Misconceptions about Phalloplasty

[Arch]

All important factors to consider. Now even though most people are familiar with the forearm flap its certainly not the only option.

Well, I should have been clearer about the "forearm" remark. So far, I've seen reports that the forearm is the best option, but I wouldn't want to go with that because of the obvious scarring. But I was also commenting on the need for a wound elsewhere on the body--that is, other than the penis site. I typically take a long time to heal, I scar easily, and I tend to get infections. So having tissue mined from anywhere worries me. Still, that should be a minimal concern when compared to how much they would be carving me up downstairs.

Pumps do typically need to be replaced at one point, but usually last up to 20 years.

I'd like hard data on this. My friend with the phallo was told to expect replacement every ten years, or so he says. Maybe ten years is the soonest they tend to break down.

The idea of this being a high risk procedure has not been the case in a very  long time but this idea still hangs around from the way it use to be.

Again, where can I get real data? I know that Alter doesn't do certain procedures because (as he states on his site) of the higher rate of complications. I think he included vaginectomy and urethral extension as adding substantially to the risk, but I would have to check. And I'd like more than what one surgeon says. I still have a lot of research to do.

I can post the prices I got from a surgeon estimating the cost of each stage if anyone is interested.

Please do. I would like that. I've never had a consultation, and, as I said, my friend ran up to nearly $50,000 and wasn't nearly done.

[MrReborn]

Test me on pump replacement since for me that was a one source thing, and a potentially failable fact. However I know for a fact that this is not a quote on quote "high risk procedure". It's just not. Some surgeons aren't skilled enough to do certain procedures and I personally would steer away from anyone who doesn't do this as a primary part of their practice. Once again it is NOT high risk BUT chances of getting through it with 0 complications are unlikely. However, the complications are small complications that can either be fixed or heal on their own with only a select few experiencing a more complex complication.

Here is the email I was sent on prices:

The Sava Perovic Foundation Surgical Team performs: 1) vaginectomy + 2) trans-vaginal hysterectomy + 3) oophorectomy + 4) urethral advancement + 5) scrotoplasty, including testicular implants + 6) Stage One Total Phalloplasty + 7) Step One of Stage Two urethroplasty for a total net price of Euros 16500.
That is the package needed by patients who want to get all three stages or at least the first two.
Stage Two (Urethroplasty) 3-6 months or more after Stage One costs Euros 5000.

Stage Three (Penile Implant)  3-6 months or more after Stage Two costs Euros 6200.

AMS 700 CX penile prosthesis: Euros 6000
Package prices are under review and likely to be increased in the near future.

[Arch]

Thanks for the numbers. I really appreciate your sharing info.

I haven't done any pricing at all because I'm not in a position to do anything at the moment. I've done no real research, either. When I do get to the point where this becomes a realistic possibility, I'll shift into high gear and do a ton of research (that's how I operate). But having one set of numbers helps.

BTW, I don't believe I've ever called this a high-risk procedure--but I know that some aspects of the surgery involve higher risk than others. With my stupid body, I think it's best to expect such problems and then be pleasantly surprised if nothing goes wrong.

[AustinS]

Hello Mr. Reborn, Do you think you could send me that video? I do believe that youtube took it down.

[King Malachite]

Hello Mr. Reborn, Do you think you could send me that video? I do believe that youtube took it down.

Hey AustinS, if you type in "My Transsexual Summer episode 2" on Youtube and start the video from 19:14 to 22:59 then that is the clip I believe MrReborn was referring to.

19:14 to 22:59

[mangoslayer]

I  just want to add my input on the sensation and ejaculation thing. I had forearm phallo with the nerve hook up approx 6 months ago. I have erotic sensation in all of my penis. The sensation is the same amount i had before except more spread out.

As for ejaculation, theres no ejaculation when I orgasm but sometimes i'll get a little dribble of cum that will come out later. ngl its pretty gross.

[szikha]

First of all i wanna thank you for this post! I wanna quote some if you don't mind. and please keep in mind that English is not my mother langua!

Some surgeons don't give you a choice but most do- you can either have your biological clitoris buried at the base of your new penis so that when your new penis is stimulated it stimulates your neopenis (clitoris) that's buried at its base. or you can decide to keep your clitoris untouched and located underneath your new phallus. Either way you will maintain orgasmic ability.

To me this sound the same. I wanna explain what happend during nerve hock up. NOTE: this is from Belgium hospital and iam not good at English so please keep that in mind.

You say:

you can either have your biological clitoris buried at the base of your new penis so that when your new penis is stimulated it stimulates your neopenis (clitoris) that's buried at its base. or you can decide to keep your clitoris untouched and located underneath your new phallus. Either way you will maintain orgasmic ability.

NO, when the clitoris is 'buried' it is not always in your new penis. This all depends on your anatomy and stuff. Most of the time it is buried in the base of the phallus yes defendly but somethimes ,depending which technic but also on the 'skills' of your surgeon , it is lokated in your scrotum. It all depends on deferent things ( anotomy, surgeon and his technic ect)

You say :

you can either have your biological clitoris buried at the base of your new penis so that when your new penis is stimulated it stimulates your neopenis (clitoris) that's buried at its base

Not totally true.  When they buried the clitoris they remove the foreskin (and something else but don't know the English word for it), and pull the clitoris as high as they can. The clitoris has 2 major nerves ( the whole clitoris has Thousand nerves) .  When they cut one of the two major nerves they connect that clitoral nerve to your arm nerve ( forearm phalloplasty). When this succesfully is done this clitoral nerve is spreading ( branches?it is not the proper English word iam sorry) trough your new penis.

The other nerve, untouch, is still in your clitoris and the clitoris will be buried under the new pallus

So what happend is that the clitoral nerve that is hocked up on your arm nerve is like a tree, a tree has a base and when it is getting bigger it get more ramifications or branches ( google translating) . This happend with your clitoral nerve. It connect to your arm nerve and  ramifications/ branches /speading trough your whole new penis.  Nerves have memory so they grow like a tree. Your clitoral nerve is now  connected trough your arm-nerve and grows trough your new penis. This process need some time offcourse.

So when you wanking your new penis it is not only your clitoris you feel but the whole nerve hock up. It work all in one. Thats why i tell people always that my penis feels like my clitoris when i gently thoug my penis.  Basicly said: i have a clitoris of 9 centimeter.

And yes you feel also your clitori(with the other nerve) which is buried in the base of the penis/scotum, so that is why most people report 'more' sensation. That is true. The man you saw in the video is NO exception. I gain sensation to. This is because of the nerve hock up.

NOTE: the nerve hock up is not always succesfull. Keep that in mind. Total failure is not uncommon. I heard from the UZ gent Hospital that this nerve hock up has a succes rate of 85% ( in 2009). So 15% of failure is big. But don't worry, if it fails nothing happend because you still have the clitoris with the other major nerve. With that nerve you can still achieve orgasm. The only thing is that you can not get an orgasm during penetration. If the nerve connection is succesfully you can.

There are some problems people have to achieve orgasm.

One of the problem is the brain. In the beginning you don't know what you must do.

second, since the nerve hock up need his time you mabye experience some difficulty to get orgams. Or you feel pain. Don't worry.

All patients of UZ gent report orgasm but small % report diffuculty to get the orgasm!


So what happend during orgasm with a phalloplasty AND colpectomy ( = surgery where they remove you whole vagina)? Well everything remains the same ( again : if everything went oké!) Exept you can't use your vagina anymore because he is gone. So vaginal orgams is not possible anymore

NOTE: keeping the vagina by phalloplasty can cause big problems, that is why the team in Belgium and the Netherlands required to remove the vagina. In Belgium is the rule: phalloplasty or vagina. You CAN NOT HAVE both. Except medical Exceptions ( if it is medical not possible to remove the vagina)

For me i gain sensation, that means that my orgasm is comming very very fast ( within 1:00 minute). I can't delay it anymore. During orgasm i feel it in my penis , scrotum and underneath the scrotum ( pelvic muscles). To tell the truth , these pelvic muscles is stronger without a vagina though. The medical reason i don't know.

The only 'negative' about my orgasm is that i can't enjoy many orgasm anymore. The penis way to sensitive after orgasm that i don't touch it anymore and when i do the second orgam is not intens anymore.

funny but true side note is thier have been a few reports of guys gaining sensation after a phallo. This is not a lie I have a video where a guy shows his phallo and mention he himself having gained sensation. Good for him! lol

yes this is true and normal by nerve hock up ( if it is succesfully). I have gain sensation also.

3. Phalloplasty don't look like an actual penis.

See for your self :

-edit- : remove the link because it was not working anymore

[Arch]

Thanks for the additional info, Szikha. Any new posts keep this thread alive.

I might be starting the phallo process as early as summer 2015, so I guess I need to start doing more research.

I'm scared. I don't want more surgeries. And I don't want anyone monkeying around with my genitals. But I don't see a way out. I'm not happy with the way things are, so I have to do something sooner or later.

[DanTheMan]

Thanks for the info, is it also still possible to have a phallo after a meta?
Because i'm afraid of the phallo and heard terror stories from the guys i've been hanging out with.
Not because it looks weird or anything but because of the STP.. (and the long wait to regain sensation)

[Arch]

I read somewhere that you can have meta first and phallo later. I don't know anyone who has done it, though.

[Adam (birkin)]

I think that chuck did (get a meta and then a phallo), but I feel like for some reason he got banned or left or something. It's too bad because I thought it was great to have someone who had gone through all that stuff on the site.

[King Malachite]

Yes, it's possible to get a meta first and then a phallo.  I know a guy on Youtube that has a meta done and now he's preparing to get a phallo.

[szikha]

Thanks for the info, is it also still possible to have a phallo after a meta?
Because i'm afraid of the phallo and heard terror stories from the guys i've been hanging out with.
Not because it looks weird or anything but because of the STP.. (and the long wait to regain sensation)

Yeah offcourse it is possible!
They (Belgium team) preffer you haven't though. I think iti is easyier for them to start with 'nothing' too phallo then meta to phallo

But yes it is absolutly possible. I know many guys who did.

[DanTheMan]

Great!! Thanks guys now I wont have to worry about that.

[Adam (birkin)]

Does anyone know if there are any benefits to getting a meta and then getting a phallo afterwards?

[sneakersjay]

I don't know if there are any benefits to getting a meta first.  I got a meta with full hookup and implants.  It is enough for me.  So maybe it would be enough for you, too.  Plenty of cis guys out there with very small penises (I know, I dated a couple of them!)  Just being able to use a urinal, the fact that I have nuts, and biggest bonus of all: NO HOLE!!! was plenty for me. 

In an ideal world I'd have a 6" penis, but that's not going to happen.

Surgery does take a toll on your body, and healing takes a while.  For me, meta was enough.  It might be for others as well.  But something you don't know until you do it.  If you know right off the bat you could not be happy, ever, with a meta, then I'd say skip right to phallo if you can afford it.  I hope these surgeries will soon be covered by insurance for all of our sakes.

[Adam (birkin)]

If I had more growth I'd be happy with a meta. But I've had hardly any to speak of and it's been two years. It's sort of a catch 22 because it's bad for the meta, obviously, but with the way my genitals are right now, growth would have been upsetting to me.

[DanTheMan]

If I had more growth I'd be happy with a meta. But I've had hardly any to speak of and it's been two years. It's sort of a catch 22 because it's bad for the meta, obviously, but with the way my genitals are right now, growth would have been upsetting to me.

Thank sucks man, I've been on T roughly for 2 years now and mine's about half my index finger, i'm ok with it. (haven't had surgery yet down there).

[sneakersjay]

My penis was nothing but a miniscule thing pre-t; post meta I'm about 1" soft and maybe 2.5 hard.  Smaller than my thumb. So I didn't have great growth either.  Meta does require a certain amount of growth; my surgeon had to examine me first to see if a meta would work for me.

It took a ton of practice and a ton of different underwear options to figure out how to be able to urinate consistently at a urinal in public without embarrassing myself, but I finally have it mastered (though a tucked in shirt foiled me once, and a belt another!)  Huge learning curve!!   But anyway, I'm almost 4 years out and still totally happy with my meta.  Even though one of my nuts really needs an adjustment.  Trying to decide if moving it will be worth it or if I should just leave well enough alone.


Jay

[DanTheMan]

My penis was nothing but a miniscule thing pre-t; post meta I'm about 1" soft and maybe 2.5 hard.  Smaller than my thumb. So I didn't have great growth either.  Meta does require a certain amount of growth; my surgeon had to examine me first to see if a meta would work for me.

It took a ton of practice and a ton of different underwear options to figure out how to be able to urinate consistently at a urinal in public without embarrassing myself, but I finally have it mastered (though a tucked in shirt foiled me once, and a belt another!)  Huge learning curve!!   But anyway, I'm almost 4 years out and still totally happy with my meta.  Even though one of my nuts really needs an adjustment.  Trying to decide if moving it will be worth it or if I should just leave well enough alone.


Jay

Great to hear you're so satisfied! I want to get a meta first (and a prosthetic) But no uthera lengthening (not sure how they call it in english), but I want to get that hole removed, but I hope they could make my meta look a bit better with the extra skin they normally use for the uthera, one of my friends has had a meta with the uthera and he had to catheter himself every day for a long while. And I personally don't mind sit peeing.
Having my bottom surgery (removal of all organs + that hole (by a robot  ) in about 2 months