Pre-Metoidioplasty

[Simon]

I've been thinking a bit about bottom surgery for awhile now. While I know I want something done I don't know exactly what would make me happier. At this point I'm afraid to commit to either a full meta or a phalloplasty. Why? Well, with a phalloplasty there are risks of losing sensation but also if you get a pump installed to achieve erections they have to be replaced every 7 years or so. I'm afraid to go in for a full meta, put all that money out there, and not be satisfied.

A Pre-Meta (aka clitoral release) seems like a viable option but not one I've seen discussed very much. It's cheaper (around 5 grand) and would allow me to pump for a couple years and fully see my size before deciding on what step to take next. I have read that some surgeons can also let you decide between having a cut or uncut appearance.

Has anyone else taken this route? Anyone else even considering this procedure first? Any thoughts about the procedure or further info? 

[King Malachite]

I thought about a clitoral release (that's the one with no urethral lengthening or scrotoplasty right?), but I feel that it's not for me.  I really want to get a full meta first (assuming I get down to optimal weight before hand) with all of the works.  I would really need the option of peeing standing up.  I don't want to get a part meta and then decide to extend the urethra later when it could be done at one time.

[spacerace]

Has anyone else taken this route? Anyone else even considering this procedure first? Any thoughts about the procedure or further info?

If I had the option for surgery, I would want do the meta first and see my results and go from there. Seems like the safest order to get the results I would want.

I didn't know about the pre-meta surgery option being that inexpensive, that sounds like something I should read more about. That is cheaper than even top surgery, though I would want to get top surgery first still.

[Simon]

If I had the option for surgery, I would want do the meta first and see my results and go from there. Seems like the safest order to get the results I would want.

That's what I'm looking into. The Pre-Meta (just clitoral release) to me is a good option as a prelude to something down the road. I'm afraid to spend $25 grand or so on a full meta with urethral lengthening, testicular implants, and a vaginectomy to not even be able to STP properly (it happens to some). I can't continually spend money on SRS. I would like to put money into a nice home, go on vacations, etc. You know...live a little. Am I the only one who feels tired of being consumed with this?

I don't know about you guys but my length down there soft is quite different from what I have hard. You're going to be attempting to pee while you're soft so to me going in for that procedure blindly is a big risk. It's a way to see what you have down there and then saving for what you really want.

[King Malachite]

I can understand that type of mentality.  I'm so consumed with the thoughts of transitioning that I actually have to force myself to take it one step at a time.  The whole being soft aspect is an interesting point though.

[Nero]

I've thought about it before. If I was ever going to have bottom surgery, this is all I'd have done. When I looked into it (years ago when I started transition), I was turned off by there being a slim chance of lost sensation (course this is with any surgery). Even a miniscule chance of never getting off again or as well scares me. But I'm also someone who wouldn't have any other type of bottom surgery. Just not dysphoric enough to warrant it. If you'd have bottom surgery anyway, then the risk with this probably doesn't matter.

But I do like the idea of my part being more front and center. 

[Simon]

Even a miniscule chance of never getting off again or as well scares me.

If you'd have bottom surgery anyway, then the risk with this probably doesn't matter.

But I do like the idea of my part being more front and center. 

Oh, no...I am terrified at the thought of never getting off again. He's my favorite piece, lol. I'll definitely be going to Bowers or McGinn. I'm not going overseas to risk getting a hack job. I hope I get the release done and feel complete enough afterwards without anything else.

I really don't "want" bottom surgery but dysphoria says otherwise. Maybe I can appease it with just this. Might be TMI but just being able to jerk off with the extra growth from T has helped a lot.

[kaiju]

Pansy-boy on Tumblr had a release and testicle implants with a lot of success.

[JesseO]

I don't know how much help this will be, if any, but I just had the full meta procedure done a little less than two months ago. I had the release, urethral lengthening, fat transfer to create a scrotum (no implants, currently) and a hysterectomy. I did not have a v-gectomy (hate that word!). I think whether or not you go with the release or full thing, you need to be prepared and realistic about your surgery. If you are not sure, and it is possible (financially, time-wise and medically) that additional procedures can be done later on, I'd seriously consider going with the lesser surgery to test it out. I personally kind of wish I have done the lesser route first. That may not be saying a lot only two months out, but its better to get what you are SURE you want done, rather than what you think you might be satisfied with.

[Simon]

If you are not sure, and it is possible (financially, time-wise and medically) that additional procedures can be done later on, I'd seriously consider going with the lesser surgery to test it out. I personally kind of wish I have done the lesser route first. That may not be saying a lot only two months out, but its better to get what you are SURE you want done, rather than what you think you might be satisfied with.

Thank you for that. It actually helps a lot.

[insideontheoutside]

Personally I'd go with the release. I looked into that because I was curious if that would be something I could consider and it seems to have less risk over all (there is SOME risk, as with all surgeries, but this one didn't seem as bad). It's not like it's reversible but really all it does is increase your length, which to me is all bonus. So it seems like a good dipping your toes in the waters type of thing to see if you want to go further down the road.