Bottom surgery typically has a longer recovery time than breast augmentation or minor adjustments to your facial structure. However, all surgeries can cause patients some degree of pain. Luckily, pain after transgender surgery is rarely unbearable and can typically be managed with at-home treatment.
A metoidioplasty uses existing genitalia — clitoris and vaginal tissue — to create a penis. The new penis is more of a micropenis. The sensation you had in the area isn't lost. You can have an erection after a metoidioplasty.
Yes, you can have sexual relations with penetration about 6 weeks after surgery as you will have satisfactory rigidity of the phallus. It is important to note that the penis will not grow in length and will not rise as much during an erection as in biological men.
Typical depth is 15 cm (6 inches), with a range of 12-16cm (5-6.5 inches); in comparison, typical vaginal depth in non-transgender females is between 9-12cm (3.5 to 5 inches). In the case of prior circumcision a skin graft, typically scrotal in origin, may be required.
The possible risks of transmasculine bottom surgery include, but are not limited to, bleeding, infection, poor healing of incisions, hematoma, nerve injury, failure of the transplanted tissues to survive, unsightly scars, exposure of the prosthesis, injury to the urinary tract, abnormal connections between the urethra ...
It is well-known that tactile sensation after phalloplasty is diminished, while erogenous sensation is altered due to embedding of the clitoris.
So, these phalluses tend to be a maximum 5.5 inches long (that's the average length of a phallus in North America). If you choose an ALT (leg) phalloplasty, there's more skin and a longer artery, so a longer phallus can be constructed, up to 8.5 inches.
Burning/pain with urination (dysuria) when you first start urinating is common and may last a few days to a few weeks. As long as it's not associated with a consistently weak urinary stream, cloudy urine, and odorous urine, then it is normal.
Patients can still stand to urinate and use a urinal but the opening of the urethra may be along the shaft of the penis rather than the tip. Another risk of surgery is that the urethra can stricture down again.
Your doctor can insert an erectile implant to allow you to get an erection. They can transport your clitoris to the base of your penis to enhance sensations. Another option is "nerve hook up." During this part of the procedure, doctors connect nerves from the donor tissue to your pelvis to enhance sensation.
A metoidioplasty typically takes 2–5 hours. After the initial surgery, additional procedures may be necessary. A Centurion procedure takes approximately 2.5 hours, and removing the female reproductive organs will add to this time.
Bottom surgery typically has a longer recovery time than breast augmentation or minor adjustments to your facial structure. However, all surgeries can cause patients some degree of pain. Luckily, pain after transgender surgery is rarely unbearable and can typically be managed with at-home treatment.
Top (chest gender confirmation) surgery is performed approximately twice as often as bottom (genital) surgery. In studies that assessed transgender men and women as an aggregate, top surgery accounts for 8 to 25% and bottom surgery accounts for 4 to 13%.
Your scars will look most prominent in the six weeks immediately following your procedure, appearing raised and dark against the rest of your skin. They will gradually fade and flatten over time. The final appearance of your scars may not be apparent for 12-18 months.
A vaginoplasty—also called transfeminine bottom surgery—entails creating a new vagina, most commonly from the inverted skin of the penis. A surgeon who specializes in gender-affirming surgery will perform the vaginoplasty under general anesthesia in an operating room within a hospital.
Previous groups have reported that the majority of patients retain the ability to achieve orgasm following phalloplasty (3,7,8).
It's generally recommended to be on hormone therapy for at least a year before getting surgery. This allows you to see what features can be changed with hormones alone.
Phalloplasty is a complex surgery associated with a 51% urethral complication rate, decreasing to 24% even in the most experienced hands.
Many Phalloplasty patients have some hair regrowth in the neourethra and most patients are unaffected by urethral hair. And, urinary obstruction from urethral hair can happen despite thorough pre-operative hair removal.
Phalloplasty was the least common procedure, accounting for 5.7% of all surgical cases.
Some advantages of phalloplasty over metoidioplasty include: Patients are more likely to be able to sexually penetrate their partners, although erectile rods are needed to achieve an erection.
A phalloplasty makes it easier to have penetrative sex and creates a longer phallus. Some men also feel it looks more natural. If you initially choose a metoidioplasty, you can opt to undergo a phalloplasty later on. A phalloplasty, however, is not reversible.
The possible risks of transmasculine top surgery include, but are not limited to, bleeding, infection, poor healing of incisions, hematoma, loss of nipple sensation, loss of the nipple and areola, and anesthesia risks.