Gay Phalloplasty

[justanothertranboy]

(Don't judge me, I couldn't think of a decent subject title.)

Alright, so I am going to try and make this short. So if anything is worded loosely or humorously put it down to that. I just can't help myself.

If you just want to read the important stuff I have made it bold.

Before you start reading sex is legal in the UK from the age of 16 and, honestly, I am 18 in literally two months so I think I am probably old enough to start talking about this stuff since it is all peering at me from the horizon.

So, I am a 17 year old (18 in two months) trans guy living in the UK and as soon as it hits my next birthday I am going to be pushing towards a GIC referral with the NHS (I started on hormones 9 months ago privately to help with the pace of my transition) so that I can get moving towards the waiting list for surgery.

As the topic subject suggests I am anticipating a phalloplasty and I have had some questions arise recently concerning my current long term partner. I insist this isn't brushed off because you're thinking "he's only 17/18"  because I have had that a few times and it is unbearable. I don't date people without believing that they could possibly be my permanent life partner (as does my boyfriend).

In continuation from this, it is worth noting that he is a gay male who is also cisgender and despite finding out I was trans through a third party still persisted to learn as much as he could about dating a trans man before persuing me (rather wooing, I know). With this we have had many discussions surrounding my plans for surgery (not on his terms btw, he is perfectly happy with my genitals) and since I've always felt dysphoric about my lack of a penis I told him I have been planning on a phalloplasty for a couple of years. He was pretty excited hearing that (not that he doesn't love my current stuff) with him generally being a bottom. Recently as a top I have suddenly realised most phalloplasty content I have read up on has come from those generally in relationships with vagina bearing individuals. Which got me thinking:

Are phalloplasties suitable for anal penetration? I am only conflicted with this since I have only heard about vaginal penetration and I don't know if that is purely down to reading in the wrong places or because it is too awkward - since I've heard about phalloplasties being softer than a biological penis.

And with this, how large could I get the phalloplasty? Anal is definitely more awkward than vaginal penetration, especially if you're lacking in size, we have agreed on that so obviously I would want something substantial for eases sake and my own ego tbf (if I could outsize my boyfriend that would be banterous goals). My forearm is 10 1/2" in length (I am aware the entire forearm is not grafted, which is why I am asking. From photos it seems the graft is usually taken mid way, an inch from the inner elbow and an inch from the wrist... I may be wrong though), so compared to someone who has had the procedure done, is my arm a pretty good length for at least an average sized phallo or is it too little? I am 5'8" if that is easier for comparison? What could be the maximum size I could ask for (nothing silly now, I don't want to look like I am hiding stolen goods in my pants)?

Finally, is weight gain a necessity for the forearm phalloplasty procedure? I only ask this because I have put considerable work into my body and after another year and a half or so I imagine I will have it in an even better condition (I am currently 5'8", 60kg with an approximate BMI of 20.01). It would really break me throwing that all down the drain. I am prepared for muscle deterioration and weight gain throughout recovery, just not so much prior to surgery. It won't stop me, I will just have to start mentally preparing myself now.

Thank you for any help you guys can offer. Sorry if I come across sarcastic or pretentious at any point. I understand my humour can be poorly written.

[FTMax]

Hi there,

I'll try to explain as much as I know, as best as I can. This is not coming from firsthand experience, so actual mileage may vary.

Size: There are multiple donor sites for phalloplasty which all offer their own unique advantages and disadvantages. One of the things you would have to be mindful of is that unlike a natal penis, yours would be one size all the time. So while an 8"+ penis seems like a great idea for sex, you'd be packing that all the time.

The forearm flap I believe is the only donor site with a size restriction, and that is based on the size of your arm. I have never seen anyone larger than 8". ALT (thigh) flaps tend to be girthier, if that is a consideration for you. This is definitely a technical question for a surgeon though. They'd be the only ones who could say based on your anatomy what kind of size you could potentially achieve. When I was considering phalloplasty, I asked for 5" and both surgeons I spoke with said this was absolutely do-able.

Weight: AFAIK, weight has no bearing on RFF. There are weight requirements for ALT because it is best suited for people with a low body fat percentage. I have never heard of anyone needing to lose or gain weight for RFF unless they were working with a surgeon who had BMI requirements. BUT, I was only considering MLD, so that may not be 100% accurate.

Hope this helps!

[justanothertranboy]

Hi there,

I'll try to explain as much as I know, as best as I can. This is not coming from firsthand experience, so actual mileage may vary.

Size: There are multiple donor sites for phalloplasty which all offer their own unique advantages and disadvantages. One of the things you would have to be mindful of is that unlike a natal penis, yours would be one size all the time. So while an 8"+ penis seems like a great idea for sex, you'd be packing that all the time.

The forearm flap I believe is the only donor site with a size restriction, and that is based on the size of your arm. I have never seen anyone larger than 8". ALT (thigh) flaps tend to be girthier, if that is a consideration for you. This is definitely a technical question for a surgeon though. They'd be the only ones who could say based on your anatomy what kind of size you could potentially achieve. When I was considering phalloplasty, I asked for 5" and both surgeons I spoke with said this was absolutely do-able.

That is comforting to hear. I was more worried that someone would be a little bit like, "You can probably only achieve 4" with that length of an arm." Which sounds pretty daft as I think I have only heard of one guy who was told he couldn't achieve anything bigger than that. But since it is going to be quite important it is playing on my mind. The main reasons I need a phalloplasty is to help with dysphoria around sex particularly because it isn't too pleasant for me currently. I mean, unless it is recommended I feel I might avoid the urethral hookup since I am already prone to UTI's and blockages - so packing and sex is literally all I will be utilising it for.

I am only swaying for the forearm flap since I am pretty certain the NHS has limited offers on the types of phalloplasties available and the forearm had more pros than the others offered. Plus the best results I have seen have been via RFF methods - I am not too bothered about the arm scar and all.

Weight: AFAIK, weight has no bearing on RFF. There are weight requirements for ALT because it is best suited for people with a low body fat percentage. I have never heard of anyone needing to lose or gain weight for RFF unless they were working with a surgeon who had BMI requirements. BUT, I was only considering MLD, so that may not be 100% accurate.

Hope this helps!

That again is super comforting to hear! I suppose it has just been that a lot of the pictures of guys I have seen going into surgery have been pretty weighty (obviously nothing wrong with that, I just don't personally like holding weight on myself) and it got me worried. I have been working out loads to get muscular and it would have been a killer if I was told I needed to stop going to the gym and to gain weight to be operated on.

Thank you for this though, I am super appreciative!

[spro]

Hey, late to the party but thought I'd add my perspective.

Unfortunately I haven't been able to find any info on this either. I'm torn between meta and Phallo and this is an important consideration for me. Here's what I do know that may help you:

Bigger is not necessarily better when it comes to anal sex. Yes, you need at least 3-4" to be able to easily penetrate. But the average RFF Phallo is 5 inches which should be more than sufficient. This obviously depends on your boyfriend, but thicker is also not necessarily better. This is why you should definitely go for RFF. The other options like ALT or the thigh flap result in a thicker penis, which from looking at pictures on a surgeons site, would be very large for butt sex lol

The question is, will the erectile device be suitable for anal penetration? I've heard some horror stories about erectile devices, to be honest, and that's what I'd be most worried about. The erectile device potentially hurting the partner, or yourself. It's true that the actual skin of the penis will be too soft to penetrate on its own, and since anal sex is harder (excuse the pun) than vaginal, I would be surprised if this didn't cause a problem.

Its a question you should ask once you find someone more knowledgeable about Phallo, and I'm sure a bottom surgeon would know this. I'll update you if I find out.

[spro]

To add to my earlier response, I've done some research on other sites/groups and found a few post-op guys who said it is possible, and they've done it!

I would still ask the bottom surgeon when you get to that point and do your own research of course, but it sounds like it's all possible!

[FTMax]

It really depends what stage those pics were taken during. Typically with ALT, liposuction is done at a second or third stage to de-girth the phallus and make it more natural looking. I believe Dr. Crane couples it with glansplasty, but I'm not 100% sure on that.

As far as the erectile implants, they do cause me a lot of worry. I am not sure I will get one for several years because of all the horror stories I've heard. I would imagine for anal, something bolted to your pubic bone would be better (so one of the inflatables more than likely). But I could also see that causing you pain. So I'm really not sure. Probably a question for a surgeon - trust me, anything you can ask, they've already heard it or worked with a patient who has tried it.

I also want to update this with some personal advice: no matter what kind of phalloplasty you are considering, if you are considering it at all, speak to a surgery early on in the process and ask them to screen all of your donor sites and explain to you what the best option is for your body. And if you're considering meta, have them take a look at that as well. Despite having a decent amount of downstairs growth, I found out at my consult (~5 months in advance of intended surgery date) that I was not a good candidate for meta. I also found out that due to where I carry fat on my body, I wasn't a good candidate for MLD or ALT. So now I'm scrambling to get hair removed in time to have RFF done this summer. Go early, get advice, use that advice to prepare yourself. Ideally meet with the surgeon you'd like to perform the procedure.

[spro]

Oh good to know! I had no idea lipo was done at later stages with those methods. Yeah the implant is the thing that throws me off of phallo the most. Aside from the amount of recovery time and what seems like a more difficult recovery. I found a thread on another forum where a few guys said that anal sex post-phallo worked out just fine for them though. And good advice, only a surgeon can say what's best for you.

[Bimmer Guy]

Oh good to know! I had no idea lipo was done at later stages with those methods. Yeah the implant is the thing that throws me off of phallo the most. Aside from the amount of recovery time and what seems like a more difficult recovery. I found a thread on another forum where a few guys said that anal sex post-phallo worked out just fine for them though. And good advice, only a surgeon can say what's best for you.

Yeah, I have never heard of any phallo guys say that haven't been able to use it for anal sex.

[Arch]

I used to know a guy who had phallo and was describing how he prepared for sex with his wife. He would put on a few condoms--apparently, they gave enough firmness that he was able to get quite stiff. I imagine that the same trick would work for anal, but I kept wondering how much he was able to feel through all of that.

I'm gay, but I'm planning ALT. But I'm a catcher, not a pitcher.

[Alex55]

I can tell you this from experience.  I have had my RFF phallo for 1 yr, and have had my rod for 5 months.  I am 5' 3" and my phallo is 5 inches and about the same in girth.  My wife and I have had no issues with sex.  Before I had my rod placed, I did wrap my phallo with medical tape and used 2 condoms.  It worked for vaginal sex but not anal.

I chose the rod over the pump because I didn't want to reach down and pump my junk before sex, but that is a personal preference.  The rod looks natural, hangs natural, and when I am ready I place it in any direction I want for sex, including anal, which my wife prefers.
 
There are pros and cons for each phallo you choose and for each erectile device.  You are off to a good start on your research.  If you are on facebook, there is a forum called, patients of Dr. Curtis Crane.  This group is filled with knowledge. There are several others on Yahoo groups as well.

I hope this helps.

Alex

[quinnfong]

fat content DOES play a role in RFF phalloplasty. if you're thin and don't have much fat on your forearm, then you probably won't have much fat on your phallus which impacts your girth. That's not to do with length though, if you've got the forearm length then the sky's the limit (not literally). If you feel like you're fairly thin, I'd say it may be worth looking into ALT.

[Mr.X]

This is coming from the Dutch genderteam. Things may be different in the USA.

Fat content plays a role depending on what kind of phallo you want. You can get lower arm phallo, and upper leg phallo. As far as I know, the lower arm has no requirements regarding the fat you have there. Apperently it is always enough. However, if you want to use skin from your upper leg, you need to be thin. 1cm of fat on there max. If it is more, you're going to end up with an unnaturally fat penis.

As for erections and anal, the pump is not a good option. I was told the pumps were initially created for older men having trouble with erections. So the pumps were made for older guys who were unlikely to have vigorous sex often. Anal can be harder than vaginal, ontop of you being a young, vigorous lad, and thus the risk of the inflation stuff coming out as you thrust, is a real risk. This is also the reason the Dutch team won't even consider giving you a pump if you have no sensation in your phallo. Without sensation you cannot feel and judge if things are too tight, and potentially a risk.