Quote from: mm on September 06, 2011, 02:51:12 PM
Physically I don't see how it would be possible for a surgeon to construct a vagina in someone how was born with normal male parts and still keep the penis operational. The urethra and penis inside their body where the vagina would go makes it impossible to construct the vagina. The amount of skin present to use as vaginal lining is not the problem. For the ftm person the metoidioplasty procedure can be use to get them a small but useable penis to even pee with. So the ftm person could have both - vagina/penis.

I dunno, given the space between the rectum and urethra (internal portion) on the male figure, it might be feasible; the vaginal opening would be located behind the scrotum. It doesn't look like the penis itself would necessarily be in the way, internally or externally, but I'm no surgeon. The urethra might be made vulnerable, due to its proximity to the proposed vaginal opening, but this is just a guess based on what I've read about metoidioplasty (below). Maybe it wouldn't be an issue since the urethra is already formed, with no anastomosis (join or 'weak point') that comes with meta urethral lengthening. I've not heard of anyone who has had this type of surgery, but would be curious to know if it has been ever been attempted.
In metoidioplasty, some surgeons will perform urethral extension to the tip of the penis while keeping the vagina intact; however, they warn that doing so carries an increased risk of urethral complications versus doing urethral extension with vaginectomy. Of course, there is Dr. Bowers, who performs ring meta and states directly on her site that she "prefer(s) the ring over other metas with urinary hook-up because it does NOT require vaginectomy" though it "nearly (but not completely) obliterates the vagina." In speaking with guys who have had this done, it sounds as though she leaves a very small hole; dunno if penetration would be possible.