I have a couple of questions of srs and hoping those that have had it already could help me These have been pressing down on my mind for a while and although i've looked at various places, i would love to have answers from those who have experienced srs first hand. thanks in advance, its so appreciated
One of the things that worries me the most is scarring, I know this varies but I want more of a general input on it. I saw a few images of Dr.Chettawut I believe it was post op, there was one of a girl who had the surgery and the pictures were taken i believe after two months. there was NO scarring visible, but then I see others that have the surgery and even after a year scarring is extremely visible. Does this vary by the technique used? How visible would scarring be after 6 months?
Another question, which technique would you consider "the best"? I know thats a broad term but I want your perspective on it. How exactly do they work and whats the pros and cons of each?
I've seen somewhere that some post op are able to "squirt" after surgery, do some need lubrication and others don't? Does it depend on age or technique?
I know this may seem like an ignorant question but I'll go ahead Do men notice if it's a natal vagina?(although during play time I doubt they'd be looking much at details XD) but still peaks my interest. I've read somewhere that when penetrated they can feel a wall at the end of the post op vagina, is this true?
Last question: Do you have pleasure? Comparable to before post op, is the penis :$ felt all the way or are there ways that there is no feeling?

Sorry these may seem a bit ignorant or intrusive but I'd really, really appreciate the help!

QuoteDo men notice if it's a natal vagina?(although during play time I doubt they'd be looking much at details XD) but still peaks my interest. I've read somewhere that when penetrated they can feel a wall at the end of the post op vagina, is this true?

I'm pretty sure men don't notice the difference all that much - considering some of them are so fixated on vaginas they're not that expert on how they work or look. I think only guys with a long dong would feel anything at the far end, but that would apply to when they penetrate cis women too since the vagina (neo or natal) is not a passageway of infinite depth.

Just some short answers:

- Scarring depend on the person and the surgeon. It can be very different between each surgeon but there is no guarantee that your scars will be invisible. Some people develop very visible scars. It is likely caused by genetics.

- My vagina is 18 cm deep. No men ever reached the end and hit the wall. But also CIS women have an end.

- An experienced man can feel the difference. It feels a little bit different than CIS women's vagina. But all men liked the feeling. No one said that it was not a pleasure. Often they say it is more intense.

- It depends on the technique of the surgeon if you get wet. I can get very wet and also squirt. A classic penile inversion does usually not allow it to get wet. So choose carefully.

- I have nice clitoral orgasms. But being penetrated also can lead me to an orgasm. It nis more or less a matter of arousal and my moist important sex organ is now my brain. Arousal is everything. And there are days where I like it to have sex but I am not so much interested in getting an orgasm.

If I may ask, what technique did you use Lara?

The combined method:
The surgeon uses the posterior of the scrotum and the upper penile skin to form the vaginal canal and the frontal scrotum to form the labia majora. The labia minora are formed of the lower penile skin.
All nerves are kept intact. Depthness is always good.

A cissexual friend of mine who does very very rarely have sex with men told me that she refused to have sex with some guys because their penis was too large for her. She said it hurts if he "hits the back end" , so she judges the size before allowing sex. So its not really a unique thing. Also if the surgeon is good, depth should be good as well. Dilation is important of course. My vaginal depth is only about 14 cm, so I have to choose as well - another issue is width - I had issues with that despite dilating, but there seems to be a tightness that is sometimes an issue - I guess if you have regular intercourse or dilate more or again have a better surgeon, that may be no issue eventually.
Scars are an individual thing - maybe check what your body did in other cases you have scars - how they developed.
Make sure to get a surgeon that also does a good optical result - I was asked if I had some sort of surgery because my clitoris looked weird to one guy. Ugh - scary situation...
Sensation seems to be good with almost all patients when they go to one of the experienced surgeons nowadays. The times of having a 50% or 25% risk of having no feeling (as it was the case in the 1990ies when I transitioned) are apparently over. But there is always a risk of course.

"my moist important sex organ is now my brain"

Best typo ever :-)

I had only two visible scars, each about 2" long, one on each of the labia majora. After a year or so they'd faded so that I *might * be able to find them with a bright light and after shaving... I think scarring is a personal thing, though, and depends on how the body reacts. Some surgeons do try to place most scars in natural folds (which I assume happened for me, as there's no way there was only two incisions!).

If a guy did hit the end, it would feel like it does on a cis woman who's had a hysterectomy; smooth rather than a noticeable cervix. But again, that's something even some cis women have to deal with. I don't sleep with guys so I can't say from personal experience there, but I've had ER doctors and a gynecologist assume I was cis.

I can and do squirt, and I do self-lubricate, but that's another thing that varies more by person/body than by surgical technique - there are women who went to any given surgeon who report lots of lubrication, women who have none, and everything in between.

I have MORE sensitivity than I did before, and no, I can't explain it either.

Quote from: kira21 ♡♡♡ on January 04, 2016, 04:46:34 AM
"my moist important sex organ is now my brain"

Best typo ever :-)

Oh yes. I am sorry for that.

Quote from: Lara1969 on January 04, 2016, 04:13:42 AM
The combined method:
The surgeon uses the posterior of the scrotum and the upper penile skin to form the vaginal canal and the frontal scrotum to form the labia majora. The labia minora are formed of the lower penile skin.
All nerves are kept intact. Depthness is always good.

Who was your surgeon?

- scars: like other mentioned it very much depends on individual healing. Every surgeon will do their best to hide scars, and position them as ideally as they can... but after that it will depend on how your body heals.

- what might be the best technique for someone, might be the worst technique for someone else. We all have different available material, we have different expectations and preferences, and we like different aesthetics. Some like innie vagina, some like more prominent labia minora, etc.. There is no best for everyone. Some might greatly value less invasive technique, with faster and less demanding recovery (peno-scrotal flap for example), some other want the depth and other benefits of non-penile inversion technique, which comes with faaaar longer and harder recovery, and much longer dilation regimen, etc. You need electrolyis hair removal for some techniques, and you don't need it for other. How exactly each technique work and whats the pros and cons of each? You will find many information on this forum and ->-bleeped-<-, and many other websites, where many people have already compared and described pros and cons of different techniques.

-self lubrication: three techniques result in self-lubricating vaginal wall. First is old-school sigmoid colon vaginoplasty. Second is vaginoplasty with urethral flap, it's mostly used in some European countries, including most known Belgrade, where dr. Djordjevic performs it. It's peno-urethral flap. Urethral flap is mucosal tissue, which will create natural moisture, and can be enough self-lubricating to not needing any additional lubrication. Urethral flap is also used in "combination method" that dr. Schaff uses (Lara1969 described more details). Third technique is non-penile inversion with meshed scrotal graft that dr. Suporn uses, where meshed scrotal graft over time can turn into mucosal tissue. About 80% of Suporn's patients report sufficient self-lubrication and don't need to use any additional lubrication. Some report that also their vaginal wall after penile-inversion turned into mucosal tissue. My guess is that happens because lower half of vaginal wall was made from scrotal graft, and their surgeon actually made meshed scrotal graft (which would be the same as dr. Suporn does, but its only half of vaginal wall). The other half where penile skin was used for vaginal lining, has technically zero chance of ever turning into mucosal tissue (I discussed this with SRS surgeon-urologist, and two plastic surgeons who regularly use meshed skin grafts for transplantation after skin burns).

Lagertha : I did want to mention that I had standard penile inversion, and I do self-lubricate, and my vagina does appear to be mucosal tissue (I got curious and managed to talk my doctor into ordering a microscopic examination and testing the local flora). There are never any guarantees and I have no idea how often it happens, but it apparently does...

You went to dr. Brassard, right? That's technically not "standard penile-inversion" (which would mean whole vaginal wall is made from penile flap) but "penile-inversion with scrotal graft". I'm not familiar whether dr. Brassard uses normal skin graft or meshed skin graft. But anyway, scrotal skin, and therefore graft, has the natural tendency to turn into mucosal tissue given the appropriate environment and right hormonal balance (scrotal skin is very estrogen absorbent), especially if it is meshed graft. Penile skin generally doesn't have the similar tendency. I really wish there was any serious research done on this matter...

Lagertha :  Yes, this is true, I did and he does use penile inversion with scrotal graft. (I'm not sure how many doctors do 100% PI anymore, to be honest.) However, he uses the scrotal graft to "cap" the end of vagina where a cervix would be in a cis woman - and it is not a meshed graft - which I know from reading the operation report that he sent at my doctor's request.  And the testing was done on cells from the introitus, as there was no need to do a "Pap smear" type test of deep in the vaginal vault, which would be more intrusive. Like I said, I have no explanation, just the anecdote.

(In other words, the area tested had definitely started life as penile skin.)

I guess we will need more patients as curious as you and more doctors ordering microscopic examination and testing, and maybe someday we will have more answers on what happens and why.

Some of the time - I guess when my hormones are right or maybe some other factors, I have some small self lubrication. It was noted by my gynaecologist who said that my vagina looks "healthy and moist". She also did a smear analysis and it came out with normal bacteria for a vagina, but they did find skin cells as an abnormality, which obviously comes from the penile inversion skin. I did not have the luck to get a meshed scrotal extension. I am not totall sure what tissue was used to fix my colon fistula back then - I cannot exclude that some colon tissue made its way into my vagina, but I doubt it. The self lubrication is however by far not enough for intercourse, sadly. So I need basically to carry a syringe with lube in my pocket if there is a chance that I might want to have intercourse. In addition to that, I better dilated a few hours before that event as well, otherwise its not really great. So yeah - if I could trade penile inversion for any of the other techniques, I think I would do so.