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Urethral lengthening successful?

Started by FreakOfNature, November 14, 2016, 09:02:43 PM

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FreakOfNature

I haven't been in this section that much and I was wondering from post-op guys who had urethral lengthening for either meta or phallo.  I recently spoke with a surgeon and they said that there is a high risk for complications so they don't do this option. Then I am thinking to myself, what's the point of having a so called penis if I can't pee with it? I personally wouldn't want it at least. Any guys can speak from their experience post-op if you had trouble peeing? Is it normal, etc?
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jasoncowl17

I had UL with my meta and no problems. I agree with your point of view and I would go to a different surgeon if this one recommends something you don't want


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jasoncowl17

I am happy to go into more detail. Just send me an email
jasoncowl17@gmail.com


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Mr.X

Lenghtening indeed gives the most complications. I visited a lecture about ftm bottom surgeries a month ago, and the surgeons there told me that lenghtening has about a 50% complication risk. This risk ranges from minor complications  that heal on their own, or can easily be fixed to large complications.

To me, this huge risk is not worth it. If you're unlucky enough, it can give complications with your peeing ability, or causes issues with your phallo. Standing to pee is not that important to me. When do you need it? The only time I can think of when standing to pee is a real blessing is when you're at a very busy festival or something, and the toilets are swarmed, but there are plenty of urinals. Other than that, all (public) bathrooms have stalls, and you can pee easily there. 
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FTMax

Most surgeons cite a complication rate with UL anywhere from 20-50%, depending on both the procedure, method of urethra creation, and their personal experience. Fortunately, most of those complications will heal on their own. Only a small percentage require any kind of surgical fix, and because of the multi-stage nature of bottom surgery, they are usually just corrected at the next stage. There is a greater risk of urethral issues if you choose not to have a vaginectomy. Many surgeons won't do one without the other. Personally I'd talk to a different surgeon. You didn't mention who you spoke with, but I've only ever heard of two that automatically try to dissuade people from pursuing UL wholesale, and they are both surgeons that I wouldn't recommend to anyone.

The majority of guys I know who have had bottom surgery opted for UL, only two did not and that was because they are much older and didn't feel that they were healthy enough to deal with potential complications and it wasn't important to them. Of the guys that had UL done, most have had at least minor complications and two that I can think of had complications that required surgery to fix. With one exception, I can't think of anybody I know that isn't peeing normally at 6 months post-op. I would be happy to update with my experience in a few months.

Also - please check your language. You're entitled to your opinion, but saying things like "so called penis" and inquiring as to the point of having a penis without being able to pee with it is tough to hear for many guys who go through these procedures. You can say "I personally wouldn't want to have bottom surgery without UL", but stigmatizing the choice for others is not okay.
T: 12/5/2014 | Top: 4/21/2015 | Hysto: 2/6/2016 | Meta: 3/21/2017

I don't come here anymore, so if you need to get in touch send an email: maxdoeswork AT protonmail.com
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dre_moe

Quote from: FTMax on November 15, 2016, 08:29:56 AM
Most surgeons cite a complication rate with UL anywhere from 20-50%, depending on both the procedure, method of urethra creation, and their personal experience. Fortunately, most of those complications will heal on their own. Only a small percentage require any kind of surgical fix, and because of the multi-stage nature of bottom surgery, they are usually just corrected at the next stage. There is a greater risk of urethral issues if you choose not to have a vaginectomy. Many surgeons won't do one without the other. Personally I'd talk to a different surgeon. You didn't mention who you spoke with, but I've only ever heard of two that automatically try to dissuade people from pursuing UL wholesale, and they are both surgeons that I wouldn't recommend to anyone.

The majority of guys I know who have had bottom surgery opted for UL, only two did not and that was because they are much older and didn't feel that they were healthy enough to deal with potential complications and it wasn't important to them. Of the guys that had UL done, most have had at least minor complications and two that I can think of had complications that required surgery to fix. With one exception, I can't think of anybody I know that isn't peeing normally at 6 months post-op. I would be happy to update with my experience in a few months.

Also - please check your language. You're entitled to your opinion, but saying things like "so called penis" and inquiring as to the point of having a penis without being able to pee with it is tough to hear for many guys who go through these procedures. You can say "I personally wouldn't want to have bottom surgery without UL", but stigmatizing the choice for others is not okay.

Hey Max, I'm curious about something. Is UL necessary with ALT phallo? I read once and I can't seem to locate the resource again that it's possible to have phalloplasty and sit down to pee. Do you know if that's true? Standing to pee is not important to me but having penetrative sex is. Plus I have a large disdain for public restrooms as is.


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Started T - 4 Dec 17
Top Surgery - 21 Mar 18
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CMD042414

Quote from: dre_moe on May 29, 2017, 06:08:38 PM
Hey Max, I'm curious about something. Is UL necessary with ALT phallo? I read once and I can't seem to locate the resource again that it's possible to have phalloplasty and sit down to pee. Do you know if that's true? Standing to pee is not important to me but having penetrative sex is. Plus I have a large disdain for public restrooms as is.


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Its certainly possible. I know for Dr. Bluebond-Langner she starts with a simple meta, rerouting the urethra to a slightly higher position. Stage 2 is phallo. Stage 3 is laying the graft for the neo urethra. Stage 4 she finally connects the two. So between stages 1 and 4 you have to sit to pee out of your original urethra. Although she said some guys can stand. I am sure you can ask to stop with UL stuff after stage 2 with a surgeon like her.
Started T: April 2014
Top Surgery: June 2014
Hysterectomy: August 2015
Phalloplasty: Stage 1-August 2018
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SaerJoe

Quote from: FTMax on November 15, 2016, 08:29:56 AM
Most surgeons cite a complication rate with UL anywhere from 20-50%, depending on both the procedure, method of urethra creation, and their personal experience. Fortunately, most of those complications will heal on their own. Only a small percentage require any kind of surgical fix, and because of the multi-stage nature of bottom surgery, they are usually just corrected at the next stage. There is a greater risk of urethral issues if you choose not to have a vaginectomy. Many surgeons won't do one without the other. Personally I'd talk to a different surgeon. You didn't mention who you spoke with, but I've only ever heard of two that automatically try to dissuade people from pursuing UL wholesale, and they are both surgeons that I wouldn't recommend to anyone.

The majority of guys I know who have had bottom surgery opted for UL, only two did not and that was because they are much older and didn't feel that they were healthy enough to deal with potential complications and it wasn't important to them. Of the guys that had UL done, most have had at least minor complications and two that I can think of had complications that required surgery to fix. With one exception, I can't think of anybody I know that isn't peeing normally at 6 months post-op. I would be happy to update with my experience in a few months.

Also - please check your language. You're entitled to your opinion, but saying things like "so called penis" and inquiring as to the point of having a penis without being able to pee with it is tough to hear for many guys who go through these procedures. You can say "I personally wouldn't want to have bottom surgery without UL", but stigmatizing the choice for others is not okay.


Hi FTMax,

Interesting comments here, from 2016.  I'll admit I'm having challenges really navigating this Tapatalk app and finding pertinent discussions etc.  I hope you'll bear with me as it seems I'm jumping around a bit; this post from nearly a year ago.

Update for me:  I have consult w Dr BL on 12/4, and with Dr Miro on 11/3 in NYC.  Can't wait, of course.

I've seen your comments on other threads about the challenges of healing from so many procedures at once; that being hysto-oopho-vago + stage 1 phallo that Dr Miro does together.  (BL does them in more stages I understand).  Your thoughts now on that combination of procedures all at once?  Vaginal removal v abdominal incision makes a big difference, no?

Lastly--I may fall in to that category of guys (at a slightly advanced albeit youthful 54), that UL is not that important vs the potential for complications.  I honestly don't want to set myself up for a lifetime of difficulty for a few good years of STP.  I'll make my final decision on that upon consult and with intense research between now and then.  I sure wish we had more 2,3-5 year post-UL/non-UL phallo guys on here to explain their experiences.  While i know newer surgical techniques have been far more successful, it would be good information to know.

I thank you for all your participation on here.  You've been a great help.  If you still run a FB Group, please advise what it is and I may check it out as well for running comments. 


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FTMax

Quote from: SaerJoe on September 24, 2017, 07:26:40 AM

Hi FTMax,

Interesting comments here, from 2016.  I'll admit I'm having challenges really navigating this Tapatalk app and finding pertinent discussions etc.  I hope you'll bear with me as it seems I'm jumping around a bit; this post from nearly a year ago.

Update for me:  I have consult w Dr BL on 12/4, and with Dr Miro on 11/3 in NYC.  Can't wait, of course.

I've seen your comments on other threads about the challenges of healing from so many procedures at once; that being hysto-oopho-vago + stage 1 phallo that Dr Miro does together.  (BL does them in more stages I understand).  Your thoughts now on that combination of procedures all at once?  Vaginal removal v abdominal incision makes a big difference, no?

Lastly--I may fall in to that category of guys (at a slightly advanced albeit youthful 54), that UL is not that important vs the potential for complications.  I honestly don't want to set myself up for a lifetime of difficulty for a few good years of STP.  I'll make my final decision on that upon consult and with intense research between now and then.  I sure wish we had more 2,3-5 year post-UL/non-UL phallo guys on here to explain their experiences.  While i know newer surgical techniques have been far more successful, it would be good information to know.

I thank you for all your participation on here.  You've been a great help.  If you still run a FB Group, please advise what it is and I may check it out as well for running comments. 


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FB group is FTM Bottom Surgery Discussion, linked here: https://www.facebook.com/groups/764636093625483/
T: 12/5/2014 | Top: 4/21/2015 | Hysto: 2/6/2016 | Meta: 3/21/2017

I don't come here anymore, so if you need to get in touch send an email: maxdoeswork AT protonmail.com
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