Long Term Phalloplasty effects

[GnomeKid]

Hello!

So, I'm definitely at least a few years off from going under the knife again, but one thing that has been resting in my mind as far as the prospect of phalloplasty is concerned is the long term results.  Has anyone had a phalloplasty long enough for us to know what may happen 20, 30, 40, 50 years down the road as far as complications may be concerned? 

I don't mean to be paranoid (and I'm completely thinking out my ass with no evidence that such a thing could/would occur), but I'd hate to wake up 25 years later and realize I always smelled like piss because my man-made penis was always leaking... or something to that effect. 

Anywho... I was just wondering if anyone has any links or information on the long term possibilities after undergoing phallo?  Most of what I've found seems to be concerning aesthetics rather than functionality....

[ZombieDog]

I don't have solid facts but I have heard that the phallos that involve penile erection devices will have to have hardware replaced every 10-15 years or so.  So if you got your phallo at 30 years old, you'd find yourself in need of another surgery by the time you were 45.

With luck that's old data and devices are improved now.

But I guess they're like any other replacement part that gets used a lot, like a replacement hip or knee, and will need to be tuned up once in awhile.

[GnomeKid]

I don't have solid facts but I have heard that the phallos that involve penile erection devices will have to have hardware replaced every 10-15 years or so.  So if you got your phallo at 30 years old, you'd find yourself in need of another surgery by the time you were 45.

With luck that's old data and devices are improved now.

But I guess they're like any other replacement part that gets used a lot, like a replacement hip or knee, and will need to be tuned up once in awhile.

Truth..

I guess my concerns lie mainly in it maintaining its ability to withhold liquid output rather than its ability to remain/become hard. 

[SX0877]

From what I have heard the inflatable penile implant lasts less than 10-15 yrs, more like 5-10 years, and might be even shorter if you create a large penis and/or use it very frequently. However there are other types of implant that could last longer. Personally I would be more concerned about urological problems.
There is a book called Hung Jury if you want to hear about what they people who actually had the surgery say.

[GnomeKid]

From what I have heard the inflatable penile implant lasts less than 10-15 yrs, more like 5-10 years, and might be even shorter if you create a large penis and/or use it very frequently. However there are other types of implant that could last longer. Personally I would be more concerned about urological problems.
There is a book called Hung Jury if you want to hear about what they people who actually had the surgery say.

Yea its definitely more a matter of urology that I'm concerned about..  Never heard of Hung Jury before.  I'll have to check it out!  Thanks for the info!

[mangoslayer]

Dribbling happens. More than cis males since you are missing the muscle at the base of the penis. You are going to have to perfect the shake. For the brief time I had no urethral problems, I would only use the stall since i was so self conscious of having to shake my piss out for like 5 minutes. That's an exaggeration, but it takes more than one flick. A trick I learned is bending over clears most of it out, but thats not really something you can do at a urinal. An easier way, but slightly less effective, is to push up on the gooch (i know were not supposed to use slang for body parts but i really dont know the medical term). For the first week of peeing on my own, I wore two pairs of underwear. Getting all the drops out was difficult but I eventually got it down to just a drop or two in my underpants. Then my stricture came back blah blah blah more fun problems.

Long story short, you won't smell like pee all the time, but it will take some adjusting.

[Adam (birkin)]

An easier way, but slightly less effective, is to push up on the gooch (i know were not supposed to use slang for body parts but i really dont know the medical term).

lol, looking that up in urban dictionary was highly amusing for me.

The medical term, i believe, is the perineum.

[Polo]

GnomeKid, I'm not super well versed in phalloplasty but I did take premed courses before getting accepted into my current program.  We all have an internal and external urethral sphincter; the internal sphincter is the one with the main job of keeping urine in the bladder.  I really doubt it gets touched during phalloplasty though the external one may.  Post urine dribbling, sure, but constant peeing is unlikely unless you also have a bladder problem...that's my educated reasoning lol, it's probably best to ask one of the surgeons' offices.

[GnomeKid]

GnomeKid, I'm not super well versed in phalloplasty but I did take premed courses before getting accepted into my current program.  We all have an internal and external urethral sphincter; the internal sphincter is the one with the main job of keeping urine in the bladder.  I really doubt it gets touched during phalloplasty though the external one may.  Post urine dribbling, sure, but constant peeing is unlikely unless you also have a bladder problem...that's my educated reasoning lol, it's probably best to ask one of the surgeons' offices.

Ahh!  I'd imagine you're pretty close on with that guess. Essentially if true, unless I have a weakening of the bladder naturally as I get older its unlikely that the functioning of my phallo would change its dribbling state.  Either way its good information to know in order to come prepared to talk to a surgeon.  (and help convince my parents =p)

Thanks man!

[Polo]

Happy to help   Good luck with getting it all arranged (esp with convincing your parents, are they helping you pay for/recover from it? Lucky dog lol)

[GnomeKid]

Happy to help   Good luck with getting it all arranged (esp with convincing your parents, are they helping you pay for/recover from it? Lucky dog lol)

hah... not at this point.  They did help me out with my top op, so there is a potential that they may help out with this one.. with the right convincing.  At this point its about gathering the right info in order to back my case properly when I go back to them about it.

[new name]

Dribbling happens. More than cis males since you are missing the muscle at the base of the penis. You are going to have to perfect the shake. For the brief time I had no urethral problems, I would only use the stall since i was so self conscious of having to shake my piss out for like 5 minutes. That's an exaggeration, but it takes more than one flick. A trick I learned is bending over clears most of it out, but thats not really something you can do at a urinal. An easier way, but slightly less effective, is to push up on the gooch (i know were not supposed to use slang for body parts but i really dont know the medical term). For the first week of peeing on my own, I wore two pairs of underwear. Getting all the drops out was difficult but I eventually got it down to just a drop or two in my underpants. Then my stricture came back blah blah blah more fun problems.

Long story short, you won't smell like pee all the time, but it will take some adjusting.

Dribbling definitely happens for cis males too, like you said not as badly, but it still happens.  I know because new guys at the hospital have discussed having trouble with that, or that "wet spot" in an embarrassing area.  Scrubs change from light blue to dark blue when wet, so wet spots are very visible.  Hope this makes it at least a little better.