There are a few different procedures and variations there of. As of yet there is no perfect method to create a fully functioning penis and often compromises must be made.
Phalloplasty (https://www.susans.org/wiki/Phalloplasty) can create a larger penis, using grafts taken from the forearm, leg, abdomen or side of the chest. While this will create a bigger penis than a metoidioplasty it often takes several surgeries to achieve the final look and can leave massive scaring where the grafts are taken. Also sexual sensation may be lost and an erectile prosthesis is needed to achieve an erection. For more information read the wiki article linked above.
Metoidioplasty (https://www.susans.org/wiki/Metoidioplasty) frees the clitoris (which becomes enlarged due to testosterone) from the surrounding tissue. While this procedure isn't as invasive as a Phallo the results are dramatically smaller. It is more likely that sexual sensation will remain and erections can be achieved without assistance of an erectile prosthesis. However due to the average size achieved penetrative sexual intercourse often isn't possible. For more information read the wiki article linked above.
With both procedures testicular implants and vaginectomy are available but not necessary and with metoidioplasty urethra extension is optional.
Yes my good man, I guess you almost said it all.
The problem? You either may have penetrative sex with phalopasty and not much feeling for you, but look after your partner. Or you do have feeling with a relatively tiny one like some ~10 year old XY boy at best.
The slightly good news? There are "normal" XY males that are not much longer, thicker yes! They have no prob to enjoy sex themselves, speaking from experience, but will not be able to have penetrative sex and if on the receiving end it leaves you mighty "empty" which sort of sucks. (Usually missionary is NOT their preferred position to make things any better)
Yes, "SIZE MATTERS" after all to us girls (so long we don't feel being stabbed to death down yonder).
Greetings,
Axelle
Actually, for sex after meto there are these things called penis extenders ;)
I think I'd go for phalloplasty, but at the moment I feel like its more important for me to be able to just whip it out and pee standing up
without any hassle than to have an active sex life. That might change for me, but its still a few years away.
Urethral extension is possibly for Phalloplasty too, not just meta...
I feel like the OP is innacurate and this should not be a sticky.
1. The term fully functioning is subjective. Do MTF's not have fully functioning vaginas ? They do what they were meant to do, no?
2. "Massive scaring" is innacurate too. I have a pencil thick scar. That is kind of like saying chest surgery with double incision leaves "massive
scarring" There is scarring, but to label it 'massive'?
3. Sexual sensation may be lost with meta as well. I have yet to talk to a guy who has lost sensation after a phallo
4. But not everyone needs an erectile prosthesis for penetration
I would love to see some fact based articles that say sexual sensation is more likely to remain with meta tan phallo.
I had a radial arm flap for phalloplasty, and despite the fact that I have no erotic feeling in my penis, I'm glad I did it. My surgeon left my clitoris at the base of the penis, so although its not the same as "normal" sexual satisfaction, I can still achieve an orgasm.
At the time, the surgeon told me that they could reduce the size of the scar on my arm with an implant. It would be a temporary implant that they would add fluid to through a port under my skin with the goal of stretching out the skin without scarring. They would eventually remove the implant and with the skin stretched, be able to cover the scar. I just chose not to do it.
If I were going through transition now, I would have the urinary hookup and some cosmetic work on my penis, but at the time I had the surgery, the hookups were considered dangerous. Medicine and surgery have come a long way. I do wish I could stand and urinate, but am not in a position financially to do it.
For all the advancement and skill of surgeons, its just not perfect. That is something we accept when we go into transitioning. Its just a matter of weighing the imperfections against what the surgeries will do for us and how we look at ourselves.
sam1234
Sam, I believe the info here is kind of outdated. Might be more appropriate for your's which was done 25 years ago. UL is way safer today, but still considered a tricky procedure.
--Jay
Quote from: AbraCadabra on July 05, 2011, 12:21:12 PM
Yes my good man, I guess you almost said it all.
The problem? You either may have penetrative sex with phalopasty and not much feeling for you, but look after your partner. Or you do have feeling with a relatively tiny one like some ~10 year old XY boy at best.
The slightly good news? There are "normal" XY males that are not much longer, thicker yes! They have no prob to enjoy sex themselves, speaking from experience, but will not be able to have penetrative sex and if on the receiving end it leaves you mighty "empty" which sort of sucks. (Usually missionary is NOT their preferred position to make things any better)
Yes, "SIZE MATTERS" after all to us girls (so long we don't feel being stabbed to death down yonder).
Greetings,
Axelle
Honestly...I'll probably get Metoidioplasty. There are means of enlargement without surgery. I'd much rather keep feeling. The woman I'm interested in considered herself a lesbian for most of her life and only considered herself by when she started dating trans-men. I don't know how she actually feels about penetration intercourse....so if we continue down our road, no penetration is probably fine.
Not to to TMI, but even being a bi-sexual, biological female, I've always been far more concerned with my partner's pleasure and rarely receive satisfaction in return, so that's not going to be a too big of a loss for me, anyway! :laugh:
Quote from: transguymac on June 27, 2017, 09:39:17 AM
Not to to TMI, but even being a bi-sexual, biological female, I've always been far more concerned with my partner's pleasure and rarely receive satisfaction in return, so that's not going to be a too big of a loss for me, anyway! :laugh:
A word of note: if you haven't started T yet, this could well change. I'd have said the same as you 8 months ago before HRT. There have been some significant changes in the mental side of things toward sex since then, none of them particularly voluntary.
This won't apply to every guy but it's fair to warn, you may not feel the same way about sex or about junk in future, and your requirements for surgery might well reflect that.