Penis enlargement helps with post op outcome??

[wannalivethetruth]

Ive always wonder about this. it seems very interesting and quite rather good question to ask. Penis pumping before srs surgery helps with vagina depth? Or anytpe of penis enlargement techniques??

[Sandy]

I'm sorry to say that penis pumps and any sort of permanent penis enlargement techniques are a fraud, plain and simple.  They do not work.  Specifically in the case of pumps, there is also a possibility of causing vascular damage through over zealous pumping.   Most other temporary techniques and drugs, such as viagra, are a way of improving stiffness through increased blood flow.

Since vaginaplasty only uses the skin of the penis and the penile vascular structures are removed, there really wouldn't be any pre-srs benefit.

Yes, it is a good question to ask from the standpoint of saving your money and preventing harm.

-Sandy

[wannalivethetruth]

tyy. I just have always been curious about this.

[Debra]

The thought of breast or penis pumps always makes me shudder

[spacial]

Rose.

If you are like me and on the small side, then another vaginoplasty technique would seem to be the answer.

My understand is that penal inversion is not necessarilty the best option. Keeping that part for clitoral-plasty can give better results.

[wannalivethetruth]

@spacal  what is the other vaginal technique? And the cons and pros of it? Because im really worried about depth

[Sandy]

@spacal  what is the other vaginal technique? And the cons and pros of it? Because im really worried about depth

Well to complete the conversation of the penile inversion technique, in addition to using the skin of the penis, the scrotum can also be excised, inverted and sewn to the inverted penile skin to make a longer neo-vaginal tube.

If, in the surgeons opinion, there is insufficient tissue to utilize in a technique of this sort, as might be the case with someone suffering from severe gender ambiguity, there is another technique that can be used.

That is referred to as the sigmoid colon technique.  This consists of two surgical procedures.  The first harvests the donor tissue for the neo-vagina from the sigmoid colon in the abdomen.  Approximately 6-8 inches of colon will be harvested.  The two ends are then stitched back together and the colon is then stitched up.

The harvested colon is then used as the vaginal tube for the neo-vagina.  The second surgical procedure is the normal SRS surgery, but in this case the skin of the penis and scrotum are discarded and the section of the colon is used instead.

Most surgeons are very hesitant to recommend or perform this type of procedure.  There are several good reasons.  First is that it involves a second major surgical procedure to harvest to donor colon.  This puts the patient at extended risk during surgery.  Also the whole procedure takes longer because of the harvesting.  The recovery period is extended because of the dual procedures.  Also there is a possibility of adhesions as a result of the abdominal surgery.  Additionally, the sigmoid colon secretes mucus continuously so the vagina will constantly drain requiring the patient to wear pads from then on, though it should provide ample lubrication for intercourse.  And it will emit a fecal odor for many months following surgery.  And of course, it is more expensive as a result of the second procedure.

I have heard that donor tissue could be harvested from skin from another location such as the thigh, but I have not heard of anyone having that procedure.  While it is less invasive than the sigmoid colon technique, and may be a viable option, there are risks associated with this procedure as well.

All these options should be discussed with your surgeon as part of the consultation process.

I would not sell the penile inversion technique short (no pun).  The skin of the penis and the scrotum can be remarkably flexible and stretch quite a bit if the dilation regimen is maintained.  If you can attain 5" of depth or more, that will be deep enough for comfortable intercourse with most men.  Again, this should be discussed with your surgeon.

-Sandy

[FairyGirl]

If you can attain 5" of depth or more, that will be deep enough for comfortable intercourse with most men.  Again, this should be discussed with your surgeon.

An interesting article about post-op depth here: http://changing.health.officelive.com/neovagina.aspx

[Madison (kiara jamie)]

now when it comes to pumps i agree that there just a gimmick, and pills are basicly a very doubtful idea since i believe most pharmacuticals are just otrageously overprice sugar pills,

tho there is another type of penile extension that might be viable, there is a device that stretches the penis in a flaccid state, it mounts to the glands and stretches with some spring loaded tubes to a ring that sits around the base of the penis, since it puts tension on the skin, i believe that prolonged treatment from this device could possibly increase the length of the skin surrounding the penis,

theoretically i believe it could be effective in increasing the length of the skin and reduce the shrinkage of the skin due to hormone replacement therapy

just 2 cents tho

[spacial]

@spacal  what is the other vaginal technique? And the cons and pros of it? Because im really worried about depth

Really hope Sandy's response has helped you.

I can't add much to that.

[Sandy]

An interesting article about post-op depth here: http://changing.health.officelive.com/neovagina.aspx

That is a fascinating article!  And the whole site is rather impressive.

Interestingly, many if not most MTF's have concern regarding their depth, and may even boast about how deep their vaginas are.  Most natal females are unconcerned about the depth of their vaginas.  It only becomes an issue with them when they have penetrative intercourse and their partner may be too long or they are too short.  Realize that five inches of depth is usually quite sufficient for missionary style male-female intercourse.  "Doggy" style intercourse can allow deeper penetration, but if that is uncomfortable, some modification to the position may allow for less discomfort.  A shorter vaginal barrel can afflict natal females as well.  And in these cases, surgery is not usually an option, and is usually better served through counselling.

I especially liked the part about where they talk about polymorphism of the epithelial cells from penis skin to vaginal tissue.  I had heard about that effect before, but I could never find any documentation about it.  Though there doesn't appear to be any recent discussion.  I had an opportunity to discuss the idea with Dr Reed when my friend and I met with him prior to her surgery.  He is absolutely convinced that there is no such thing.  And was unaware of any such changes either in his experience or in research.  But you would have to remember that most surgeons usually do not have a long term relationship with their patients and are more concerned with a patients immediate health pre and post surgically.

Though much of the external lubrication comes from the Skene's and Bartholin's glands, which are not part of the male anatomy so are not a part of the SRS surgery, but there has been a bit of discussion regarding the natural internal lubrication following SRS.

From my own personal experience I will say that by manually separating the labia and gentle insertion and some arousal I can insert my dilator without any other lubrication and dilate normally, though it takes longer.  My experiences with intercourse are minimal so I can't really say if that would be sufficient for male-female intercourse.

There needs to be more research in this area, but I think that may be a long way off, given society's acceptance of trans people in general.  And for now may be a thing of mostly anecdotal evidence.

-Sandy

[Sandy]

tho there is another type of penile extension that might be viable, there is a device that stretches the penis in a flaccid state, it mounts to the glands and stretches with some spring loaded tubes to a ring that sits around the base of the penis, since it puts tension on the skin, i believe that prolonged treatment from this device could possibly increase the length of the skin surrounding the penis,

theoretically i believe it could be effective in increasing the length of the skin and reduce the shrinkage of the skin due to hormone replacement therapy

just 2 cents tho

Why don't you just nail it to a tree and run as fast as you can in the opposite direction? 

I'm sorry, Kiaraja, I couldn't resist the mental image.  I mean no disrespect.  And I am not trying to make fun at your expense.

Any mechanical attempts to lengthen the penis are dependent on stretching the penis until there is damage to the vascular or external tissues of the penis and hoping that the resulting tissue that repairs it is adds to the overall length.  Unfortunately, any tissue of this nature will be scar tissue which is not as flexible or be able to stretch as well as the original tissue and any vascular damage will result in a decrease of erectile function.

There is quite a bit of stretching that goes on with erection in the first place.  On average, most penises go from a flaccid state of one to two inches to an erect state of five to six inches.  This is usually more than sufficient for GRS because the neo-vagina that is constructed will have initial packing as part of surgery to be as deep as possible so that it bonds to the internal tissues of the body at the maximum depth.  And regular dilation following surgery can increase that up to an additional half inch.  I had approximately three yards of packing in mine.  When Dr. McGinn removed the packing I thought she was doing a magic trick by pulling yard after yard out of me. 

In those conditions where penile skin is insufficient for maximum depth the scrotum can be used to extend the length of the vaginal tube.

And in those cases where even the combined length of the penis and scrotum would be insufficient for a usable vagina then there are other possibilities such as the sigmoid colon technique or getting skin from an alternate donor site such as the thigh.

What I'm getting at is that permanent penis enlargement is not practical, even  dangerous, and really has no therapeutic use in GRS preparation.

So save your money for surgery.

-Sandy

[Madison (kiara jamie)]

Why don't you just nail it to a tree and run as fast as you can in the opposite direction? 

I'm sorry, Kiaraja, I couldn't resist the mental image.  I mean no disrespect.  And I am not trying to make fun at your expense.

Any mechanical attempts to lengthen the penis are dependent on stretching the penis until there is damage to the vascular or external tissues of the penis and hoping that the resulting tissue that repairs it is adds to the overall length.  Unfortunately, any tissue of this nature will be scar tissue which is not as flexible or be able to stretch as well as the original tissue and any vascular damage will result in a decrease of erectile function.

lol tree idea is kinda funny

well i always believed that the skin would extend  because of longtime duration tension(like natural growth), and i thought that scar tissue only developed when the tension on the skin was higher than the tolerances it allowed