick tools, try practising using a larger wider dilator.I use the extra large Rabbit viibrator.
Yeah, was thinking that. Though that guy had a _really_ thick. Not sure if I ever again come across something like that :)
But, I am quite tight. Not sure if it will get a bit loose later on or not.