Peeing after SRS

[MugwortPsychonaut]

For anybody who's had SRS, has there been a change in where your bladder presses when you have to pee? That is, when I have to pee, I feel a pressure in the front of my bladder, like that's the natural direction for it to go. Does this change after SRS? Does the pressure move more downwardly?

[Rejennyrated]

My oh my, you do ask some very interesting questions... Sadly this one is probably unanswerable, because for me the pressure has always been downwards insofar far as I can remember. Then again as I had SRS over 30 years ago and more half my life ago I'm not sure I can really recall what it was like before. I don't remember it being very different apart from the fact that when you are peeing as I seem to recall, as male you get sensation at the tip of the penis... well post op that sensation is right down between your legs in a completely different place. So the pressure is the same... but the sensation of voiding is radically different.

Also - your urethra shortens by many cm - so you have less piping and less ability to hold things back indefinitely. When you have to go, you do need to take heed because otehrwise childish things happen all too easily... I did accidentally wet myself a few times before I learned that one. (and just don't sneeze with a full bladder either ) When you go, it is often fast and furious. That's about all I can tell you really.

[mrs izzy]

I will add not sure where it has changed to,

Mind you I have Chronic back pain and damage to nerves so i have issues from that but before that started it was,

I do not have to go, I do not have to go, I do not have to go, OMG I have to go.

So everyone will come out of this differently.

[Zumbagirl]

It's been so long for me that I don't remember what having the old plumbing was like anymore. I only know what it's like now. I know the urethra is moved during srs surgery and shortened, beyond that I don't know. The only things I can remember is that nowadays when I have to go it really means I need to go right now

[mac1]

My oh my, you do ask some very interesting questions... Sadly this one is probably unanswerable, because for me the pressure has always been downwards insofar far as I can remember. Then again as I had SRS over 30 years ago and more half my life ago I'm not sure I can really recall what it was like before. I don't remember it being very different apart from the fact that when you are peeing as I seem to recall, as male you get sensation at the tip of the penis... well post op that sensation is right down between your legs in a completely different place. So the pressure is the same... but the sensation of voiding is radically different.

Also - your urethra shortens by many cm - so you have less piping and less ability to hold things back indefinitely. When you have to go, you do need to take heed because otehrwise childish things happen all too easily... I did accidentally wet myself a few times before I learned that one. (and just don't sneeze with a full bladder either ) When you go, it is often fast and furious. That's about all I can tell you really.

I think I could handle that with it coming out easier and in a more forceful stream. I can only imagine how great it would be to have the  correct genitals  .

[Jenna Marie]

I didn't notice a difference in the sensation of my *bladder,* though as others have said, the experience of actually peeing is (of course) quite different. That said, I asked my wife out of curiosity, and a friend and HER wife, and the consensus is that all four of us feel that "forward pressure" on the bladder... and two of the four were born with vaginas. So I'm not sure if the bladder sensation necessarily indicates much about the anatomy much lower down.

I did find out that the female urethra is about 3 inches long, so the urine has a lot less distance to travel. No wonder it's easier to get a bladder infection after GRS, too, since I guess bacteria only have to travel that distance back UP!

[suzifrommd]

No change, MP. In fact it feels exactly the same - as if I still had my thing down there and could pee with it. It's always surprising when the pee comes out a different place.

[Muffinheart]

When I have to pee, it's like "get out of the way."
I can't hold it in.
I won't drink anything after 9pm or I'll be up multiple times during the night.

I still chuckle thinking back first couple days when the catheter was removed.
Was like a water park in my bathroom.

[mac1]

I didn't notice a difference in the sensation of my *bladder,* though as others have said, the experience of actually peeing is (of course) quite different. That said, I asked my wife out of curiosity, and a friend and HER wife, and the consensus is that all four of us feel that "forward pressure" on the bladder... and two of the four were born with vaginas. So I'm not sure if the bladder sensation necessarily indicates much about the anatomy much lower down.

I did find out that the female urethra is about 3 inches long, so the urine has a lot less distance to travel. No wonder it's easier to get a bladder infection after GRS, too, since I guess bacteria only have to travel that distance back UP!

I think that the ease of getting a UTI is more directly related to the location of the urethra opening than to it's length.

[mac1]

When I have to pee, it's like "get out of the way."
I can't hold it in.
I won't drink anything after 9pm or I'll be up multiple times during the night.

I still chuckle thinking back first couple days when the catheter was removed.
Was like a water park in my bathroom.

I think that, for me, it would be much more practical to have my junk removed and to have a relocated urethra opening; even if I can't have full genital SRS.

[Nicolette]

Absolutely no change, except for feeling of urine over neo-meatus. Can still hold it in for hours if required, which is bad for increasing uti potential. But no uti, so far.

[Jenna Marie]

Mac1 : Yep, I chose my words carefully there. The ease of getting a *urinary tract* infection is largely due to location. The ease of getting a UTI that travels to the *bladder* is due to urethral length (or so says every doctor whose mentioned it to me or my wife). Basically, it's a short straight shot from the urethral opening to the bladder.

[Rejennyrated]

Except for the fact that most of you will still have a prostate after surgery. It's sometimes either absent, very small, or removed, but more often its normal and left and used to provide a source of lubrication. In that case the prostate will provide some barrier and indeed help urinary control.

Those for whom it is either pathologically absent or very small (some intersex conditions) or removed during surgery (which might occasionally be done if it was thought to be enlarged by the urologist) then you would be much more prone to infection and the control issue would be more marked.

[Girl Beyond Doubt]

You did ask, so there you are :-)

The feeling of having the "urge" is exactly the same as before for me, it is located where the bladder is and slightly below.

But when I start peeing I do not feel the warmth of the liquid ascend through the male anatomy any longer, I am consciously aware of the MUCH shorter urethra and the location of the new opening every time. The next thing I think then is "have I waited long enough so that my labia minora have become unstuck?". If I have (and they have), there will be happiness and a clean, straight spurt going down right into the bowl. If not, there will be a nice warm mess all over typically one of my upper thighs and the associated buttock.

For maybe six weeks after my SRS I had to get up and pee two or three times literally every night because my bladder pressing on something caused me considerable pain even if it was not really that full. This has now (almost 4 months post SRS) reverted to the behaviour I have known from before, if I drink too much before going to bed I may wake up a few times and feel uncomfortable because of it, but I can hold it until the morning.

[Eva Marie]

I've always been amazed at how quick  quick women can go. Now that I've transitioned and get to hear what goes on in the women's restroom I know why that is lol.... because of the shorter urethra. In fact it makes me rather self conscious with my non female pee sounds in there.