Stand to pee, or not? That's the question!

[Mr.X]

So, I'm getting closer to wanting to make a decision about what lower surgery i'll be having. Here in the Netherlands you basically have 4 options, going from low risk (basically the usual surgery risks) to high risk (50% complication rate, yeah, that's right...):

- metoidioplasty without urethra lengthening
- metoidioplasty with urethra lengthening
- Phalloplasty without urethra lengthening
- Phalloplasty with urethra lengthening

Phalloplasty is more risky than metoidioplasty due to more risks of bleeding and rejection of tissue. But the surgeons also told me that the lengthening of the urethra so one can stand to pee is also bringing major risks.

I like to live dangerously, and will opt for a phalloplasty, I think. I like having a normal sized penis, that may function after some extra surgery, getting ball and erection implants. However, I am very much in doubt about the urethra lenghtening. To me, standing to pee is not a huge issue. I have never really needed it. And it does bring a lot more extra risks ontop of an already risky procedure. That's why I'm leaning towards not having the option to stand to pee.

I wonder what you guys thinks about this. Discuss!

[mm]

Mr.X, thanks for starting this topic for I have been thinking about what is important to me.  Standing to pee has always been something I have always wanted, ever since playing with the boys growing up and they would run off in the tall grass and trees, pee and be right back playing and I had to go home.  I also would like having a regular size penis that could get hard too.  So I want everything and have to decide if I want the risk that goes along with all the surgeries.  My surgeries are a few years away, so I have time but still need to start talking to guys and surgeons to become informed about all the details so I can make the best decision for me.

[DawnOday]

The only thing having a penis and standing up to pee does is it allows you to have "sword fights" with your brother when your little.  IMHO. I got tired of trying to get my 1 1/2" penis to miss my pants and legs so I have sat to pee most my life. Really it's no big deal. The other advantage to sitting is not having all the perverts looking over the partition to see what you got. And what I got is not a lot. My real question is. How did I get size 14 feet. Somehow seems like false advertising.

[Elis]

I'd rather risk it and get the urethra lengthening. I don't want to risk having new gained dysphoria about not standing to pee and having to have another operation. By new gained I mean once you have a penis it may make you feel like you want more to feel complete; similar to someone having top surgery and then realising actual they'd feel better having bottom surgery too.

I once tried using an stp a few times although I didn't really have any bottom dysphoria. Once I'd used it bcos there was a lot more focus on my parts I started feelimg very dysphoric about having to sit and pee. Once I stopped using the stp my dysphoria went away.

[mac1]

The only thing having a penis and standing up to pee does is it allows you to have "sword fights" with your brother when your little.  IMHO. I got tired of trying to get my 1 1/2" penis to miss my pants and legs so I have sat to pee most my life. Really it's no big deal. The other advantage to sitting is not having all the perverts looking over the partition to see what you got. And what I got is not a lot. My real question is. How did I get size 14 feet. Somehow seems like false advertising.

Whatever makes you comfortable. The decision as to sit or stand is definitely a matter of personal choice no matter what equipment you have or your sexual preference.  I personally prefer to sit which I have done full time for over 19 years now.

[Bimmer Guy]

I got meta with urethral lengthening.  Most of the time I sit to pee.  It is easier.  I definitely don't regret getting UL.  Having the option to stand to pee is important to me.

[FTMax]

I'm having phalloplasty with urethral lengthening. Standing to pee would make my life infinitely more convenient, as most of my hobbies are very outdoorsy and I have yet to find an STP that works well for me. It was never really a question for me as to UL or no UL. I'm young and in good health. There's no better time for me to go through a complicated surgery.

With everything I want, my surgeon is doing it in 2 stages. The first stage will actually be a full meta. If I can reliably stand to pee after stage 1, I may not have a stage 2. None of the surgeons I've consulted with have felt like I have enough length to be able to easily stand to pee post meta, so we'll see. I'd love to not need a bigger package just to pee, but if that's what has to happen, oh well.

[SeptagonScars]

I'd go for having urethral lengthening with metoidioplasty, even though I don't have an extreme amount of dysphoria regarding standing up to pee specifically (I have much more dysphoria regarding how things look and function down there currently), but I just have this feeling that I would regret it if I don't go for urethral lengthening. I want to have the option to stand to pee, if it will even be possible with my size, that is (it's likely not gonna be the biggest meta phallus out there, but that doesn't actually phase me much) but even in that case I can imagine it would be easier to use an stp after that compared to before/now as I've never been successful with stp's so far. Although I'm aware of the extra risks that would come with going for the urethral lengthening procedure, I can't imagine I would regret having done it after, despite the complications I might be facing. So that's how I think around that. I'm actually going to see a surgeon for consultation on the 31st (May), and I hope I will know more about his thoughts regarding my current anatomy, the different procedures involved and risks and what not after that appointment. I've done a lot of research on my own, but still feel as though I need to know more.

[mm]

When I get to having lower surgery, I will for sure check out getting urethral lengthening for sure, as I want to be able to pee standing.  I know the procedures have gotten so much better the last few years.  I heard and read all the time about good success reports.

[SaerJoe]

I'm having phalloplasty with urethral lengthening. Standing to pee would make my life infinitely more convenient, as most of my hobbies are very outdoorsy and I have yet to find an STP that works well for me. It was never really a question for me as to UL or no UL. I'm young and in good health. There's no better time for me to go through a complicated surgery.

With everything I want, my surgeon is doing it in 2 stages. The first stage will actually be a full meta. If I can reliably stand to pee after stage 1, I may not have a stage 2. None of the surgeons I've consulted with have felt like I have enough length to be able to easily stand to pee post meta, so we'll see. I'd love to not need a bigger package just to pee, but if that's what has to happen, oh well.

I'll apologize once again for seeming to jump around on strings I find through Googling questions as I have them through my research on the matter.  I have my initial consult with Dr Miro 11/3 and Dr BL on 12/4.  Excited to say the least!

I too likely will be doing phallo with UL hookup, although I completely understand each and every post on this string regarding the importance (or non) of STP.  To this point I've been using adhesive based prosthesis (T2 Prosthetics, Berlin, Germany) for nearly 4 years, and honestly am tired of the chemicals and adhesive, hate the strap based systems and the whole packing question in an ongoing basis.  And air travel???  Makes me crazy.  The T2 prosthetic is amazing in that it works very well for sex as it's an inflatable prosthesis much like what's used in the phallo procedure.  So for pre-meta guys--it's fantastic and actually has an STP option, which I've just never bothered with.  But, like another commenter on the string, though--I wonder if, once I have an actual flesh and blood penis, that ......the very next thing that will pop in my mind will be that I will want the option to pee standing.  So yes, the question of whether STP can become a causal factor of further dysphoria we all have to answer, and I'm surely trying to think through the process.  Bottom line: if insurance will not cover me here stateside, I'm likely heading to Belgrade out of pocket and doing what I can afford.

Much of this will be answered with my level of confidence levels as gained in the consults and what my insurance provider says.  I like the idea that Dr Miro and his team do this mainly in 3 stages, including the hysto-ooph-vago.  I understand Dr BL's perspective in allowing more healing time between stages, but ..... I'm 54 and if I can have confidence in competent hands, I believe it could be pulled off.  I'm an old jock in good shape, and will be in likely my best shape ever--for surgery.  Yes------I'm excited beyond belief!