If so, to what extent is it realistic?
Lookswise, can you get hard/have sex, can you pee with it?

Yes, get the book Hung Jury from Amazon. You can also look at Trans bucket. There is info in the section on FTM surgeries here (but I think the sticky is very old info). Just read the archives. You should be careful as there is a lot of misinfo on lower surgery, quite a lot of it from the trans community. Some of the surgery results I have seen are REALLy early after surgery where there is a lot of swelling and bruising.

--Jay

Metoidioplasty and phalloplasty, with urethral hookup, both allow peeing out of the penis. Metoidioplasty uses enlarged clitoral tissue - erectile tissue - thus the penis can get "hard" spontaneously. With phalloplasty there is the option of an erectile implant, which makes erections possible.
Aesthetics are more difficult to address since it's subjective and results vary by individual and surgeon. A metoidioplasty, generally speaking, is comparable in appearance to a cis male small penis/micropenis. Variables like whether glansplasty is performed affect the final appearance of phalloplasty results.

Seconding the Hung Jury recommendation, it's a good and informative book. Transbucket is a great resource too.

Thanks guys, I will be sure to look into all of this. But one quick thing, is there the technology for a penis that is indistinguishable from a cisguys penis?

Quote from: ScottyMac on June 23, 2014, 11:34:53 AM
Thanks guys, I will be sure to look into all of this. But one quick thing, is there the technology for a penis that is indistinguishable from a cisguys penis?

Yes. They can transplant lab grown penises. The technology exists but it's not available (afaik) to the public just yet.

The most authentic-looking after meta is the one that uses forearm graft but is a very big surgery and I was eventually deterred from it due to the results still not being THAT great meaning it does look better than most other types, but no natural erection, LONG recovery time (several weeks of hospitalization, several weeks of recovery after that), severe forearm scarring where they took the graft tissue etc. It's a very big surgery.

I was at a seminar earlier this year where the local surgeon in my area spoke about GRS and suffice to say, I was extremely deterred overall to get anything else but a meta due to health risks, recovery time, poor results (he also showed us examples of "good" results) and other complications involved such as fistulas which you can get from meta too, but it's definitely the "nicest" thing you can have overall and still operates and looks the most authentic. Not as easy having sex with it but possible.

So yes, second researching it extremely thoroughly and discuss it with the doctor you'll have it from in order to see their results, what methods they use etc. Very important.

Quote from: ScottyMac on June 23, 2014, 11:34:53 AM
Thanks guys, I will be sure to look into all of this. But one quick thing, is there the technology for a penis that is indistinguishable from a cisguys penis?

Well it will look like and work like cisguy's penis. I don't know why. The structures are analogous, so that there is actually very little difference between a "clit" and a penis, they both a glans, a shaft, and so forth. I've seen anatomical pictures and the similarity is quite amazing. In a metoidoplasty they use structures you already have, while in a phallo they are created in some cases. The good surgeons now know what they are doing, and it will look identical. I have heard of guys passing in a brief physical with both surgeries.

This guy's stuff is current and he does a fairly good job of writing about it. NSFW.
http://www.metoidioplasty.net/
http://www.phallo.net/


--Jay

As someone said yes it will look like and work like a bio guys penis, There is very little difference between a clit and penis as I stated in your last thread, You can get hard ons know. There are two types of surgies, the meta and the phallo, Th meta uses what you already have and yes it gets hard ons depending on your size you might be able to have sex with, They can also reroute the urethra to pee out of it, Phallo takes skin grafts from other places its adult male size so you can have sex with it and pee out of it but you have to use a pump to get erect.

There are various ways that guys with phallos use, but a pump is one way. They is some experimenting with other sorts of pumps. The pumps are similar to what guys have used for erectile dysfunction.  But I was speaking more of a meta as getting erect on it's own. It's a myth that all metas are tiny and that they don't look real or that guys do not penetrate with them. The webpages I gave give good info, and you can use the links they give you or your friend google.


--Jay

Yes, the sergical options are pretty great. There are also some prosthetics that work well.

Quote from: aleon515 on June 23, 2014, 11:20:14 AM
Yes, get the book Hung Jury from Amazon.

I ordered that book and hopefully I should get it sometime this week.  I'm excited to read it, and I'm the type of person that hates reading books, lol!   

I keep debating on the bottom surgeries, if I will get it and which one, I have a lot of time until I'm ready for that step anyway, but from what I know, Meta looks and acts like a real penis just smaller, but if your a lucky guy and had some good growth going on from being on T for awhile, it might be able to be bigger (probably not to the phallos extent), I'm sure when you consult with doctors they will let you know more about it and what you can expect. Phallos that I have seen look just like a male penis, after they are healed and complete, you wouldn't be able to tell and if you need a pump, no sweat, there are cis guys who get it, and squeezing a ball ain't that bad lol.

Quote from: Ryan55 on June 23, 2014, 06:56:03 PM
Phallos that I have seen look just like a male penis, after they are healed and complete, you wouldn't be able to tell

I have to say that after seeing surgical results presented by the local surgeon here, using good results for each method, I can't say this is true. The result is extremely variable, forearm graft being the one that has the best results, but overall, it won't really look exactly like a cisguy's penis. I used to think like you and there are a lot of pictures on the internet but one needs to realize that people have a tendency to take pictures when they have very good results which could skewer things in the wrong direction.

There are essentially two kinds of discourses concerning phallo and one being that phallo is really bad and another definitely not as bad as people say it is. I suppose the truth lies somewhere between the two.

Quote from: Ephemeral on June 23, 2014, 11:48:28 AM
Yes. They can transplant lab grown penises.

Not a functional penis with sensation they can't. There are several problems number one being it is not available. Second there is no way to get nerve sensation and feeling in it. Another issue is you would have to be on anti rejection meds for life. The vasculature and issue's with it are a story all their own. This topic comes up again and again, but it is just not feasible for now. Maybe in 15-20 years or so technology will find ways to overcome these issue's. Lab grown are for damaged replacement (IE burn patients) using the own persons DNA and still have the above issue's. There are threads concerning transplanted vagina's as well, but it is merely a hope right now. If they ever get over the problem of nerve end scarring, maybe, right now no. Trust me they will work on the scar tissue formation problems first for spinal cord patients. There is just not enough profit to concentrate on the issue for trans patients right now. Yes, I am a medical provider. 

Quote from: Jessica Merriman on June 24, 2014, 03:04:53 AM
Not a functional penis with sensation they can't.

Given that the tech isn't even available for humans yet, yeah.

QuoteThere are several problems number one being it is not available.

Yes, which is what I wrote.

QuoteSecond there is no way to get nerve sensation and feeling in it. Another issue is you would have to be on anti rejection meds for life.

If it's grown and properly connected to nerve tissue that shouldn't be a problem, no? 

QuoteThe vasculature and issue's with it are a story all their own. This topic comes up again and again, but it is just not feasible for now. Maybe in 15-20 years or so technology will find ways to overcome these issue's. Lab grown are for damaged replacement (IE burn patients) using the own persons DNA and still have the above issue's. There are threads concerning transplanted vagina's as well, but it is merely a hope right now. If they ever get over the problem of nerve end scarring, maybe, right now no. Trust me they will work on the scar tissue first for spinal cord patients first. There is just not enough profit to concentrate on the issue for trans patients right now. Yes, I am a medical provider. 

I know they did on bunnies though. My overall impression was more the issue of size.

Quote from: Ephemeral on June 24, 2014, 03:09:27 AM
If it's grown and properly connected to nerve tissue that shouldn't be a problem, no?

You can't reconnect nerve endings. Scar tissue formation prevents it. That is why spinal patients never walk again. Nerve ending once severed are gone forever. They just will not connect. It would be like having an electrical wire cut in two with both ends in cement. They will not conduct electricity. If you ever solve this problem you will be rich beyond anything you can imagine.

When a nerve ending is damaged the scar tissue can stop regeneration. This is typically the problem for spinal cord patients. During my PhD I attended many presentions from the Zurich Neuroscience group - who have been trying for years to get neural regrowth in spinal cord and other neurological impaired patients. Even then results are still limited.

Growing functional 3d scaffolding a for cell tissue cultures is progressing - but still takes a lot of time and not yet mainstream. Perhaps as Jessica said it will be in a few years - and I keep checking the latest developments. But so far - unless you are mega wealthy to find your own research programme; I think patience will be required.

Now to let this topic get back to what it is supposed to be - finding the best which is currently available.

I saw a pretty impressive one on a TV show. There was a lot of scarring involved, mind you. It IS surgery so there will almost inevitably be scars, and they weren't just in the genital region. In that case, there was also scarring on the buttocks and arm, I believe, where tissue was taken to form the new penis. He seemed very happy with his results and that's what matters. So I would just keep that in mind and manage expectations. I get the impression scarring is much less dramatic with something like meta.

Lab grown penises would be from your own stem cells so there wouldn't be an issue with rejection from your body. Just putting that bit out there.

Quote from: Jessica Merriman on June 24, 2014, 03:14:52 AM
You can't reconnect nerve endings. Scar tissue formation prevents it. That is why spinal patients never walk again. Nerve ending once severed are gone forever. They just will not connect. It would be like having an electrical wire cut in two with both ends in cement. They will not conduct electricity. If you ever solve this problem you will be rich beyond anything you can imagine.

They're currently experimenting with stem cells in a few countries, its apparently showing promise in helping SCI patients regain sensation and motor control.

With that and the 3D tissue printer, I'm pretty hopeful for the not-so-distant future.

Quote from: dalebert on June 24, 2014, 06:23:30 AM
I saw a pretty impressive one on a TV show. There was a lot of scarring involved, mind you. It IS surgery so there will almost inevitably be scars, and they weren't just in the genital region. In that case, there was also scarring on the buttocks and arm, I believe, where tissue was taken to form the new penis. He seemed very happy with his results and that's what matters. So I would just keep that in mind and manage expectations. I get the impression scarring is much less dramatic with something like meta.

I think that was My Transsexual Summer? Very nice example of a phallo. He also talks about it and the info is fairly current and correct.

Permanent non-scarring on a meta is not an issue. There is VERY little cutting actually. A meta also retains (or in some cases retains) original sensation. The problem is the size which is dependent on how much the dicklet grows on T. Some guys are not able to penetrate, but others do this with a bit of ingenuity.

Most guys with phallo have sensation. They connect with your original equipment and most guys say they have very good sensation (at least that I have heard). There has been work re: nerve hook up (Dr Crane, etc.). I haven't actually seen these videos, and when I tried to link here apparently the videos are now private. I'm sure he would send a copy of these to someone who asked. But for the most part, the sensation is from what you already have and the way the phallo is positioned. I think this is a myth that it is insensate. There is some scarring on the shaft, I would doubt it would be so much that it would out you. There is scarring on the arm (or wherever they take the graft from). The scarring and some "denting" that type of thing decreases over time.

The problem of getting someone to walk again would be reconnecting thousands of nerves and in most cases the dysfunction is in the brain, not the legs! However they have reconnected hands and arms: http://health.howstuffworks.com/medicine/can-body-parts-be-reattached.htm
Stuff on nerve connection in phallo (and fairly good on meta): http://www.computerconsultingservices.net/trans-medicine/images/3.htm

In this is situation the goals are more simple, to reattach 1-2 nerves, and it doesn't always work. Even so, most guys have adequate sensation, from their original equipment.

The big problem right now with phallo is that you can't get erection without some kind of aid (either implant, or some guys do other kinds of things-- sleeves, wrapping the penis, special condoms designed for men with EDs). It should be stated that ED is VERY common in cis men.

Lots of just dated and wrong info out there.


--Jay