TMI Warning: Donor material issue?

[JenAtLast]

Sorry if this is TMI, but I have an issue that has developed since beginning HRT a few years ago.  So, here goes:

All my life, my penis was never much of a "dangler".  I have seen picture on before/after surgeon sites that kinds looked like I did before.  I was never worried about donor material because while it was relatively short normally, when aroused it was a "grower" and was definitely normal size. 

After several years of HRT, it has gotten much shorter and I can only describe it more like a "button" now.  As far as expansion size, I have not idea since that ability is long gone.

Since the penile skin is used to line the neo-vagina, if I have insufficient penile tissue, can the surgeon use scrotal tissue?  I swear, I think my scrotum has actually gotten larger and I have no doubt I will have excessive skin for the outter workings. 

Anyone know the answer on a situation like this?

[Dena]

I know you have heard it before but you need to talk to the surgeon as the procedures vary. If scrotal skin is used, you may need to have the hair removed before surgery. If penile inversion surgery is your goal, it would help to stretch it out before surgery. My surgery was penile inversion but my skin had regular stretching before surgery. The scrotal skin was used to construct the lips on either side so hair removal wasn't an issue.

It possible your Endo can adjust your dosages so you will regain enough functionality before surgery to stretch the donor material to the correct dimensions.

[Sharon Anne McC]

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How soon are you scheduling your GCS / SRS?

Try these few questions for starters:

     -  How well do you know comparative anatomy?

     -  How many surgeons have you discussed your plans with?

     -  How well do you comprehend their surgical philosophies? 

     -  How well do you understand the differences between PI versus non-PI (which is more anatomically correct)?

     -  Where are you willing to travel for GCS / SRS?

     -  How much is in your budget for what procedures (FFS, VFS, BA, GCS / SRS, etc)?

There are three Thai surgeons who are the best in the world, yet they differ on their philosophies and procedures.  Some American surgeons perform a two-stage operation that can leave you in a surgery / recovery mode for nearly one year.

Some procedures result in small internal circumference that mandates a grueling dilation schedule that requires up to four hours per day throughout at least your first post-op year versus others that result in a larger internal circumference and lesser dilation schedule.  There are lesser cosmetic procedures that result in external appearance but no internal structures.

Browse other threads here at Susan's for comments from those who have experienced recent GCS / SRS.

My best to you and wishing for you a long and happy future life.

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[Lagertha]

Since the penile skin is used to line the neo-vagina, if I have insufficient penile tissue, can the surgeon use scrotal tissue?  I swear, I think my scrotum has actually gotten larger and I have no doubt I will have excessive skin for the outter workings. 

There is technique called non-penile inversion which was developed by dr. Suporn from Thailand, and later also used in their own variations by dr. Chettawut and dr. Saran and a couple other less internationally known surgeons. Whole neovaginal wall is made from scrotal skin graft, and penile skin is used for external genitals.

This technique was developed exactly for the reason you are describing, because penile-inversion in its variations isn't appropriate technique for larger percentage of patients.

[Serenation]

Hi Jen you will just need to talk to some surgeons and have consultations, they will be able to tell you what they can do. Surgeons can and do use scrotal grafts for the vagina.

[Rachel]

In March 2015 I had a consultation with Dr. McGinn. When she looked at me she said you are very very small you have a micro penis. Then she said you are lucky. I asked why? She said the normal penis head is usually reduced to 1/4 it's original size. You will be able to keep almost all of yours. Then she said I am not a candidate for a single step procedure. I asked why? She said I will need blood circulation and the flap of tissue will be removed in the office at a later date after gcs. When she manually pulled My penis out it is about 3 inches. She did not pull hard. I have normally about a flush penis with a little minor bump seen when my panties are on. My surgical date is 11/15/2016. If your search has you still looking after my procedure I will share the details.