Does anyone know if Mount Sinai (specifically Jess Ting) can harvest nerves from somewhere else on the body to form somewhat of a clit during GCS? I don't have donor tissue due to a past surgery so won't know if he can even do the surgery in the first place until my consult March 1st, but I figured I'd gather some odd pieces of knowledge beforehand. I already know he'll need to skin graft pretty heavily and I'm ok with this as I did it to myself.

I never heard of such a thing. What kind of surgery did you have before?

The tip of the penis is used to form the sensitive parts of the clit. If you still had that part, it can be used. Donor tissue can be used for the other parts. What exactly was done before?

The problem with a transplanted clitoris is what part of the body do you connect the nerves to so that the brain will interpret the feeling as sexual stimulation.

With using penile glans tissue, the connection is already there. The surgeon is just modifying and reshaping the tissue without a regular transplant.

As the previous posts said, this has limits on how effective it can be after surgery.

That's what I'm not understanding. Even though nerves get transplanted, it's to a place where there is a hook-up point. Without that, how does the impulse get to the brain? No spinal connection would leave it all rather pointless I would think? On the other hand, perhaps I just don't understand what's trying to be acheived.

One can generally say that individual nerves cannot be transplanted, specifically not to perform a function they were not meant to perform.  Simply looked at, nerves are the wires in our body that transport signals to and from our brain.  That mans certain nerves have certain connection points in the brain.  Because of this, nerves can not re-purposed , because it is almost impossible to establish new brain connections for them.

If remnants of your penile glans nerves are still there, the surgeon can try to establish a path in which they can regrow to the desired location.  But this is micro surgery, and not every surgeon can do this.  It may require two independent surgeries by two different surgeons.

In modern MTF sex change surgery tissue from the glans is harvested to form a clitoris while leaving the dorsal nerve, (which is connected to the pudental nerve) attached providing a highly sensate and depending on the surgeon, a cosmetically accurate structure.

Being unfamiliar with "nullification" surgery, I can assume this includes a penectomy? The end of that dorsal nerve should still be buried in there somewhere they might be able to find and do something with?

For what it's worth, I had SRS 41½ years ago and an older technique was used. The glans was used to form a pseudo cervix (worthless) and the dorsal nerve was cut. A cosmetic clitoris was formed from left over corpus spongiosum but in my case it died and fell off so I actually don't have a visible one. Upon close examination, I can still see the little remaining hole where it was pulled through but overall, the rest of my vulva looks okay and there are natal women without visible clitorises (clitori?) so it's never bothered me and nobody has ever complained.

I also have enough retained bits of erectile tissue down there somewhere for a feeling of engorgement when aroused that might be problematic if you don't have any, however, apparently the end of my cut dorsal nerve is buried where my clitoris would be if I had one, my libido is healthy and I am still able to achieve orgasm with the proper stimulation. I don't even know how that all works but I'm pretty happy it does! 

All: As said in my first post I do not have donor tissue because it was all cut off last year which is why I put this thread up to see it anything can be done that I can ask about in my consult. It sounds like there may still be a chance since I didn't get a radical penectomy which sounds hopeful.

If nothing can be done in the usual area for SRS then is it really not possible to harvest nerves elsewhere and do something that way? If not, that's fine, though I'm going to at least ask/try up until I find out it's simply not possible with what I'm working with.

Quote from: krone6 on December 27, 2018, 09:30:01 AM
All: As said in my first post I do not have donor tissue because it was all cut off last year which is why I put this thread up to see it anything can be done that I can ask about in my consult. It sounds like there may still be a chance since I didn't get a radical penectomy which sounds hopeful.

If the nerves are left that went into the penis, they may be able to isolate the ones which went to the glans, and can try to stimulate them to grow.  But the question is to grow where to?  Nerves grow inside of some kind of sleeves.  They might be able to harvest some of the nerve sleeves and graft them onto the nerve sleeves for the sensation nerves, and embed them into some kind of tissue that can create a clitoris.  But this is microsurgery of i's finest, and I have my doubts if a surgeon who is doing SRS can or will do this.  Even if it would work as I described ( I am not a micro surgeon), it might take years until the nerves grew again far enough that sensory points could develop!

Quote
If nothing can be done in the usual area for SRS then is it really not possible to harvest nerves elsewhere and do something that way? If not, that's fine, though I'm going to at least ask/try up until I find out it's simply not possible with what I'm working with.

The problem is the connections side of the nerves to the brain.  If they would harvest nerves, and reroute them to your clitoris, you might feel foot pain if the clitoris is manipulated.  The brain connection cannot be changed (unless you want to have some complicated brain surgery).
The only extreme remote chance I see, would be, to stimulate growth for the nerves that are still there, and see what can be done with them.

You may already know this information but I suggest you do the following. If your not clear exactly what was done in your surgery, then ask for the surgical report of your surgery. Should you discover that most of the nerves have been removed I suspect replacing them would be very difficult. Remember that in obtaining the donor tissue, it would have to be obtained from somewhere else in your body. The question is what part of the body do you want to become numb or non functional? With the surgical report, you will be able to tell your next surgeon what has been done so they will be better able to tell you what's possible and what's not.

Quote from: Dena on December 27, 2018, 09:59:25 PM
You may already know this information but I suggest you do the following. If your not clear exactly what was done in your surgery, then ask for the surgical report of your surgery. Should you discover that most of the nerves have been removed I suspect replacing them would be very difficult. Remember that in obtaining the donor tissue, it would have to be obtained from somewhere else in your body. The question is what part of the body do you want to become numb or non functional? With the surgical report, you will be able to tell your next surgeon what has been done so they will be better able to tell you what's possible and what's not.

There is no surgical report from the first one so the revision surgeon went in blind.

Sent from my SM-N910V using Tapatalk

Quote from: krone6 on December 28, 2018, 10:48:37 PM
There is no surgical report from the first one so the revision surgeon went in blind.

Sent from my SM-N910V using Tapatalk

They might be able to detect the nerves with a technology called NCV, or Nerve Conduction Velocity.  As long as you can identify about the area at which your penis was, this technology might allow them to find the nerves.  But that would be an independent procedure, done by different specialist (mostly neurologists ).

You should discuss all this prior to your surgery, to make sure that no critical areas get damaged even more!

Thanks for this. Didn't know about it and will definitely bring it up with him.

Sent from my SM-N910V using Tapatalk

Hi have a look up on corrective surgery for girls/women who have suffered from FGM. There's surgeons who have corrected their genitals using nerve endings from places like the toe and turning it into a clitoris . Hope this helps.

Sam x

Quote from: Samanthaburgess on December 29, 2018, 01:27:58 PM
Hi have a look up on corrective surgery for girls/women who have suffered from FGM. There's surgeons who have corrected their genitals using nerve endings from places like the toe and turning it into a clitoris . Hope this helps.

Sam x

That's pretty neat and I know Marci Bowers has helped such women, though mount sinai told me jess ting is the best one for my situation so trusting their judgement.

Quote from: krone6 on December 29, 2018, 02:13:12 PM
That's pretty neat and I know Marci Bowers has helped such women, though mount sinai told me jess ting is the best one for my situation so trusting their judgement.

All this would work only if they could find connection points to your remaining nerves from your penis, because they need the connection the the appropriate part of the brain.
An d you should make sure that all these questions are answered and handled, before you have any other surgery down there!

Quote from: Dietlind on December 29, 2018, 02:52:57 PM
All this would work only if they could find connection points to your remaining nerves from your penis, because they need the connection the the appropriate part of the brain.
An d you should make sure that all these questions are answered and handled, before you have any other surgery down there!

So first they'd have to find the connection points then I decide if I want an area like a toe or something to be more numb (or possibly all numb) which they'd harvest nerves from and connect up to the penis and then use skin grafts to bring it all together to form a clit during the same surgery?

Quote from: krone6 on December 29, 2018, 03:18:17 PM
So first they'd have to find the connection points then I decide if I want an area like a toe or something to be more numb (or possibly all numb) which they'd harvest nerves from and connect up to the penis and then use skin grafts to bring it all together to form a clit during the same surgery?

That could be the possible path!  Your toes don't need that many nerves to function anyway.  And with  less nerve endings there, stubbing the toe would not hurt that much! 

Be aware that this is not an easy process, it is a rather complicated surgery that requires the cooperation of different specialties.  It might be very costly, too.  And before you get your hopes up to high, you should inquire if your insurance would pay for this, unless you are independently wealthy!

Quote from: krone6 on December 29, 2018, 03:18:17 PM
So first they'd have to find the connection points then I decide if I want an area like a toe or something to be more numb (or possibly all numb) which they'd harvest nerves from and connect up to the penis and then use skin grafts to bring it all together to form a clit during the same surgery?

If you currently have any sensation to where you can orgasm from stimulation somewhere in the area, then there is no question that the nerves are still fully intact and just moved. If you have little or no sensation then the procedure would be much more difficult to achieve sensation in a newly formed clitoris.

That's awesome to hear. I'll bring this up to Ting and see what he thinks.

Sent from my SM-N910V using Tapatalk