Community Conversation => Female to male transsexual talk (FTM) => Transsexual talk => FTM Bottom Surgery => Topic started by: Tomodex on June 24, 2015, 10:25:53 AM Return to Full Version

Title: Phalloplasty questions
Post by: Tomodex on June 24, 2015, 10:25:53 AM
1. I've heard about "clitorial burials" and I don't quite understand, isnt your clitoris naturally "buried" when your new phallus is attached?
2. I think I want an implant for erections, with a pump placed in the testicle, will the erection last as long as I want until I deflate it?
3. I've heard of guys having sensation all over their penis, but do you have any erotic sensation in the tesicles?
4. I want to get a phalloplasty using skin from my torso, MDL I think, have any of you had this type of surgery?
Title: Re: Phalloplasty questions
Post by: AGhostInMyArms on July 05, 2015, 11:31:08 PM
Straight from my bookmarks, here are some useful websites

http://www.trans-health.com/2013/penile-implants-guide/ (http://www.trans-health.com/2013/penile-implants-guide/)
http://www.phallo.net/penile-implants/coloplast-genesis.htm (http://www.phallo.net/penile-implants/coloplast-genesis.htm)
http://brownsteincrane.com/ftm-phalloplasty/ (http://brownsteincrane.com/ftm-phalloplasty/)
Title: Re: Phalloplasty questions
Post by: Make_It_Good on July 07, 2015, 02:11:29 AM
1. The penis is usually just "above" the "clitoris", so there is the option to have it "buried" if you dont want it visible.

2. The erection will last, no premature ejaculation problems there!

3. I have very good erotic sensation in my balls, if that answers your question.

4. This option is possible, however I did not have this. (I had pubic phallo).
Title: Re: Phalloplasty questions
Post by: AGhostInMyArms on July 07, 2015, 04:04:27 PM
Here's a good rundown on what the MLD procedure is: http://www.phallo.net/procedures/mld-phalloplasty.htm (http://www.phallo.net/procedures/mld-phalloplasty.htm)

I too would love to hear someone's experience receiving an MLD phallo. Originally I had looked into radial forearm and was certain that was what I wanted. Then I found out RF is usually a better option for larger people. With my BMI in the low 20s the MLD was recommended.
Title: Re: Phalloplasty questions
Post by: jonjon on July 08, 2015, 05:51:28 AM
Quote from: AGhostInMyArms on July 07, 2015, 04:04:27 PM
Here's a good rundown on what the MLD procedure is: http://www.phallo.net/procedures/mld-phalloplasty.htm (http://www.phallo.net/procedures/mld-phalloplasty.htm)

I too would love to hear someone's experience receiving an MLD phallo. Originally I had looked into radial forearm and was certain that was what I wanted. Then I found out RF is usually a better option for larger people. With my BMI in the low 20s the MLD was recommended.

I suppose this depends on the surgeon. My BMI is 20, I'm skinny and I'm short. My phallus has turned out amazing! I was very surprised the size they got for me from what they had to work with. I would advise speaking to the surgeon you intend to use and getting a general idea from them about results of their past procedures.
Title: Re: Phalloplasty questions
Post by: Bimmer Guy on July 08, 2015, 06:55:45 AM
Quote from: AGhostInMyArms on July 07, 2015, 04:04:27 PM
Here's a good rundown on what the MLD procedure is: http://www.phallo.net/procedures/mld-phalloplasty.htm (http://www.phallo.net/procedures/mld-phalloplasty.htm)

I too would love to hear someone's experience receiving an MLD phallo. Originally I had looked into radial forearm and was certain that was what I wanted. Then I found out RF is usually a better option for larger people. With my BMI in the low 20s the MLD was recommended.

I am curious to know which surgeon recommended this? 
Title: Re: Phalloplasty questions
Post by: AGhostInMyArms on July 12, 2015, 08:44:17 PM
Quote from: Bimmer Guy on July 08, 2015, 06:55:45 AM
I am curious to know which surgeon recommended this?

Curtis Crane
from his website:

"Choosing Between Radial Forearm, MLD and ALT Phalloplasty

The donor site choice is a complex one and depends on many factors.

Radial Forearm Flap: Patients with a larger body habitus get the best result with the radial forearm flap because the forearm has smaller amounts of fat under the skin than other parts of the body. A complete urethra can be made and the entire phallus constructed in one stage in conjunction with vaginectomy, scrotoplasty, and glansplasty. About 9 months to a year after the phallus is made, testicular implants and a penile implant can be placed. Most patients do achieve erogenous sensation.

ALT Phalloplasty: Patients that are near their ideal body weight or have a body mass index (BMI) in the low twenties can also have a one stage phalloplasty from the lateral thigh. Some patients prefer this as the donor scar is less visible. Erogenous sensation can still be achieved as the sensory nerve from the thigh is connected to the clitoral nerve, however, some surgeons performing phalloplasty speculate that sensation is a little better with the radial forearm flap. This is controversial.

If a patient is heavier, the lateral thigh is still an option, however one stage is added to the phalloplasty. If there is too much subcutaneous fat in the thigh, it can be difficult to construct a urethra within the phallus. In this case, the first stage consists of creation of the phallus, extension of the urethra to the base of the neophallus so that many patients can stand to urinate, vaginectomy, and scrotoplasty. About four months later the phallus is opened on the underside and a graft is placed for the future urethra. The patient can still stand to urinate. Four to six months later the urethra is turned into a tube, the penile and testicular implants are placed and glansplasty is performed.

MLD Phalloplasty: See ALT Phalloplasty above. This same series of surgeries is followed for all MLD flaps."
Title: Re: Phalloplasty questions
Post by: Tomodex on July 31, 2015, 08:49:41 PM
Wow! Thank you all very much for the replies and useful information!!