Quote from: warlockmaker on June 15, 2015, 10:25:53 PM
What I am suprised about is the great variance in time required for SRS surgery. I know DR Chett who does it all himself in his clinic and he said 6 hours, then Suporn at 4-5 hours, and PAI Dr Sutin at 2-3 hours. I was totally examined by each surgeon and there is more than adequate skin tho Sutin suggested that some cosmetic changes be done some time later on a local anesthetic.

I think the time difference would be caused by the different techniques. Suporn's one is really complex, and Dr Chett is apparently doing the same, whereas I think everyone does penile inversion. It's interesting that Dr Chett said longer than Suporn. I wonder if its more than just a difference in guessing?

I don't know about the others, but Suporn does really fine stitches. That's got to take a while.

Quote from: warlockmaker on June 15, 2015, 10:25:53 PM
So if the FFS does not hinder the diliation, then I feel that there is no difference which one I do first. I may just opt for the SRS simply because it is been my life dream to have this done.

If you do the FFS first you can have both of them done more quickly, and since FFS is so visible it might be nicer to have more time for recovery before you return home. Since you have to book them reasonably far ahead, it's probably not practical to change the dates if you find you need more time for recovery than you'd planned. From that point of view do the lower risk one first, which is FFS. I can see you have your heart set on SRS though, which I can totally understand.

I had FFS first because I could live full-time since than and passing is perfect (doing voice training since a while). Recovery for the 7hr surgery was easy and I had almost no pain.

Three months later I had GRS which was quite painful and recovery took months. My doc is using a rather similar technique than Suporn.

He is always doing some corrections if wanted. Because I wanted the porn look some corrrections were made together with the BA.

I am now 1,5yr under HRT and live happily full-time since one year.

You have all been so helpful. I wanted the SRS first but after reading all your comments I have changed my mind and will do the FFS first and wait around 6 weeks before the SRS. Thank you all sooo.... much

You seems to be getting some really good advice and shared experience already and making sense for yourself about what your priorities are for surgery.  I was a Nurse Anesthetist (CRNA) for 33 years and agree with Jenna Marie that you may wish to inquire about options and certainly deserve to have a thorough pre op discussion with your anesthesia providers.

The more they know about your previous experience and personal health history, the better.  There are numbers of anxiolytics, sedatives and antiemetic medications for tailoring an individual plan for you.  There are distinct advantages to  having one anesthetic with multiple surgeries.  I suggest one is that there is only one induction and emergence with the attendant airway maneuvers such as intubation.  The take off and landing concept.  And, on the other hand, there is the longer time span during which a person absorbs lipophilic gases, narcotics and more that can take a long time to really eliminate and get back to feeling less cloudy.

While there are reasonable risks your attitude is critical IMO.  We can be terrorized and in trauma and anesthesia will still work safely, it has too.  We leaned a lot from battlefield and emergency work.  Ideally, tho, you will be able to picture  yourself calm and surrounded by a caring and experienced team, falling asleep and awakening as tho only minutes have passed.  Focus on the post op period when you will likely emerge thirsty, hungry and feeling completely successful.  You did it!  I imagine you can be an assertive patient and let people know what's working and what help you need along the way.  People will say good luck and it is also said that luck favors a prepared mind.  Prepare by envisioning yourself safely on the other side, ready to recover and head home.

I look forward to hearing more about your adventures. 

Hi Tessa. OMG just when I was set on a way and I get someone who has direct professional experience with a medical view, its so kind of you to share this. I just want to be really clear as the technical terminology is unclear for a lay person like me.

Induction means going under GA. So you recommend doing both at once , have I understood correctly? I just spoke with Jessie, the assistant at PAI, and he confirmed that the SRS will not take more than 2.5 hours and he did suggest both surgeries.

I also will meet with the anethestist and go over my history and will raise the points you brought up. I am ever so positive in my attitude - after all I've waited my whole life for this.

Thank you sooo... much Tessa. I will let you know what the final booking are after my appointment on July 10th.

Happy to help!   Yes, strictly from an anesthesia perspective it makes sense, especially given that optimistic time estimate, to combine your surgeries.  Other girls did raise valid ideas about your choices and the special self care needed after SRS.  I have no experience with that.  "Going under" is the induction of general anesthesia, typically a 3 second experience if remembered at all.  Some people even experience a retrograde amnesia.  The combination of pre-op sedatives and GA can allow some people to forget events that happened even before they go down the hall to the surgical suite.  Surgery is nothing you want to remember anyway and they can probably provide pictures and more if you like. 

It is very encouraging to hear that you are feeling so positive.  Keep it up!