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Posted: Tue Jan 12, 2010 2:58 pm
So this post, obviously, is directed towards trans men who have at least a vague interest in bottom surgery at some point in the future. I will preface this by saying I'm still not sure whether I'll really want it down the road when the option's actually available to me, and that I'm not even on T yet.
So, I was curious what your thoughts are on the two options currently available for trans men? I think it's honestly kind of sad we have such limited options, first of all. It's basically either a larger p***s, generally with massive amounts of scarring, that doesn't function naturally as a cis guy's p***s would, or a smaller one, often too small for much penetration, with little scarring, that does function more as it should.
I've gotta say... I'm leaning more towards meto at this point. Though it'd be small, it would still feel more like me. I've also heard someone say before that you can't go back once phallo's done, but you could always hopefully add onto meto if better advancements in surgical options for trans men because available in the future. Not to mention even with urethral lengthening, I believe meto is still much cheaper.
So what are your two cents? Feel free to vote in the poll, but I'm more interested in your individual responses.
(Hopefully that post wasn't offensive for any who have had or are considering phalloplasty. That wasn't my intention, at all. I fully support you in whatever makes you feel more like the man you should have been born as to begin with. I was only offering my own opinions on the matter, which I would never assume to apply to others.)
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Posted: Tue Jan 12, 2010 4:22 pm
我就是你们女生最讨厌的那种人I'm the kind of guy you girls hate most.
Personally, I'd be okay with a scarred up p***s. I'd be fine if it weren't perfect, since I'd really only pay attention to it when I'm taking a shower, putting clothes on, and urinating. Otherwise, yeah, things like masturbation, but really, it's not the sexual aspect I'm so interested in. I'd be more comfortable if I could pee normally.
So yeah, phallo for me if they improve it and I can afford it.
I hope you have fun erasing my post style, though. John Stalvern waited. The lights above him blinked and sparked out of the air. There were demons in the base. He didn't see them, but had expected them now for years. His warnings to Cernel Joson were not listenend to and now it was too late. Far too late for now, anyway. John was a space marine for fourteen years. When he was young he watched the spaceships and he said to dad "I want to be on the ships daddy." Dad said "No! You will BE KILL BY DEMONS" There was a time when he believed him. Then as he got oldered he stopped. But now in the space station base of the UAC he knew there were demons. "This is Joson" the radio crackered. "You must fight the demons!" So John gotted his palsma rifle and blew up the wall. "HE GOING TO KILL US" said the demons "I will shoot at him" said the cyberdemon and he fired the rocket missiles. John plasmaed at him and tried to blew him up. But then the ceiling fell and they were trapped and not able to kill. "No! I must kill the demons" he shouted The radio said "No, John. You are the demons" And then John was a zombie. 对了就是那个臭男孩 That's right, that jerk.
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Posted: Tue Jan 12, 2010 4:44 pm
I'm not satisfied with what I have but I don't think either bottom surgery would satisfy me, either. I'll wait for technology to catch up.
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Posted: Tue Jan 12, 2010 10:08 pm
I've got my heart set on a transplant, though they are far from perfection now (in fact some crazy amount like 80% don't work correctly due to rejection, urinary problems, infections, dead sex drive and a much of other scary stuff), I'm willing to wait. If I feel like I can't stand what I have anymore, definitely a met., I'm not satasfied with the current phallo surgeries at all, I'd rather have a smaller functioning p***s than a weird half functional larger one.
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Posted: Tue Jan 19, 2010 6:49 pm
I'm a little weary of "phallo VS meta discussions," as there is a seemingly great divide between trans men, often leading to arguments and making others feel bad for their personal choices. So I at least appreciate the preface you gave, although I'm not entirely fond of the wording entirely. Since this thread is made with good intentions however I will follow it through with my honest opinions. Although it looks like I'm just giving a brief description of each surgery, what I'm actually trying to emphasize is how vast the choices in genital surgery really are.
While there are only "two types of surgery" I hardly think of it that way at all. Each surgeon has such different techniques from another. There is clitoral release, metoidioplasty, and centurion, three versions of surgery done to masculinize the natal genitalia. And even with the meta, there are different ways of performing it and different tissues that can be used. As for phalloplasty, there are so many ways of doing phallos, examples including but not limited to: where the tissue(s) is taken from, what other surgeries are done in conjunction with the phallo or not done, and if erectile devices are used there are an assortment of different kinds with different outcomes.
I've never tried to count the amount of different phallos there are, but I would say that close to every surgeon does a phallo different from another.
I will choose to speak more about phalloplasty, as this is my chosen route. I do not view metoidioplasty as an inferior surgery by any means by choosing to have a phalloplasty done. In fact, I would prefer to have a metoidioplasty right now and have phalloplasty later. But as both of these surgeries are extremely expensive, I will only be having the one. I know that I personally would not be satisfied enough long term with a meta as sexual penetration using my genitalia is an important factor for me.
Phallos can be done using tissue from the radial muscle of the forearm, a combination of forearm & thigh, back muscles, as well as the abdomen. I believe that these are the four most commonly done techniques. Please feel free to add more to that list if I've forgotten one. Different tissues can yield different results. While using the forearm gives a higher chance of tactile sensation, it sometimes offers less size required to encompass an erectile device. An abdominal phallo produces the least amount of scarring without the need of skin grafts, however has the least reported tactile sensation. These are the beginnings of how different phallos can be from one another.
On top of where tissues are taken from, there are many different ways of performing the surgery, as well as different surgeries that may also be done. Some phallos embed the T-d**k to give the phallus some erotic sensation at the base, other people may choose to spread the T-d**k throughout the phallus using microsurgery to create erotic sensation throughout, while some men may choose to leave it exposed so that direct erotic sensation can be achieved.
Urethoplasty is yet another surgery that is considered when having a phalloplasty [and meta], which is the extension of the native urethra. This can be done so that the urethra is lengthened to the end of the phallus so one can void like a typical male, or partially through the phallus, or to the end of their T-d**k if one chooses to leave it exposed, or just leave it be in it's native position. Generally in order to do urethroplasty, surgeons require a vaginectomy done, the closure of the front hole. A hysterectomy must be done before or done at the same time as a vaginectomy.
Then there's scrotoplasty, again another option to be considered by men pursuing both meta or phallo, which is the creation of the scrotum. With scrotoplasty there is then the option for testicular implants.
For men that have chosen to have a phalloplasty, there then comes the choice to have an erectile device or not. There are external methods to create an erect phallus. Of the erectile devices available, there being many, the main kinds are rods and pumps. Rods are the simpler device, that are implanted either as one rod, or as two, and are used to position the phallus to create an erection when desired. Pumps are more complicated but replicate a more natural erection and flaccid state. Just like rods, there are many kinds of different pumps used and they each have their own pros and cons.
These are all the different options I can think of just off the top of my head. So as you might have come to see, there really are countless surgical options available. It's like the "Mr. Potato Head" of surgery. You pick the combination that will work best for you by viewing your priorities and deciding what is most important to you. While neither phallo nor meta don't create a perfectly natural sized and functioning p***s, they can offer enough of what some men need to feel complete in their bodies. I am excited for future advancements in the surgical and scientific fields of genital options for transsexual people, such as transplants and further use of hormones, but I do appreciate what is available now as well even if I do get frustrated by it at times.
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Posted: Tue Jan 19, 2010 7:08 pm
My response to Nios:  I really did not know about all of the different possibilities out there (had a good idea, but not much REAL knowledge).
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Posted: Tue Jan 19, 2010 7:18 pm
Hmm I don't see an image there?
I've been researching genital surgery, both meta and phallo, quite heavily for the past three years so I've acquired quite a fair amount of knowledge on the subject, though I can't claim to know everything about every little thing of course. I know more about particular aspects I'm more interested in. These are just a selection to give an idea of what "meta" and "phallo" truly encompass, as those two terms can be quite vague and not everyone is considering the same things when referring to them. I'm happy to answer any questions you or anyone has though. Even if I don't have the answer myself, I have many resources available to me that I could most likely use to find an answer quickly.
I was quite hesitant about the concept of genital surgery when I first set out on this path of transition, but as I've transitioned it's become something I've become more interested in. I admit it sounded scary and awful in the beginning, but I was 17 and not yet ready to consider the realities of it. I didn't reject the idea, I just left it on the back burner while I pursued more imminent areas of my transition that were higher on my priority list, such as starting testosterone and having chest surgery. I think a lot of people share my initial fear, which is what leads to the amount of ignorance and disrespect we have amongst our community on that topic.
One surgical option I forgot to mention was Labioectomy, which is just the removal of the labia. This would not involve the T-d**k at all, yet still masculinize the genitalia some what.
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Posted: Wed Feb 03, 2010 3:49 pm
With me, I'm kinda undecided because I WANT- no NEED stimulation. I don't want a p***s that doesn't work up to my expectations, but I also don't want a tiny p***k even if it does work well. The only thing I could think of to remedy this issue is get my natural T pumped female p***s to it's largest size, asses what I'm lacking, and then decide how much length I want added; normal pros and cons.
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Masochist With A Headache
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Posted: Thu Apr 08, 2010 5:02 pm
The whole idea of this scares me alot lol, but i still debate the two. Especially phallo, i've heard too many risks to actually want it and i don't know alot on meta.
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