Susan's Place Transgender Resources

Community Conversation => Transitioning => Gender Correction Surgery => Topic started by: symempathy on September 05, 2011, 05:20:54 PM

Title: Rerouting the urethra
Post by: symempathy on September 05, 2011, 05:20:54 PM
I am curious. In a cisgender female, the urethral opening is close to the vaginal orifice, isn't it? From my observation, that is because the clitoris takes some spaces. Let's assume that you don't wish to retain the gland of your penis when you have SRS. Is it possible that the surgeon can reroute the urethra opening at the position higher than that of a natal female?
Title: Re: Rerouting the urethra
Post by: LivingInGrey on September 05, 2011, 05:27:44 PM
Problem with that is without the ... "hose" to aim it when you sit down to do number 2 you might end up shooting number 1 right over the seat of the toilet and spraying down anything in front of you.
Title: Re: Rerouting the urethra
Post by: symempathy on September 05, 2011, 05:49:48 PM
Quote from: LivingInGrey on September 05, 2011, 05:27:44 PM
Problem with that is without the ... "hose" to aim it when you sit down to do number 2 you might end up shooting number 1 right over the seat of the toilet and spraying down anything in front of you.

That is because the urethra is significantly shortened, isn't it?
Certainly I don't mean that the position has to be where the original penis used to be. I mean that the opening is only higher than where it is in a female. Are you saying that if the rerouting doesn't happen exactly where the urethral opening is in a genetic female, I won't be able to urinate sitting down?
Title: Re: Rerouting the urethra
Post by: Amazon D on September 05, 2011, 05:55:57 PM
Why would you want it higher? I would rather mine lower so when i pee it would be coming from my butt. Then its just one wipe away from heaven.
Title: Re: Rerouting the urethra
Post by: LivingInGrey on September 05, 2011, 05:57:33 PM
It all depends on the way things heal for the most part... I was just trying to be slightly over dramatic about it for humorous reasons.

Most likely though, you'll find that most Doc's wont go out of normal guidelines when it comes to those kinds of things. If they allowed "custom placement" of basic things like where a pee hole goes one day, the next day we'll be hearing about someone who had a foot attached to their foreheads or something odd like that in the name of "art" or what ever.

I'd consider it lucky enough that there's doc's out there that are willing to do what they do to us let alone be able to "customize" our own construction.



The problem with making it closer to the poop shoot is a higher risk of infection.

Title: Re: Rerouting the urethra
Post by: symempathy on September 05, 2011, 06:43:59 PM
Quote from: Amazon D on September 05, 2011, 05:55:57 PM
Why would you want it higher? I would rather mine lower so when i pee it would be coming from my butt. Then its just one wipe away from heaven.

Well, it is because I'm used to urinating while standing. Certainly I can train myself to urinate standing again.
Title: Re: Rerouting the urethra
Post by: symempathy on September 05, 2011, 07:38:33 PM
Quote from: LivingInGrey on September 05, 2011, 05:57:33 PM
It all depends on the way things heal for the most part... I was just trying to be slightly over dramatic about it for humorous reasons.

Most likely though, you'll find that most Doc's wont go out of normal guidelines when it comes to those kinds of things. If they allowed "custom placement" of basic things like where a pee hole goes one day, the next day we'll be hearing about someone who had a foot attached to their foreheads or something odd like that in the name of "art" or what ever.

I'd consider it lucky enough that there's doc's out there that are willing to do what they do to us let alone be able to "customize" our own construction.



The problem with making it closer to the poop shoot is a higher risk of infection.

I totally understand what you are saying. I'm not trying to be weirder. I'm only thinking what is convenient for me. Both male and female anatomy have their advantage and disadvantage, don't they? I know that sometimes I can't have it both ways.
Title: Re: Rerouting the urethra
Post by: AbraCadabra on September 06, 2011, 02:52:41 AM
* Is it possible that the surgeon can reroute the urethra opening at the position higher than that of a natal female? *

Absolutely, but it be most undesirable.
A friend of mine after her 2nd op had that 'configuration' and was spraying all over the place - even if leaning quite some forward.
Her clit was then so close to the urethra that it sprayed on it. One MOST undesirable thing to happen. She was promised that in her 3rd and last op this be corrected.

BTW, the reason this happens/happened, she had in her 1st op (as is their protocol) only penectomy and orchiectomy i.e. NO labiaplasty and NO vaginoplasty.

The reason for this, their protocol for the 2nd op is colon-section (vaginoplasty only) and one heavy duty operation to create vj channel from a part sigmoid colon. (Leaving a 35cm tummy scar)

Hope this explains,
Axelle
Title: Re: Rerouting the urethra
Post by: Kaelleria on September 06, 2011, 10:47:47 AM
It depends hugely on your body type.
How much space does the surgeon have to use, is the patient fat/thin, etc...

From what I understand most MTFs generally have their urethral opening higher that natal females, but there are exceptions.
Title: Re: Rerouting the urethra
Post by: mm on September 06, 2011, 11:53:36 AM
mynhii, to be able to pee standing with ease, you need more than the urethral opening to be higher.  The mtf would no longer have the hose to direct the flow so aiming is much more difficult.  Also without a hose peeing with your jeans up is nearly impossible.  So you would still need to undress to pee so no real advantage.  I see no reason to want the opening higher up for a mtf.
Title: Re: Rerouting the urethra
Post by: symempathy on September 06, 2011, 02:16:36 PM
Quote from: Axélle on September 06, 2011, 02:52:41 AM
* Is it possible that the surgeon can reroute the urethra opening at the position higher than that of a natal female? *

Absolutely, but it be most undesirable.
A friend of mine after her 2nd op had that 'configuration' and was spraying all over the place - even if leaning quite some forward.
Her clit was then so close to the urethra that it sprayed on it. One MOST undesirable thing to happen. She was promised that in her 3rd and last op this be corrected.

BTW, the reason this happens/happened, she had in her 1st op (as is their protocol) only penectomy and orchiectomy i.e. NO labiaplasty and NO vaginoplasty.

The reason for this, their protocol for the 2nd op is colon-section (vaginoplasty only) and one heavy duty operation to create vj channel from a part sigmoid colon. (Leaving a 35cm tummy scar)

Hope this explains,
Axelle

I see what you are saying. Removing the penis shortens the urethra and causes urine spraying. Perhaps nature designs urethra differently in males and females for the purpose of urinating convenience.
Title: Re: Rerouting the urethra
Post by: symempathy on September 06, 2011, 02:18:29 PM
Quote from: Kaelleria on September 06, 2011, 10:47:47 AM
It depends hugely on your body type.
How much space does the surgeon have to use, is the patient fat/thin, etc...

From what I understand most MTFs generally have their urethral opening higher that natal females, but there are exceptions.

Are they able to urinate sitting down without using hands to guide the urine stream?
Title: Re: Rerouting the urethra
Post by: AubreyRenee on September 10, 2011, 08:18:39 AM
strange thread; couldn't help commenting. :)

I'm five months post and I think your answer is "the surgery's goal is to fix a problem." trans women have a body part that causes significant mental anguish; the surgeons craft this into a beautiful, fully functional vulva and vagina. Technique differs, but in the end the goal of this surgery is to as accurately as possible recreate a vagina and vulva.

I sit to pee and wipe just like any other girl. From what I can tell my urethra is in a pretty normal position.
Title: Re: Rerouting the urethra
Post by: Kaelleria on September 11, 2011, 01:10:11 AM
Of course they can pee normally... The difference is like less than an inch and a half...
Title: Re: Rerouting the urethra
Post by: AbraCadabra on September 11, 2011, 02:07:06 AM
mynhii,

* Are they able to urinate sitting down without using hands to guide the urine stream? *

The answer for SA 'converted' t-girls is actually a clear NO, at least after the second of their 3 required ops. I have seen it.

The reason? Their urethra only get placed into it final position during the 3rd op.

Quite inconvenient apart from some other issues. It then sprays onto the clit (biggish) and is always in need of holding a handful of toilet paper in front, so as not to spry all over the toilet seat (sitting down).

Axelle
Title: Re: Rerouting the urethra
Post by: Kaelleria on September 11, 2011, 02:44:44 AM
Again... it really depends on which surgeon you see and what they can do for you.

Swelling place a huge role in the early stages of urination. I was fairly lucky and my "configuration" is basically natal female in terms of placement of parts. I didn't have any issues with spraying every. Other's who are a bit higher are still able to urinate just fine after their swelling goes down.

THIS IS NOT 1 SIZE FITS ALL. EVERYONE IS DIFFERENT!
Title: Re: Rerouting the urethra
Post by: symempathy on September 11, 2011, 02:10:17 PM
Quote from: Kaelleria on September 11, 2011, 02:44:44 AM
Again... it really depends on which surgeon you see and what they can do for you.

Swelling place a huge role in the early stages of urination. I was fairly lucky and my "configuration" is basically natal female in terms of placement of parts. I didn't have any issues with spraying every. Other's who are a bit higher are still able to urinate just fine after their swelling goes down.

THIS IS NOT 1 SIZE FITS ALL. EVERYONE IS DIFFERENT!

Can you please explain why swelling has anything to do with urination?

After you had your vaginoplasty, did you have to use a catheter to assist urination? How many days after the surgery were you able to urinate normally?
Title: Re: Rerouting the urethra
Post by: paulault55 on September 12, 2011, 08:53:26 AM
I was in the hospital five days, four of those days i had a catheter with a bag attached, the last day they took the bag off and put a plug on the end of the catheter, after that i had to use the bathroom if i needed to pee, they kept ice packs on this whole time to help reduce swelling at the surgical site, the catheter was kept in till the following Tuesday, a total of eight days, then the catheter and packing were removed by Dr. Mcginn, by this time the swelling had gone down quite a bit and i had no trouble going, i did have a bit of spraying for a few weeks but as more healing took place that stopped. My urethra is located in the same place every woman's is located.

Allot depends on the skill of your surgeon and how well your body heals, there is no one size fits all.

Paula
Title: Re: Rerouting the urethra
Post by: mac1 on August 15, 2014, 01:00:44 PM
I want more than a reroute. I want total removal of the penis, testicles and scrotum with a proper reroute (like a female).

This would be a great advantage for me as I don't have any real use for those parts. I have sat or squatted full time to pee for over17 years  ( with no exceptions) and have not used it for sex for over 5 1/2 years. My penis is only an inconvenience for me.
Title: Re: Rerouting the urethra
Post by: calicarly on August 15, 2014, 03:21:15 PM
Quote from: mac1 on August 15, 2014, 01:00:44 PM
I want more than a reroute. I want total removal of the penis, testicles and scrotum with a proper reroute (like a female).

This would be a great advantage for me as I don't have any real use for those parts. I have sat or squatted full time to pee for over17 years  ( with no exceptions) and have not used it for sex for over 5 1/2 years. My penis is only an inconvenience for me.

What you seem to want is called a cosmetic operation. The cosmetic operation isn't functional for sexual interaction, yet fully looks like a regular vag and you can pee out of it fine...