How much feeling do you have in your penis, and is it difficult to use?
I am having phalloplasty this summer, but I'm a part of multiple bottom surgery support groups so have a pretty good understanding. Unfortunately we don't have many active post-phallo guys here.
Sensation depends on which flap is used and whether or not microsurgery is performed. I've talked to guys who have had RFF, ALT, and MLD. They all have sensation in their penis that returned over the course of the first year post-op. Nobody has said anything about difficulty of use - after urethral complications are resolved it's easy to pee. You would need an erectile device or to use other external methods to have penetrative sex, and those external methods can be unwieldy (using condoms and tape, or a sheath type device).
Quote from: FTMax on February 27, 2016, 06:18:12 AM
I am having phalloplasty this summer, but I'm a part of multiple bottom surgery support groups so have a pretty good understanding. Unfortunately we don't have many active post-phallo guys here.
Sensation depends on which flap is used and whether or not microsurgery is performed. I've talked to guys who have had RFF, ALT, and MLD. They all have sensation in their penis that returned over the course of the first year post-op. Nobody has said anything about difficulty of use - after urethral complications are resolved it's easy to pee. You would need an erectile device or to use other external methods to have penetrative sex, and those external methods can be unwieldy (using condoms and tape, or a sheath type device).
Will you please explain to me what are RFF, ALT, and MLD. What is microsurgery? I'm afraid when I meet the surgeon if I don't know what all the options are I won't know how to explain what I want him to do. This will be years down the line, but I like to plan way ahead of time.
Sure, no problem. Essentially what phalloplasty does is take a flap of tissue from a donor site on your body and use it to create a phallus. Every flap includes the skin, some tissue from underneath it, blood vessels, arteries, and nerves. While there are a wide variety of donor sites to choose from (most of which I can't tell you about because they've become so uncommon), the most common ones you will see used today are RFF, ALT, and MLD.
RFF - Radial forearm flap taken from the forearm
ALT - Anterolateral thigh taken from the upper part of the thigh
MLD - Musculocutaneous latissimus dorsi taken from the upper side/back
Each of these has their own pros and cons, and in my experience, it is incredibly beneficial to meet with a surgeon as early in the process as possible to get an understanding of which sites are an option for your body type or what you would have to do in order to use the donor site you want (mostly related to weight loss, body fat percentage, or permanent hair removal). There are major differences to each one that would require a huge wall of text. Phallo.net (http://phallo.net) is a good resource to do some initial learning on. Microsurgery is the re-connection of the nerves from the donor site to nerves in your groin area to establish erogenous sensation. Of the three above, the only one not likely to have erogenous sensation is MLD, as it uses a different kind of nerve.
Most surgeons typically couple phalloplasty with other procedures such as a vaginectomy, urethral lengthening, scrotoplasty, glansplasty, and the implantation of testicular and erectile devices.
It is a lot of information. I spent about 6 months reading up on everything, and I still learn new things.
Quote from: FTMax on February 27, 2016, 05:37:54 PM
Sure, no problem. Essentially what phalloplasty does is take a flap of tissue from a donor site on your body and use it to create a phallus. Every flap includes the skin, some tissue from underneath it, blood vessels, arteries, and nerves. While there are a wide variety of donor sites to choose from (most of which I can't tell you about because they've become so uncommon), the most common ones you will see used today are RFF, ALT, and MLD.
RFF - Radial forearm flap taken from the forearm
ALT - Anterolateral thigh taken from the upper part of the thigh
MLD - Musculocutaneous latissimus dorsi taken from the upper side/back
Each of these has their own pros and cons, and in my experience, it is incredibly beneficial to meet with a surgeon as early in the process as possible to get an understanding of which sites are an option for your body type or what you would have to do in order to use the donor site you want (mostly related to weight loss, body fat percentage, or permanent hair removal). There are major differences to each one that would require a huge wall of text. Phallo.net (http://phallo.net) is a good resource to do some initial learning on. Microsurgery is the re-connection of the nerves from the donor site to nerves in your groin area to establish erogenous sensation. Of the three above, the only one not likely to have erogenous sensation is MLD, as it uses a different kind of nerve.
Most surgeons typically couple phalloplasty with other procedures such as a vaginectomy, urethral lengthening, scrotoplasty, glansplasty, and the implantation of testicular and erectile devices.
It is a lot of information. I spent about 6 months reading up on everything, and I still learn new things.
That's a great explanation. Do they take the the flesh according to where you have the most fat or flesh? I'd hate to have it taken from my arm.
Quote from: alienbodybuilder on February 28, 2016, 01:50:09 AM
Quote from: FTMax on February 27, 2016, 05:37:54 PM
Sure, no problem. Essentially what phalloplasty does is take a flap of tissue from a donor site on your body and use it to create a phallus. Every flap includes the skin, some tissue from underneath it, blood vessels, arteries, and nerves. While there are a wide variety of donor sites to choose from (most of which I can't tell you about because they've become so uncommon), the most common ones you will see used today are RFF, ALT, and MLD.
RFF - Radial forearm flap taken from the forearm
ALT - Anterolateral thigh taken from the upper part of the thigh
MLD - Musculocutaneous latissimus dorsi taken from the upper side/back
Each of these has their own pros and cons, and in my experience, it is incredibly beneficial to meet with a surgeon as early in the process as possible to get an understanding of which sites are an option for your body type or what you would have to do in order to use the donor site you want (mostly related to weight loss, body fat percentage, or permanent hair removal). There are major differences to each one that would require a huge wall of text. Phallo.net (http://phallo.net) is a good resource to do some initial learning on. Microsurgery is the re-connection of the nerves from the donor site to nerves in your groin area to establish erogenous sensation. Of the three above, the only one not likely to have erogenous sensation is MLD, as it uses a different kind of nerve.
Most surgeons typically couple phalloplasty with other procedures such as a vaginectomy, urethral lengthening, scrotoplasty, glansplasty, and the implantation of testicular and erectile devices.
It is a lot of information. I spent about 6 months reading up on everything, and I still learn new things.
That's a great explanation. Do they take the the flesh according to where you have the most fat or flesh? I'd hate to have it taken from my arm.
No, it is typically taken from where you have the least. A fatty donor site will mean a fatty phallus which will usually require liposuction. That is why people over a certain body fat percentage are not candidates for ALT.
Quote from: FTMax on February 28, 2016, 07:10:20 AM
That's a great explanation. Do they take the the flesh according to where you have the most fat or flesh? I'd hate to have it taken from my arm.
No, it is typically taken from where you have the least. A fatty donor site will mean a fatty phallus which will usually require liposuction. That is why people over a certain body fat percentage are not candidates for ALT.
Do you know what your BMI has to be?
That will vary by donor site and surgeon. Your options are pretty much wide open with a BMI under 25. Sugeons can/will start refusing donor sites or to work with you entirely at 30-35.
Quote from: FTMax on February 28, 2016, 12:43:45 PM
That will vary by donor site and surgeon. Your options are pretty much wide open with a BMI under 25. Sugeons can/will start refusing donor sites or to work with you entirely at 30-35.
I have some weight to lose. My BMI is 29. I was a gym junkie not too long ago and now I have to take care of a relative so Ive become more sedentary. The rate I do cardio once someone else cares for her and I move out, I will shed 20 pounds in 2-4 months. I barely eat whole meals.
I bet you don't eat any meal after you look at this. https://www.susans.org/wiki/Phalloplasty :-*
Hugs, Devlyn
Quote from: Devlyn Marie on February 28, 2016, 04:28:43 PM
I bet you don't eat any meal after you look at this. https://www.susans.org/wiki/Phalloplasty :-*
Hugs, Devlyn
It sounds great to me. I'm more worried about what the scarring on my forearm will look like because I've got tattoo plans for it.
Quote from: FTMax on February 28, 2016, 12:43:45 PM
That will vary by donor site and surgeon. Your options are pretty much wide open with a BMI under 25. Sugeons can/will start refusing donor sites or to work with you entirely at 30-35.
So will it get damaged if I have fast hard sex?
Quote from: alienbodybuilder on February 28, 2016, 11:07:02 PM
Quote from: FTMax on February 28, 2016, 12:43:45 PM
That will vary by donor site and surgeon. Your options are pretty much wide open with a BMI under 25. Sugeons can/will start refusing donor sites or to work with you entirely at 30-35.
So will it get damaged if I have fast hard sex?
No clue. I imagine you'd be fine after you're fully healed, but that is a question for a surgeon. It may depend a little on what kind of erectile device you choose.