Community Conversation => Female to male transsexual talk (FTM) => Transsexual talk => FTM Bottom Surgery => Topic started by: MrReborn on April 10, 2012, 10:57:37 AM Return to Full Version
Title: Misconceptions about Phalloplasty
Post by: MrReborn on April 10, 2012, 10:57:37 AM
Post by: MrReborn on April 10, 2012, 10:57:37 AM
So sometimes when people look into phalloplasty, whether it be here on this website or somewhere else, their seem to be a lot of common misconceptions. Now it's nobody's fault really, it comes from outdated information that's still on the web and it spreads because people are still going by this outdated information.
So I'd like to clear up what I think are the most common misconceptions about phalloplaty:
1. Phalloplastys have no feeling.
ERRRNT WRONG! No, this is a total misconception. Phalloplastys do have feeling but it was much more common WAY BACK WHEN for them not too. That is no longer a typical thing, although it's still a risk as in with every surgery. It is quite COMMON for a phalloplasty to result in a penis that reacts to cold, heat and touch with the ability to orgasm.
2. Ok Ok, but it doesn't have erotic sensation right?
Okay, when you have a phalloplasty you retain your erotic sensation. Meaning you experience orgasm the same way you do now- through your biological clitoris, this is the same when having a meta. However the phallus itself doesn't have erotic sensation, so you have two options. Some surgeons don't give you a choice but most do- you can either have your biological clitoris buried at the base of your new penis so that when your new penis is stimulated it stimulates your neopenis (clitoris) that's buried at its base. or you can decide to keep your clitoris untouched and located underneath your new phallus. Either way you will maintain orgasmic ability.
Side Note:
-Their is this funny little idea floating around in cyber space that their is a high risk of you losing sensation after phalloplasty. Although possible as I said before this is no longer common practice. Although it may take a year or two for all the sensation to come back (Not unlike FTM top surgery).
-A lot of people think erotic sensation is loss after a phallo, normally it stays the same. However a funny but true side note is thier have been a few reports of guys gaining sensation after a phallo. This is not a lie I have a video where a guy shows his phallo and mention he himself having gained sensation. Good for him! lol
3. Phalloplasty don't look like an actual penis.
Research, research, research. This idea comes from three misguided sources of information.
1. Outdated surgery pictures
2. A genuinely BAD surgeon
3. and most commonly- you saw a picture of an UNCOMPLETED phalloplasty
Modern days phallos, at least in my opinion, look fantastic. With the exception of a few. Modern day advances like glanoplastys and medical tattooing can make a phallo look like the real deal. However, their are inexperienced surgeons and outdated techniques and you MUST be on the look out if considering this option. Most people agree (although their are exceptions) that a forearm flap or latissimus dorsi (also referred to as the side of your chest) give the most realistic results. Although I recently saw several exceptional photographs of a an abdominal flap I believe but that technique is slightly outdated (slightly I repeat). But the most common mistake people make is judging an incomplete phallo. A phallo can take up to a year and takes several stages to complete. You need to remember that if you see a picture of a penis with no head or balls, it's probably not done yet lol.
4. The erectional device is going to rip through the head during sex.
This incident is called protrusion, it can happen in biological men too. It's HIGHLY unlikely with an under 10% chance of this happening. Research the different erection devices to find one good for you if considering this surgery.
SRS Checklist for Phalloplasty:
Ability to STP? Yes
Average sized penis? Yes
Ability to have penetrative sex? Yes
Authentic appearance? That's a real personally perceived question but with a good surgeon I'd say, Yes
So I'd like to clear up what I think are the most common misconceptions about phalloplaty:
1. Phalloplastys have no feeling.
ERRRNT WRONG! No, this is a total misconception. Phalloplastys do have feeling but it was much more common WAY BACK WHEN for them not too. That is no longer a typical thing, although it's still a risk as in with every surgery. It is quite COMMON for a phalloplasty to result in a penis that reacts to cold, heat and touch with the ability to orgasm.
2. Ok Ok, but it doesn't have erotic sensation right?
Okay, when you have a phalloplasty you retain your erotic sensation. Meaning you experience orgasm the same way you do now- through your biological clitoris, this is the same when having a meta. However the phallus itself doesn't have erotic sensation, so you have two options. Some surgeons don't give you a choice but most do- you can either have your biological clitoris buried at the base of your new penis so that when your new penis is stimulated it stimulates your neopenis (clitoris) that's buried at its base. or you can decide to keep your clitoris untouched and located underneath your new phallus. Either way you will maintain orgasmic ability.
Side Note:
-Their is this funny little idea floating around in cyber space that their is a high risk of you losing sensation after phalloplasty. Although possible as I said before this is no longer common practice. Although it may take a year or two for all the sensation to come back (Not unlike FTM top surgery).
-A lot of people think erotic sensation is loss after a phallo, normally it stays the same. However a funny but true side note is thier have been a few reports of guys gaining sensation after a phallo. This is not a lie I have a video where a guy shows his phallo and mention he himself having gained sensation. Good for him! lol
3. Phalloplasty don't look like an actual penis.
Research, research, research. This idea comes from three misguided sources of information.
1. Outdated surgery pictures
2. A genuinely BAD surgeon
3. and most commonly- you saw a picture of an UNCOMPLETED phalloplasty
Modern days phallos, at least in my opinion, look fantastic. With the exception of a few. Modern day advances like glanoplastys and medical tattooing can make a phallo look like the real deal. However, their are inexperienced surgeons and outdated techniques and you MUST be on the look out if considering this option. Most people agree (although their are exceptions) that a forearm flap or latissimus dorsi (also referred to as the side of your chest) give the most realistic results. Although I recently saw several exceptional photographs of a an abdominal flap I believe but that technique is slightly outdated (slightly I repeat). But the most common mistake people make is judging an incomplete phallo. A phallo can take up to a year and takes several stages to complete. You need to remember that if you see a picture of a penis with no head or balls, it's probably not done yet lol.
4. The erectional device is going to rip through the head during sex.
This incident is called protrusion, it can happen in biological men too. It's HIGHLY unlikely with an under 10% chance of this happening. Research the different erection devices to find one good for you if considering this surgery.
SRS Checklist for Phalloplasty:
Ability to STP? Yes
Average sized penis? Yes
Ability to have penetrative sex? Yes
Authentic appearance? That's a real personally perceived question but with a good surgeon I'd say, Yes
Title: Re: Misconceptions about Phalloplasty
Post by: MrReborn on April 10, 2012, 11:12:59 AM
Post by: MrReborn on April 10, 2012, 11:12:59 AM
Their is a video clip on YouTube of a guy kind enough (and brave enough) to share his phalloplasty results. This is the link to the guys page who has posted the clip http://www.youtube.com/user/nogoodwithnames/videos I don't believe theirs anything wrong with posting this link is their?
Title: Re: Misconceptions about Phalloplasty
Post by: King Malachite on April 10, 2012, 03:00:35 PM
Post by: King Malachite on April 10, 2012, 03:00:35 PM
Thanks for the info Mr.Reborn. :) I think it's good to debunk some of the myths that are floating around with regards to ftm bottom surgery. I really enjoyed the video you posted too. I enjoyed it so much that I liked it so it can be in my Youtube archive for further reference. I have to admit that I had my heart set on a metoidioplasty only but after looking at that guy's results I may consider a phalloplasty in the future. I really hope Youtube doesn't take it down as it's very informational. Phalloplasty was my original plan for bottom surgery to begin with. The good part about it is that it will be some years before (about 10-15) I can get anything done so I am almost certain that by that time there will be some advancements in both surgeries and maybe some new techniques. Thanks again!
Title: Re: Misconceptions about Phalloplasty
Post by: supremecatoverlord on April 10, 2012, 03:12:18 PM
Post by: supremecatoverlord on April 10, 2012, 03:12:18 PM
Thank you for posting this especially because it's a procedure I definitely want done.
Title: Re: Misconceptions about Phalloplasty
Post by: MrReborn on April 10, 2012, 04:16:25 PM
Post by: MrReborn on April 10, 2012, 04:16:25 PM
I was glad to post it :) Also just in case they do remove it from youtube, I managed to save it into my videos on my computer and can send it to anyone who needs a reference if it's later deleted.
Title: Re: Misconceptions about Phalloplasty
Post by: Jaycob on April 19, 2012, 10:27:09 AM
Post by: Jaycob on April 19, 2012, 10:27:09 AM
Quote from: MrReborn on April 10, 2012, 04:16:25 PM
I was glad to post it :) Also just in case they do remove it from youtube, I managed to save it into my videos on my computer and can send it to anyone who needs a reference if it's later deleted.
Hey MrReborn -
was wondering if you could perhaps send me the phallo video as i cant access the link over in scotland :( and i really need some propper info... bad times!
Jaycob
Title: Re: Misconceptions about Phalloplasty
Post by: MrReborn on April 21, 2012, 12:44:54 PM
Post by: MrReborn on April 21, 2012, 12:44:54 PM
Quote from: Jaycob on April 19, 2012, 10:27:09 AM
Hey MrReborn -
was wondering if you could perhaps send me the phallo video as i cant access the link over in scotland :( and i really need some propper info... bad times!
Jaycob
No problem :]
Title: Re: Misconceptions about Phalloplasty
Post by: King Malachite on April 21, 2012, 12:47:08 PM
Post by: King Malachite on April 21, 2012, 12:47:08 PM
Also wondering....if the Skene's gland stays intact is it possible to have sterile ejaculation through the new phallus?
Title: Re: Misconceptions about Phalloplasty
Post by: Make_It_Good on April 21, 2012, 05:36:43 PM
Post by: Make_It_Good on April 21, 2012, 05:36:43 PM
Also some guys who get the forearm phallo procedure done do end up with some erotic sensation through their penis (though it may take time to develop and it may be say, just the underside and tip or whatever). This is because the surgeons, when taking the graft from the forearm, retrieve several nerves arteries and veins with it, this retains the sensation in the graft which becomes the penis. Then, they join a nerve, to one of the nerves in the original/micro penis/clitoris (whatever name you want to use :/ ), Therefore, the erotic sensation that you got from stimulation of the "clitoris", some of this then develops through the new penis. And you retain some of the sensation in the original spot.
This is just for the forearm op though.
I know with at least the London surgeons, for guys not getting the forearm procedure but opting to stand to pee, they take a thin strip of skin from your arm (not nearly as big as the graft from the forearm phallo procedure, this is just the radial artery urethroplasty), and IF they find a nerve, they take that too, along with the strip of skin for the urethra and can attach it like mentioned before. So, there is a chance that the thigh or abdominal/pubic phalloplasties the London team perform, could potentially develop sexual feeling too. But Mr Christopher explained that there is a 50% chance of them finding this nerve :/
Anyway, I know Ive rambled on there, but thought Id share that info and debunk the myths a little more!
This is just for the forearm op though.
I know with at least the London surgeons, for guys not getting the forearm procedure but opting to stand to pee, they take a thin strip of skin from your arm (not nearly as big as the graft from the forearm phallo procedure, this is just the radial artery urethroplasty), and IF they find a nerve, they take that too, along with the strip of skin for the urethra and can attach it like mentioned before. So, there is a chance that the thigh or abdominal/pubic phalloplasties the London team perform, could potentially develop sexual feeling too. But Mr Christopher explained that there is a 50% chance of them finding this nerve :/
Anyway, I know Ive rambled on there, but thought Id share that info and debunk the myths a little more!
Title: Re: Misconceptions about Phalloplasty
Post by: MrTesto on April 21, 2012, 05:56:45 PM
Post by: MrTesto on April 21, 2012, 05:56:45 PM
Quote from: Malachite on April 21, 2012, 12:47:08 PM
Also wondering....if the Skene's gland stays intact is it possible to have sterile ejaculation through the new phallus?
Some guys who have metas with urethral hookups report this.
Title: Re: Misconceptions about Phalloplasty
Post by: King Malachite on April 21, 2012, 07:10:41 PM
Post by: King Malachite on April 21, 2012, 07:10:41 PM
Quote from: MrTesto on April 21, 2012, 05:56:45 PM
Some guys who have metas with urethral hookups report this.
I've heard of a few guys being able to do so but what if a guy gets a meta and then a phallo that buries the meta under it. Would the guy still be able to ejacuate?
Title: Re: Misconceptions about Phalloplasty
Post by: MrReborn on April 21, 2012, 08:22:33 PM
Post by: MrReborn on April 21, 2012, 08:22:33 PM
Quote from: Malachite on April 21, 2012, 07:10:41 PM
I've heard of a few guys being able to do so but what if a guy gets a meta and then a phallo that buries the meta under it. Would the guy still be able to ejacuate?
As much as I hate to be a negative nancy, I'd have to assume not since the skene glans don't reach to the phallic head. but as MrTesto said this is a possibility with metas, although rare.
Title: Re: Misconceptions about Phalloplasty
Post by: MrTesto on April 22, 2012, 02:34:24 PM
Post by: MrTesto on April 22, 2012, 02:34:24 PM
That'd be a great question for one of the focused yahoo groups like The Deciding Line. From the guys I have heard/read, it might be more about the length of the neourethra in combination with, hmm, the amount of pressure being exerted on the ejaculate?
But I'm speculating at this point. Clearly we need more research! >:-)
But I'm speculating at this point. Clearly we need more research! >:-)
Title: Re: Misconceptions about Phalloplasty
Post by: JayKyle on April 22, 2012, 02:49:46 PM
Post by: JayKyle on April 22, 2012, 02:49:46 PM
Quote from: MrTesto on April 22, 2012, 02:34:24 PM
That'd be a great question for one of the focused yahoo groups like The Deciding Line. From the guys I have heard/read, it might be more about the length of the neourethra in combination with, hmm, the amount of pressure being exerted on the ejaculate?
But I'm speculating at this point. Clearly we need more research! >:-)
Yes we do!
And just think with the progress they've made so far in bottom surgery, what will they be able to do in the future?!
Title: Re: Misconceptions about Phalloplasty
Post by: King Malachite on April 22, 2012, 06:01:53 PM
Post by: King Malachite on April 22, 2012, 06:01:53 PM
Quote from: MrTesto on April 22, 2012, 02:34:24 PM
That'd be a great question for one of the focused yahoo groups like The Deciding Line. From the guys I have heard/read, it might be more about the length of the neourethra in combination with, hmm, the amount of pressure being exerted on the ejaculate?
But I'm speculating at this point. Clearly we need more research! >:-)
I wanted to join the deciding line but from their home page they only accept guys who are preparing for bottom surgery as their next step or something like that. :(
Title: Re: Misconceptions about Phalloplasty
Post by: King Malachite on April 22, 2012, 06:03:03 PM
Post by: King Malachite on April 22, 2012, 06:03:03 PM
Quote from: JayKyle on April 22, 2012, 02:49:46 PM
Yes we do!
And just think with the progress they've made so far in bottom surgery, what will they be able to do in the future?!
This is what keeps me going and looking foward to the future of bottom surgery. :)
Title: Re: Misconceptions about Phalloplasty
Post by: Arch on April 22, 2012, 06:31:02 PM
Post by: Arch on April 22, 2012, 06:31:02 PM
Also, 50K GBP is, uh, a little steep. And does that amount cover medical expenses only, or does it include incidentals like travel and, if needed, post-hospital lodging? Does it include hysto? What if you have complications?
And don't forget that the pump will need to be replaced eventually. And that they rip the hell out of your arm to mine tissue for the graft. And that it takes a few surgeries for the entire process. And that the risk of complications is probably still pretty high, although I haven't seen any numbers.
I know a guy who spent nearly $50K American (he had already had hysto years earlier) and really isn't done yet. He still lacks the urethral extension, and he doesn't have a pump. I'm not sure how much it would cost to fix all of that, but it won't be cheap.
I guess seeing this stuff bothers me because I am single and American and pushing fifty. It's harder to save if you're single, and I don't want to spend my last working years saving up for a penis instead of retirement or my own home. And I don't anticipate that even a generous national health care plan will cover stuff like this, at least not without a lot of hoop-jumping, and certainly not anytime soon.
So for me, stuff like this is a pipe dream--phallic reference intended. And that's just depressing.
And don't forget that the pump will need to be replaced eventually. And that they rip the hell out of your arm to mine tissue for the graft. And that it takes a few surgeries for the entire process. And that the risk of complications is probably still pretty high, although I haven't seen any numbers.
I know a guy who spent nearly $50K American (he had already had hysto years earlier) and really isn't done yet. He still lacks the urethral extension, and he doesn't have a pump. I'm not sure how much it would cost to fix all of that, but it won't be cheap.
I guess seeing this stuff bothers me because I am single and American and pushing fifty. It's harder to save if you're single, and I don't want to spend my last working years saving up for a penis instead of retirement or my own home. And I don't anticipate that even a generous national health care plan will cover stuff like this, at least not without a lot of hoop-jumping, and certainly not anytime soon.
So for me, stuff like this is a pipe dream--phallic reference intended. And that's just depressing.
Title: Re: Misconceptions about Phalloplasty
Post by: JayKyle on April 22, 2012, 10:54:58 PM
Post by: JayKyle on April 22, 2012, 10:54:58 PM
Quote from: Arch on April 22, 2012, 06:31:02 PM
Also, 50K GBP is, uh, a little steep. And does that amount cover medical expenses only, or does it include incidentals like travel and, if needed, post-hospital lodging? Does it include hysto? What if you have complications?
And don't forget that the pump will need to be replaced eventually. And that they rip the hell out of your arm to mine tissue for the graft. And that it takes a few surgeries for the entire process. And that the risk of complications is probably still pretty high, although I haven't seen any numbers.
I know a guy who spent nearly $50K American (he had already had hysto years earlier) and really isn't done yet. He still lacks the urethral extension, and he doesn't have a pump. I'm not sure how much it would cost to fix all of that, but it won't be cheap.
I guess seeing this stuff bothers me because I am single and American and pushing fifty. It's harder to save if you're single, and I don't want to spend my last working years saving up for a penis instead of retirement or my own home. And I don't anticipate that even a generous national health care plan will cover stuff like this, at least not without a lot of hoop-jumping, and certainly not anytime soon.
So for me, stuff like this is a pipe dream--phallic reference intended. And that's just depressing.
That makes me sad for you :( Maybe there will be something released soon that will be more affordable but still in good function...here's for hoping!!!
Title: Re: Misconceptions about Phalloplasty
Post by: King Malachite on April 22, 2012, 11:16:07 PM
Post by: King Malachite on April 22, 2012, 11:16:07 PM
Quote from: JayKyle on April 22, 2012, 10:54:58 PM
That makes me sad for you :( Maybe there will be something released soon that will be more affordable but still in good function...here's for hoping!!!
To hope
Title: Re: Misconceptions about Phalloplasty
Post by: MrReborn on April 26, 2012, 05:01:00 PM
Post by: MrReborn on April 26, 2012, 05:01:00 PM
Quote from: Arch on April 22, 2012, 06:31:02 PM
Also, 50K GBP is, uh, a little steep. And does that amount cover medical expenses only, or does it include incidentals like travel and, if needed, post-hospital lodging? Does it include hysto? What if you have complications?
And don't forget that the pump will need to be replaced eventually. And that they rip the hell out of your arm to mine tissue for the graft. And that it takes a few surgeries for the entire process. And that the risk of complications is probably still pretty high, although I haven't seen any numbers.
I know a guy who spent nearly $50K American (he had already had hysto years earlier) and really isn't done yet. He still lacks the urethral extension, and he doesn't have a pump. I'm not sure how much it would cost to fix all of that, but it won't be cheap.
I guess seeing this stuff bothers me because I am single and American and pushing fifty. It's harder to save if you're single, and I don't want to spend my last working years saving up for a penis instead of retirement or my own home. And I don't anticipate that even a generous national health care plan will cover stuff like this, at least not without a lot of hoop-jumping, and certainly not anytime soon.
So for me, stuff like this is a pipe dream--phallic reference intended. And that's just depressing.
All important factors to consider. Now even though most people are familiar with the forearm flap its certainly not the only option. I personally if I was getting this surgery would get a latisimus dorsi flap taken. My 3 reasons: its just as (if not more) authentically appealing as forearm flap (less hairy for most people also), scar easily concealed under shirt- even a tank top, and the most important to me- direct donor site closing. Meaning that they don't have to take skin from somewhere else on your body to close the graft and therefore avoiding another scar. This surgery use to take 4 stages and for some surgeons it still does, but a lot of them now do it in 3 stages about 3 months apart I believe. Pumps do typically need to be replaced at one point, but usually last up to 20 years. The idea of this being a high risk procedure has not been the case in a very long time but this idea still hangs around from the way it use to be. I can post the prices I got from a surgeon estimating the cost of each stage if anyone is interested. The prices (that I'm referring to) DO include hysto. In the first stage is vaginectomy, trans-vaginal hysterectomy, oophorectomy, urethral advancement and scrotoplasty (including testicular implants). What this amounts to is the COMPLETE removal of all female organs as well as the creation of a phallic and testicles in just the very first procedure :)
Title: Re: Misconceptions about Phalloplasty
Post by: Arch on June 20, 2012, 04:02:15 PM
Post by: Arch on June 20, 2012, 04:02:15 PM
Quote from: MrReborn on April 26, 2012, 05:01:00 PM
All important factors to consider. Now even though most people are familiar with the forearm flap its certainly not the only option.
Well, I should have been clearer about the "forearm" remark. So far, I've seen reports that the forearm is the best option, but I wouldn't want to go with that because of the obvious scarring. But I was also commenting on the need for a wound elsewhere on the body--that is, other than the penis site. I typically take a long time to heal, I scar easily, and I tend to get infections. So having tissue mined from anywhere worries me. Still, that should be a minimal concern when compared to how much they would be carving me up downstairs.
Quote from: MrReborn on April 26, 2012, 05:01:00 PM
Pumps do typically need to be replaced at one point, but usually last up to 20 years.
I'd like hard data on this. My friend with the phallo was told to expect replacement every ten years, or so he says. Maybe ten years is the soonest they tend to break down.
Quote from: MrReborn on April 26, 2012, 05:01:00 PM
The idea of this being a high risk procedure has not been the case in a very long time but this idea still hangs around from the way it use to be.
Again, where can I get real data? I know that Alter doesn't do certain procedures because (as he states on his site) of the higher rate of complications. I think he included vaginectomy and urethral extension as adding substantially to the risk, but I would have to check. And I'd like more than what one surgeon says. I still have a lot of research to do.
Quote from: MrReborn on April 26, 2012, 05:01:00 PM
I can post the prices I got from a surgeon estimating the cost of each stage if anyone is interested.
Please do. I would like that. I've never had a consultation, and, as I said, my friend ran up to nearly $50,000 and wasn't nearly done.
Title: Re: Misconceptions about Phalloplasty
Post by: MrReborn on June 27, 2012, 04:59:53 PM
Post by: MrReborn on June 27, 2012, 04:59:53 PM
Test me on pump replacement since for me that was a one source thing, and a potentially failable fact. However I know for a fact that this is not a quote on quote "high risk procedure". It's just not. Some surgeons aren't skilled enough to do certain procedures and I personally would steer away from anyone who doesn't do this as a primary part of their practice. Once again it is NOT high risk BUT chances of getting through it with 0 complications are unlikely. However, the complications are small complications that can either be fixed or heal on their own with only a select few experiencing a more complex complication.
Here is the email I was sent on prices:
The Sava Perovic Foundation Surgical Team performs: 1) vaginectomy + 2) trans-vaginal hysterectomy + 3) oophorectomy + 4) urethral advancement + 5) scrotoplasty, including testicular implants + 6) Stage One Total Phalloplasty + 7) Step One of Stage Two urethroplasty for a total net price of Euros 16500.
That is the package needed by patients who want to get all three stages or at least the first two.
Stage Two (Urethroplasty) 3-6 months or more after Stage One costs Euros 5000.
Stage Three (Penile Implant) 3-6 months or more after Stage Two costs Euros 6200.
AMS 700 CX penile prosthesis: Euros 6000
Package prices are under review and likely to be increased in the near future.
Here is the email I was sent on prices:
The Sava Perovic Foundation Surgical Team performs: 1) vaginectomy + 2) trans-vaginal hysterectomy + 3) oophorectomy + 4) urethral advancement + 5) scrotoplasty, including testicular implants + 6) Stage One Total Phalloplasty + 7) Step One of Stage Two urethroplasty for a total net price of Euros 16500.
That is the package needed by patients who want to get all three stages or at least the first two.
Stage Two (Urethroplasty) 3-6 months or more after Stage One costs Euros 5000.
Stage Three (Penile Implant) 3-6 months or more after Stage Two costs Euros 6200.
AMS 700 CX penile prosthesis: Euros 6000
Package prices are under review and likely to be increased in the near future.
Title: Re: Misconceptions about Phalloplasty
Post by: Arch on June 27, 2012, 11:41:07 PM
Post by: Arch on June 27, 2012, 11:41:07 PM
Thanks for the numbers. I really appreciate your sharing info.
I haven't done any pricing at all because I'm not in a position to do anything at the moment. I've done no real research, either. When I do get to the point where this becomes a realistic possibility, I'll shift into high gear and do a ton of research (that's how I operate). But having one set of numbers helps.
BTW, I don't believe I've ever called this a high-risk procedure--but I know that some aspects of the surgery involve higher risk than others. With my stupid body, I think it's best to expect such problems and then be pleasantly surprised if nothing goes wrong.
I haven't done any pricing at all because I'm not in a position to do anything at the moment. I've done no real research, either. When I do get to the point where this becomes a realistic possibility, I'll shift into high gear and do a ton of research (that's how I operate). But having one set of numbers helps.
BTW, I don't believe I've ever called this a high-risk procedure--but I know that some aspects of the surgery involve higher risk than others. With my stupid body, I think it's best to expect such problems and then be pleasantly surprised if nothing goes wrong.
Title: Re: Misconceptions about Phalloplasty
Post by: AustinS on January 30, 2014, 09:27:24 PM
Post by: AustinS on January 30, 2014, 09:27:24 PM
Hello Mr. Reborn, Do you think you could send me that video? I do believe that youtube took it down.
Title: Re: Misconceptions about Phalloplasty
Post by: King Malachite on January 30, 2014, 09:39:11 PM
Post by: King Malachite on January 30, 2014, 09:39:11 PM
Quote from: AustinS on January 30, 2014, 09:27:24 PM
Hello Mr. Reborn, Do you think you could send me that video? I do believe that youtube took it down.
Hey AustinS, if you type in "My Transsexual Summer episode 2" on Youtube and start the video from 19:14 to 22:59 then that is the clip I believe MrReborn was referring to.
19:14 to 22:59
Title: Re: Misconceptions about Phalloplasty
Post by: mangoslayer on February 13, 2014, 10:34:37 PM
Post by: mangoslayer on February 13, 2014, 10:34:37 PM
I just want to add my input on the sensation and ejaculation thing. I had forearm phallo with the nerve hook up approx 6 months ago. I have erotic sensation in all of my penis. The sensation is the same amount i had before except more spread out.
As for ejaculation, theres no ejaculation when I orgasm but sometimes i'll get a little dribble of cum that will come out later. ngl its pretty gross.
As for ejaculation, theres no ejaculation when I orgasm but sometimes i'll get a little dribble of cum that will come out later. ngl its pretty gross.
Title: Re: Misconceptions about Phalloplasty
Post by: szikha on April 20, 2014, 03:02:54 PM
Post by: szikha on April 20, 2014, 03:02:54 PM
First of all i wanna thank you for this post! I wanna quote some if you don't mind. and please keep in mind that English is not my mother langua!
To me this sound the same. I wanna explain what happend during nerve hock up. NOTE: this is from Belgium hospital and iam not good at English so please keep that in mind.
You say:
NO, when the clitoris is 'buried' it is not always in your new penis. This all depends on your anatomy and stuff. Most of the time it is buried in the base of the phallus yes defendly but somethimes ,depending which technic but also on the 'skills' of your surgeon , it is lokated in your scrotum. It all depends on deferent things ( anotomy, surgeon and his technic ect)
You say :
Not totally true. When they buried the clitoris they remove the foreskin (and something else but don't know the English word for it), and pull the clitoris as high as they can. The clitoris has 2 major nerves ( the whole clitoris has Thousand nerves) . When they cut one of the two major nerves they connect that clitoral nerve to your arm nerve ( forearm phalloplasty). When this succesfully is done this clitoral nerve is spreading ( branches?it is not the proper English word iam sorry) trough your new penis.
The other nerve, untouch, is still in your clitoris and the clitoris will be buried under the new pallus
So what happend is that the clitoral nerve that is hocked up on your arm nerve is like a tree, a tree has a base and when it is getting bigger it get more ramifications or branches ( google translating) . This happend with your clitoral nerve. It connect to your arm nerve and ramifications/ branches /speading trough your whole new penis. Nerves have memory so they grow like a tree. Your clitoral nerve is now connected trough your arm-nerve and grows trough your new penis. This process need some time offcourse.
So when you wanking your new penis it is not only your clitoris you feel but the whole nerve hock up. It work all in one. Thats why i tell people always that my penis feels like my clitoris when i gently thoug my penis. Basicly said: i have a clitoris of 9 centimeter.
And yes you feel also your clitori(with the other nerve) which is buried in the base of the penis/scotum, so that is why most people report 'more' sensation. That is true. The man you saw in the video is NO exception. I gain sensation to. This is because of the nerve hock up.
NOTE: the nerve hock up is not always succesfull. Keep that in mind. Total failure is not uncommon. I heard from the UZ gent Hospital that this nerve hock up has a succes rate of 85% ( in 2009). So 15% of failure is big. But don't worry, if it fails nothing happend because you still have the clitoris with the other major nerve. With that nerve you can still achieve orgasm. The only thing is that you can not get an orgasm during penetration. If the nerve connection is succesfully you can.
There are some problems people have to achieve orgasm.
One of the problem is the brain. In the beginning you don't know what you must do.
second, since the nerve hock up need his time you mabye experience some difficulty to get orgams. Or you feel pain. Don't worry.
All patients of UZ gent report orgasm but small % report diffuculty to get the orgasm!
So what happend during orgasm with a phalloplasty AND colpectomy ( = surgery where they remove you whole vagina)? Well everything remains the same ( again : if everything went oké!) Exept you can't use your vagina anymore because he is gone. So vaginal orgams is not possible anymore
NOTE: keeping the vagina by phalloplasty can cause big problems, that is why the team in Belgium and the Netherlands required to remove the vagina. In Belgium is the rule: phalloplasty or vagina. You CAN NOT HAVE both. Except medical Exceptions ( if it is medical not possible to remove the vagina)
For me i gain sensation, that means that my orgasm is comming very very fast ( within 1:00 minute). I can't delay it anymore. During orgasm i feel it in my penis , scrotum and underneath the scrotum ( pelvic muscles). To tell the truth , these pelvic muscles is stronger without a vagina though. The medical reason i don't know.
The only 'negative' about my orgasm is that i can't enjoy many orgasm anymore. The penis way to sensitive after orgasm that i don't touch it anymore and when i do the second orgam is not intens anymore.
yes this is true and normal by nerve hock up ( if it is succesfully). I have gain sensation also.
See for your self :
-edit- : remove the link because it was not working anymore
QuoteSome surgeons don't give you a choice but most do- you can either have your biological clitoris buried at the base of your new penis so that when your new penis is stimulated it stimulates your neopenis (clitoris) that's buried at its base. or you can decide to keep your clitoris untouched and located underneath your new phallus. Either way you will maintain orgasmic ability.
To me this sound the same. I wanna explain what happend during nerve hock up. NOTE: this is from Belgium hospital and iam not good at English so please keep that in mind.
You say:
Quoteyou can either have your biological clitoris buried at the base of your new penis so that when your new penis is stimulated it stimulates your neopenis (clitoris) that's buried at its base. or you can decide to keep your clitoris untouched and located underneath your new phallus. Either way you will maintain orgasmic ability.
NO, when the clitoris is 'buried' it is not always in your new penis. This all depends on your anatomy and stuff. Most of the time it is buried in the base of the phallus yes defendly but somethimes ,depending which technic but also on the 'skills' of your surgeon , it is lokated in your scrotum. It all depends on deferent things ( anotomy, surgeon and his technic ect)
You say :
Quoteyou can either have your biological clitoris buried at the base of your new penis so that when your new penis is stimulated it stimulates your neopenis (clitoris) that's buried at its base
Not totally true. When they buried the clitoris they remove the foreskin (and something else but don't know the English word for it), and pull the clitoris as high as they can. The clitoris has 2 major nerves ( the whole clitoris has Thousand nerves) . When they cut one of the two major nerves they connect that clitoral nerve to your arm nerve ( forearm phalloplasty). When this succesfully is done this clitoral nerve is spreading ( branches?it is not the proper English word iam sorry) trough your new penis.
The other nerve, untouch, is still in your clitoris and the clitoris will be buried under the new pallus
So what happend is that the clitoral nerve that is hocked up on your arm nerve is like a tree, a tree has a base and when it is getting bigger it get more ramifications or branches ( google translating) . This happend with your clitoral nerve. It connect to your arm nerve and ramifications/ branches /speading trough your whole new penis. Nerves have memory so they grow like a tree. Your clitoral nerve is now connected trough your arm-nerve and grows trough your new penis. This process need some time offcourse.
So when you wanking your new penis it is not only your clitoris you feel but the whole nerve hock up. It work all in one. Thats why i tell people always that my penis feels like my clitoris when i gently thoug my penis. Basicly said: i have a clitoris of 9 centimeter.
And yes you feel also your clitori(with the other nerve) which is buried in the base of the penis/scotum, so that is why most people report 'more' sensation. That is true. The man you saw in the video is NO exception. I gain sensation to. This is because of the nerve hock up.
NOTE: the nerve hock up is not always succesfull. Keep that in mind. Total failure is not uncommon. I heard from the UZ gent Hospital that this nerve hock up has a succes rate of 85% ( in 2009). So 15% of failure is big. But don't worry, if it fails nothing happend because you still have the clitoris with the other major nerve. With that nerve you can still achieve orgasm. The only thing is that you can not get an orgasm during penetration. If the nerve connection is succesfully you can.
There are some problems people have to achieve orgasm.
One of the problem is the brain. In the beginning you don't know what you must do.
second, since the nerve hock up need his time you mabye experience some difficulty to get orgams. Or you feel pain. Don't worry.
All patients of UZ gent report orgasm but small % report diffuculty to get the orgasm!
So what happend during orgasm with a phalloplasty AND colpectomy ( = surgery where they remove you whole vagina)? Well everything remains the same ( again : if everything went oké!) Exept you can't use your vagina anymore because he is gone. So vaginal orgams is not possible anymore
NOTE: keeping the vagina by phalloplasty can cause big problems, that is why the team in Belgium and the Netherlands required to remove the vagina. In Belgium is the rule: phalloplasty or vagina. You CAN NOT HAVE both. Except medical Exceptions ( if it is medical not possible to remove the vagina)
For me i gain sensation, that means that my orgasm is comming very very fast ( within 1:00 minute). I can't delay it anymore. During orgasm i feel it in my penis , scrotum and underneath the scrotum ( pelvic muscles). To tell the truth , these pelvic muscles is stronger without a vagina though. The medical reason i don't know.
The only 'negative' about my orgasm is that i can't enjoy many orgasm anymore. The penis way to sensitive after orgasm that i don't touch it anymore and when i do the second orgam is not intens anymore.
Quotefunny but true side note is thier have been a few reports of guys gaining sensation after a phallo. This is not a lie I have a video where a guy shows his phallo and mention he himself having gained sensation. Good for him! lol
yes this is true and normal by nerve hock up ( if it is succesfully). I have gain sensation also.
Quote3. Phalloplasty don't look like an actual penis.
See for your self :
-edit- : remove the link because it was not working anymore
Title: Re: Misconceptions about Phalloplasty
Post by: Arch on April 20, 2014, 03:13:05 PM
Post by: Arch on April 20, 2014, 03:13:05 PM
Thanks for the additional info, Szikha. Any new posts keep this thread alive.
I might be starting the phallo process as early as summer 2015, so I guess I need to start doing more research.
I'm scared. I don't want more surgeries. And I don't want anyone monkeying around with my genitals. But I don't see a way out. I'm not happy with the way things are, so I have to do something sooner or later.
I might be starting the phallo process as early as summer 2015, so I guess I need to start doing more research.
I'm scared. I don't want more surgeries. And I don't want anyone monkeying around with my genitals. But I don't see a way out. I'm not happy with the way things are, so I have to do something sooner or later.
Title: Re: Misconceptions about Phalloplasty
Post by: DanTheMan on May 07, 2014, 01:50:02 PM
Post by: DanTheMan on May 07, 2014, 01:50:02 PM
Thanks for the info, is it also still possible to have a phallo after a meta?
Because i'm afraid of the phallo and heard terror stories from the guys i've been hanging out with.
Not because it looks weird or anything but because of the STP.. (and the long wait to regain sensation)
Because i'm afraid of the phallo and heard terror stories from the guys i've been hanging out with.
Not because it looks weird or anything but because of the STP.. (and the long wait to regain sensation)
Title: Re: Misconceptions about Phalloplasty
Post by: Arch on May 07, 2014, 08:10:28 PM
Post by: Arch on May 07, 2014, 08:10:28 PM
I read somewhere that you can have meta first and phallo later. I don't know anyone who has done it, though.
Title: Re: Misconceptions about Phalloplasty
Post by: Adam (birkin) on May 07, 2014, 08:38:32 PM
Post by: Adam (birkin) on May 07, 2014, 08:38:32 PM
I think that chuck did (get a meta and then a phallo), but I feel like for some reason he got banned or left or something. It's too bad because I thought it was great to have someone who had gone through all that stuff on the site.
Title: Re: Misconceptions about Phalloplasty
Post by: King Malachite on May 07, 2014, 08:51:01 PM
Post by: King Malachite on May 07, 2014, 08:51:01 PM
Yes, it's possible to get a meta first and then a phallo. I know a guy on Youtube that has a meta done and now he's preparing to get a phallo.
Title: Re: Misconceptions about Phalloplasty
Post by: szikha on May 08, 2014, 01:15:55 AM
Post by: szikha on May 08, 2014, 01:15:55 AM
Quote from: DanTheMan on May 07, 2014, 01:50:02 PM
Thanks for the info, is it also still possible to have a phallo after a meta?
Because i'm afraid of the phallo and heard terror stories from the guys i've been hanging out with.
Not because it looks weird or anything but because of the STP.. (and the long wait to regain sensation)
Yeah offcourse it is possible!
They (Belgium team) preffer you haven't though. I think iti is easyier for them to start with 'nothing' too phallo then meta to phallo
But yes it is absolutly possible. I know many guys who did.
Title: Re: Misconceptions about Phalloplasty
Post by: DanTheMan on May 08, 2014, 10:27:14 AM
Post by: DanTheMan on May 08, 2014, 10:27:14 AM
Great!! Thanks guys :) now I wont have to worry about that.
Title: Re: Misconceptions about Phalloplasty
Post by: Adam (birkin) on May 08, 2014, 04:27:37 PM
Post by: Adam (birkin) on May 08, 2014, 04:27:37 PM
Does anyone know if there are any benefits to getting a meta and then getting a phallo afterwards?
Title: Re: Misconceptions about Phalloplasty
Post by: sneakersjay on May 09, 2014, 11:53:30 AM
Post by: sneakersjay on May 09, 2014, 11:53:30 AM
I don't know if there are any benefits to getting a meta first. I got a meta with full hookup and implants. It is enough for me. So maybe it would be enough for you, too. Plenty of cis guys out there with very small penises (I know, I dated a couple of them!) Just being able to use a urinal, the fact that I have nuts, and biggest bonus of all: NO HOLE!!! was plenty for me.
In an ideal world I'd have a 6" penis, but that's not going to happen.
Surgery does take a toll on your body, and healing takes a while. For me, meta was enough. It might be for others as well. But something you don't know until you do it. If you know right off the bat you could not be happy, ever, with a meta, then I'd say skip right to phallo if you can afford it. I hope these surgeries will soon be covered by insurance for all of our sakes.
In an ideal world I'd have a 6" penis, but that's not going to happen.
Surgery does take a toll on your body, and healing takes a while. For me, meta was enough. It might be for others as well. But something you don't know until you do it. If you know right off the bat you could not be happy, ever, with a meta, then I'd say skip right to phallo if you can afford it. I hope these surgeries will soon be covered by insurance for all of our sakes.
Title: Re: Misconceptions about Phalloplasty
Post by: Adam (birkin) on May 09, 2014, 05:06:29 PM
Post by: Adam (birkin) on May 09, 2014, 05:06:29 PM
If I had more growth I'd be happy with a meta. But I've had hardly any to speak of and it's been two years. :( It's sort of a catch 22 because it's bad for the meta, obviously, but with the way my genitals are right now, growth would have been upsetting to me.
Title: Re: Misconceptions about Phalloplasty
Post by: DanTheMan on May 10, 2014, 10:35:37 AM
Post by: DanTheMan on May 10, 2014, 10:35:37 AM
Quote from: birkin on May 09, 2014, 05:06:29 PM
If I had more growth I'd be happy with a meta. But I've had hardly any to speak of and it's been two years. :( It's sort of a catch 22 because it's bad for the meta, obviously, but with the way my genitals are right now, growth would have been upsetting to me.
Thank sucks man, I've been on T roughly for 2 years now and mine's about half my index finger, i'm ok with it. (haven't had surgery yet down there).
Title: Re: Misconceptions about Phalloplasty
Post by: sneakersjay on May 12, 2014, 11:49:42 AM
Post by: sneakersjay on May 12, 2014, 11:49:42 AM
My penis was nothing but a miniscule thing pre-t; post meta I'm about 1" soft and maybe 2.5 hard. Smaller than my thumb. So I didn't have great growth either. Meta does require a certain amount of growth; my surgeon had to examine me first to see if a meta would work for me.
It took a ton of practice and a ton of different underwear options to figure out how to be able to urinate consistently at a urinal in public without embarrassing myself, but I finally have it mastered (though a tucked in shirt foiled me once, and a belt another!) Huge learning curve!! But anyway, I'm almost 4 years out and still totally happy with my meta. Even though one of my nuts really needs an adjustment. Trying to decide if moving it will be worth it or if I should just leave well enough alone.
Jay
It took a ton of practice and a ton of different underwear options to figure out how to be able to urinate consistently at a urinal in public without embarrassing myself, but I finally have it mastered (though a tucked in shirt foiled me once, and a belt another!) Huge learning curve!! But anyway, I'm almost 4 years out and still totally happy with my meta. Even though one of my nuts really needs an adjustment. Trying to decide if moving it will be worth it or if I should just leave well enough alone.
Jay
Title: Re: Misconceptions about Phalloplasty
Post by: DanTheMan on May 12, 2014, 12:18:07 PM
Post by: DanTheMan on May 12, 2014, 12:18:07 PM
Quote from: sneakersjay on May 12, 2014, 11:49:42 AM
My penis was nothing but a miniscule thing pre-t; post meta I'm about 1" soft and maybe 2.5 hard. Smaller than my thumb. So I didn't have great growth either. Meta does require a certain amount of growth; my surgeon had to examine me first to see if a meta would work for me.
It took a ton of practice and a ton of different underwear options to figure out how to be able to urinate consistently at a urinal in public without embarrassing myself, but I finally have it mastered (though a tucked in shirt foiled me once, and a belt another!) Huge learning curve!! But anyway, I'm almost 4 years out and still totally happy with my meta. Even though one of my nuts really needs an adjustment. Trying to decide if moving it will be worth it or if I should just leave well enough alone.
Jay
Great to hear you're so satisfied! I want to get a meta first (and a prosthetic) But no uthera lengthening (not sure how they call it in english), but I want to get that hole removed, but I hope they could make my meta look a bit better with the extra skin they normally use for the uthera, one of my friends has had a meta with the uthera and he had to catheter himself every day for a long while. And I personally don't mind sit peeing.
Having my bottom surgery (removal of all organs + that hole (by a robot 8) ) in about 2 months :)
Title: Re: Misconceptions about Phalloplasty
Post by: sneakersjay on May 13, 2014, 10:57:17 AM
Post by: sneakersjay on May 13, 2014, 10:57:17 AM
How will they close the hole without lengthening the urethra? How will you pee? Curious as I was under the impression the hole couldn't be done without the lengthening.
Title: Re: Misconceptions about Phalloplasty
Post by: mangoslayer on May 14, 2014, 04:36:30 PM
Post by: mangoslayer on May 14, 2014, 04:36:30 PM
Quote from: sneakersjay on May 13, 2014, 10:57:17 AMI know they can sort of move the urethra without lengthening it so you can pee out the base or behind the balls. I guess thats how they could do it, but I know a lot of surgeons won't.
How will they close the hole without lengthening the urethra? How will you pee? Curious as I was under the impression the hole couldn't be done without the lengthening.
Title: Re: Misconceptions about Phalloplasty
Post by: Kyle02NC on December 31, 2014, 12:29:25 PM
Post by: Kyle02NC on December 31, 2014, 12:29:25 PM
I know this post is old but I was wondering if anyone had the video of the phalloplasty they could email me? Thanks!
Title: Re: Misconceptions about Phalloplasty
Post by: LoriLorenz on January 06, 2015, 08:06:01 PM
Post by: LoriLorenz on January 06, 2015, 08:06:01 PM
Yay for Youtube!
Kyle, search for "My Transsexual Summer episode 2" and you should find the correct clip at around the 19:40 mark.
Kyle, search for "My Transsexual Summer episode 2" and you should find the correct clip at around the 19:40 mark.
Title: Re: Misconceptions about Phalloplasty
Post by: aleon515 on January 09, 2015, 05:06:59 PM
Post by: aleon515 on January 09, 2015, 05:06:59 PM
I believe they can (and have read/heard this) but not sure exactly what they do.
--Jay
--Jay
Quote from: mangoslayer on May 14, 2014, 04:36:30 PM
I know they can sort of move the urethra without lengthening it so you can pee out the base or behind the balls. I guess thats how they could do it, but I know a lot of surgeons won't.
Title: Re: Misconceptions about Phalloplasty
Post by: Arch on January 13, 2015, 01:37:51 AM
Post by: Arch on January 13, 2015, 01:37:51 AM
Anyone know exactly where the microphallus is located in the completed penis? Is it close to the skin surface for easy stimulation? Or is it embedded deep inside the tissue of the new appendage?
I also understand that it's possible to not bury the microphallus in the penis--you can leave it exposed underneath the penis. Does anyone here have that arrangement?
I also understand that it's possible to not bury the microphallus in the penis--you can leave it exposed underneath the penis. Does anyone here have that arrangement?
Title: Re: Misconceptions about Phalloplasty
Post by: mrs izzy on January 13, 2015, 02:09:44 AM
Post by: mrs izzy on January 13, 2015, 02:09:44 AM
What i understand from my husbands was it is trimmed (polite wording) to access the nerves that are connected to the new phallo. Then buried in the base.
I know less about the ftm then the mtf so it has been a learning curve for me.
Like our GCS each surgeon i think does there own techniques.
I guess ask each surgeon.
I know less about the ftm then the mtf so it has been a learning curve for me.
Like our GCS each surgeon i think does there own techniques.
I guess ask each surgeon.
Title: Re: Misconceptions about Phalloplasty
Post by: cascado on August 25, 2015, 05:27:08 PM
Post by: cascado on August 25, 2015, 05:27:08 PM
Hi all,
I've recently started getting curious about a phalloplasty. I never before thought I'd want to get it done, but the idea is becoming more appealing. It'd be great if anyone who has had it done could get in touch with me and talk to me about it?
Also, someone mentioned earlier about a link to a youtube video. I think the video has been removed. Any chance of getting it sent over to me?
I've recently started getting curious about a phalloplasty. I never before thought I'd want to get it done, but the idea is becoming more appealing. It'd be great if anyone who has had it done could get in touch with me and talk to me about it?
Also, someone mentioned earlier about a link to a youtube video. I think the video has been removed. Any chance of getting it sent over to me?
Title: Re: Misconceptions about Phalloplasty
Post by: FTMax on August 26, 2015, 09:48:22 AM
Post by: FTMax on August 26, 2015, 09:48:22 AM
Hi cascado,
Best advice would be to read through the Bottom Surgery subforum here. There is a lot of general information about specific procedures, experiences with surgeons, and people's full experiences with phalloplasty. There are also a few Facebook groups where people regularly share their experiences that I would recommend.
I would say - do some research here and elsewhere online and try to decide what exact procedures you're most interested in pursuing. There's so much information out there that it can be overwhelming to go into it with no ideas. You may also find that in figuring out what exactly you want, you'll cross off a lot of non-options.
Best advice would be to read through the Bottom Surgery subforum here. There is a lot of general information about specific procedures, experiences with surgeons, and people's full experiences with phalloplasty. There are also a few Facebook groups where people regularly share their experiences that I would recommend.
I would say - do some research here and elsewhere online and try to decide what exact procedures you're most interested in pursuing. There's so much information out there that it can be overwhelming to go into it with no ideas. You may also find that in figuring out what exactly you want, you'll cross off a lot of non-options.