#phallo complications

[impzone]

after researching more into phalloplasty, i’ve been kind of blown away by how different the reality of people who have gotten the procedure is from the way people who haven’t had any kind of bottom surgery talk about it. even trans men who got it and had complications, or didn’t end up perfect, are still majorly happy with their results.

i know a lot of trans men with bottom dysphoria are taught to suppress it, and the dysphoric comments about how phalloplasty is awful and could never satisfy anyone don’t seem like they have an impact, but they do. other trans men see that, and it dissuades them from ever looking into a surgery that could greatly increase their quality of life.

take a minute and try to think about how many of the negative comments you see about bottom surgery are from people who have never had it, and who’s only perception is from other people who didn’t have it saying it’s not worth it. how many times have you considered it, and decided to give up because you’ve heard your fellow trans people constantly talking about how it would ruin you and leave you unhappy?

i know it sucks to not have a cis guy dick, but be mindful of what you say because it still shapes perception, and it can be really harmful especially if you’re coming at it from a purely hearsay and biased position.

technology has progressed so much, and phalloplasty does not leave you with an insensate tube of flesh you can do nothing with, i can tell you that much. it looks good, it feels good, and in the book Hung Jury results have been described as indistinguishable from cis genitalia. but ultimately there is more ways to measure the success of phalloplasty than how much it looks like a cis man’s junk. from what personal accounts i’ve read, it can and often is just as gender affirming and freeing as people talk about top surgery being.

[blue-banditt]

im unemployed and have zero savings but I'm 🤏this close to buying a $195 prosthetic, my bottom dysphoria is SO FUCKING BAD

[binders-and-beanies]

Pondering bottom surgery in the tags I mf guess

[yearning-gay]

looking at chastity cages like a normal person who has a penis for which such cages are designed for, sighing dreamily

[transmascpetewentz]

I just got told I was faking being trans by a transmed because I made a joke about having anonymous gay bathhouse sex post phalloplasty

[uncanny-tranny]

Same anon- close but not quite! I don't consider myself as having chronic pain necessarily, but i do strongly suspect I have IC. I've dealt with bladder issues since I was 4. T, bottom surgery, and especially urethral lenthening (which is the ultimate ideal) all affect that collection of holes. Same with top surgery- I have bruising around my chest (likely due to improper binding as I only noticed it after I started binding, poorly) and I've heard that you can't be operated on if bruising is bad enough. Maybe it's a lie, but I'm still anxious about that. I know it's nothing big but the whole downstairs situation has been a problem for a while and I'd REALLY like to avoid more pain. Does that make any sense?

It does make more sense, and I apologize for assuming. I haven't heard about bruising affecting top surgery, and I haven't heard surgeons talk about that being a deciding factor. That isn't to say that it couldn't, just that I haven't heard that sited as a disqualification for a person's surgery. As for bottom surgery, I have heard complications arise in UL, and if you have underlying conditions, you definitely should bring that up with a surgeon. I'm unsure if they would recommend no UL, but it could be a possibility. When you get to that stage, I'd definitely be open about your history and see what options you have, and what would be best for outcome and your body.

[answersfromzestual]

I was always told around my surgery (before and after) that urinary tract fissures (basically hairs growing into your urethra causing infection, or small holes usually created by the hairs) are the most common issue. It's important to properly do hair removal if you are required to. This will hopefully prevent hairs from growing at all.

This was just told to me by nurses and my surgeron, to me, personally after my urethra was connected.

I hope this helps!

If not check out this link of common phallo issues.

I do have a post for people with plus size concerns with surgery as well. I tried the best I could to combine all the information I found.

[forffax]

I can't sleep I'm tbingkib about penis

[sapphsorrows]

Gyns is it bigotry to discourage mentally ill people from getting irreversible cosmetic surgery with some of the highest complication rates?

It's so fucking heartbreaking listening to trans people who have gotten The Surgery it's always like "yeah I was in extreme pain for a while and I had to go to the ER because it started bleeding and wouldn't stop and I had to stay in the hospital for a while because they were worried I'd go septic and after a while I got a revision but something went wrong with that too so now I have to go back and get another revision and it's just really difficult because I also have phantom pain from what used to be there BUT I don't regret the surgery at all and if I had to do it all over again I would #transjoy"

[faggling]

I've been packing for two days straight and the fucking euphoria is nuts

[bastardgoblinwolf]

josuke and okuyasu run a trans surgery clinic in morioh because turns out being able to rearrange people's bodies and remove things from existence is very useful for trans folks

[genderkoolaid]

re: “i tried the whole "i can either be a man OR a woman OR neither" thing before and it forced me to stay in gender limbo for way longer than necessary”

this is incredibly true. i didnt feel like JUST a man or a woman, so i tried neither for a while but that ALSO didnt feel right. i started testosterone because i assumed i felt dysphoric bc i was “too feminine” and since starting testosterone i’ve been more comfortable expressing femininity.

i am both man and woman, i am transmasc and transfem, i am queer as fuck. just because you make new boxes in rainbow colors doesnt mean people will want to fit into them any more.

side note: can you give me some resources for bottom surgeries available? ideally i could have both vagina and penis, but im unsure of my options for something like that

First place I'd recommend is phallo.net and metoidioplasty.net's pages on nonbinary options for bottom surgery. Both can provide you with a penis and a vagina. Bottom growth is a requirement for meta, but not for phallo. For both surgeries, not getting a vaginectomy reduces the risk of complications unless you get urethral lengthening (what allows you to stand to pee), in which causes it increases the risk even more and many surgeons won't offer it. Some do, still, and people have gotten no vaginectomy + UL and dealt with the increased risk.

Personally, my ideal surgeon is Dr. Blair Peters; they are queer themself and he has done a lot of trans advocacy & research into nerve regrowth in phalloplasty. But both sides linked above list a few surgeons who do salmacian bottom surgery. Reddit communities like r/phallo are also a good place to check out for info on different surgeons.

[coffins-and-marbles]

Hey OP what are your trans Wilson headcanons? I want them from everyone ever

i love trans wilson forever so this might be a bit long!

wilson hates that he is trans, hates mentioning it or thinking about it and never brings it up if there's literally any other option

he realised he was trans super young (like 12?) but didn't know the terminology and was too scared of being further ostracized (autistic wilson, my no1 headcanon) so he just kept to himself and thought of himself as a butch lesbian in order to feel less guilty (this was a secret too, but he felt like being attracted to girls since he knew he was a guy deep down was better and more Straight...)

coming out to his parents was an absolute mess, we never see them in the show so i make them terrible in my mind for angst opportunities! and i agree that only Danny understood immediately -he already knows what it's like not to fit in. it's a big part of why he never sees his family (they tried some conversion stuff, he feels too guilty to be angry) it all plays into his constant attempts to be this Perfect Guy

as a child he always wanted to wear a suit and work a 9-5 (it was his heavily gender stereotyped idea of masculinity)

i personally think he's he/him exclusively because it makes him feel more Normal

he got top surgery and phallo ASAP because his dysphoria was terrible, he cried and had panic attacks whenever he had to shower etc (he also abused his binder to hell and back as well as trying to diy it as a kid by layering sports bras and guys DONT DO THAT)

there was a small complication with the phallo and although it was fixable it set him back like three months and he hardly left the house and cried just all day

he just literally makes every effort to appear like he was born AMAB and genuinely felt too ashamed to like blow dry his hair for years in case he was seen as feminine

house immediately clocks it because of some stupidly obscure house reason but it's not interesting enough for him to care.

house is the only one at PTTH who knows

when hilson happens house watches wilson do his t shots a couple times and just is unreasonably horny about the whole thing then they both discover forcemasc and...lets just say they have fun with it...

wilson and house feel more confident to undress at the beach with eachother because hey they both have scars

wilson still gets randomly dysphoric about the stupidest things ("house do you think my left eyebrow looks too feminine") and house uses the power of his usual sarcasm to dispel any doubts ("wilson that is the stupidest thing anybody's said ever")

okay ill stop now but when i say i could go on for pages i mean it!!!! i wrote this quickly in the morning because i dont have set headcanons usually i just go with the vibes but uhm...enjoy!!

[defilerwyrm]

I'm a trans man who wants phallo SO bad but the Fear Mongering people do makes me so scared. I have such a fear of surgery anyway and people say phallo is nearly 23hrs long, and it has more risks than heart surgery does, and idk if these are true bc I'm too scared to google it..But I want it so bad, but the stuff I hear scares me. Also people saying it doesn't have any sensation worries me. You said trans men can ask about it so I hope this is ok to do on anon!!! I'd appreciate a non fear filled reply so much thanks!!

23 hours!! Those poor surgeons, can you imagine!

Virtual hugs if you’re the hugging type, Anon, and a cool rock if you’re not.

Those things are definitely not true, not remotely. It’s a long surgery, but when I say it’s long that means it’s about 8 hours all told. It sounds like maybe someone heard it referred to as an “all-day” thing meaning a full WORK day, but instead assumed that that meant a full CALENDAR day. Or, you know, a transphobe made shit up to scare people.

It is most definitely not nearly as risky to your wellbeing as a surgery in which they saw open your sternum and cut open your actual beating heart. There is a fairly high chance of a minor complication that can result in the terrible ordeal of getting pee on your pants sometimes—a urethral fistula—and in most cases, they close up on their own anyway without needing another surgery to correct them. And in this case, “fairly high” means 40%, so it’s still less than half a chance that it’ll happen in the first place. At worst it’s annoying. Serious complications, the type that put you in danger, are extremely rare.

The sensation thing is also false, because they literally harvest a length of nerve from your donor site and hook it up to your existing bits specifically so you WILL have sensation! Sure, it takes a little while for the nerve to heal, but that’s just the reality of ANY surgery.

The nerve grows back in your donor site, too, by the way. While I was typing this up I discovered that one particular spot on my graft is ticklish.

Everyone has their own individual healing factor, but speaking for myself, I had full erotic sensation before the 3-month mark, and the orgasms have been incredible. The head and base are highly sensitive, and everything in between responds pretty damn nicely too, just less of a hit-the-ceiling level of sensitivity. And, you know, if you’ve handled an AMAB person’s penis much at all you’ll know that’s pretty much in keeping with how their dicks work too.

It is an in-patient surgery so if you have it, you’ll be staying in a hospital for a few days so they can keep an eye out for rare disasters. My stay was four or five days of snoring most of the day and periodically getting woken up to eat or answer some simple check-in questions, lift my arm for nurses to move stuff, etc, and then conking back out.

Being cathed sucks, but two weeks of frequent trips to the toilet to drain your bag is honestly nothing compared to a lifetime without (or with vastly reduced) bottom dysphoria. That’s the part that I hated. Everything else was your typical recovery: 10-15 days of sleeping 20 hours a day, then however many weeks of being tired, taking meds, and careful washing, gradually feeling more and more normal until you’re back up to full and ready to get back to business as usual.

Except with this one, you get to learn to pee standing up in the process. :D

(Protip: don’t try a public urinal until you’ve got it down pat at home. Not because of cis men, but because the learning process is messy, lol! The overwhelming majority of cis men in public restrooms want nothing to do with anyone else while they’re in there. The only place anyone’s gonna give your dick more than half a second’s accidental glance is in a gay bar. In 8+ years of using public men’s rooms I have yet to see one (1) penis that wasn’t mine!)

[spacelazarwolf]

how should people discuss the risks of bottom surgery politely?

i think it’s important to consider the context first bc not every conversation about bottom surgery needs a caveat. if you’re talking to a transphobe, it’s not worth it. they don’t care and you don’t need to give them more ammo. if it’s someone talking about their own bottom surgery and they’ve made it clear they’re ok with questions, you can go ahead and ask. if they’re just talking about the fact they’ve had it, especially if they’re happy with their results, keep it to yourself. if you’re on a forum where the whole point is to ask questions about bottom surgery, go for it.

the important thing is to be extremely careful of the words you’re choosing to use. remember, you’re talking about someone else’s body. this isn’t a hypothetical procedure, even if it’s one you haven’t had yet so it’s hypothetical to you. thousands of trans people have had this surgery and have the results (and complications) that you’re going to be talking about. so imagine you’re talking face to face with someone who has had bottom surgery. even better, assume they’re you’re best friend. would you say “phallo results are not realistic and don’t even work” to their face, knowing you are talking about a part of their body? would you tell them that you think they mutilated their body or that they made a mistake?

basically it just boils down to don’t be a dick (pun intended) and be aware that you are talking about real people and their bodies.

[transgenderpolls]

*theoretically fixable meaning that, in the future, this likely won't be a problem- i.e. surgeries becoming safer, learning new techniques that give better results, etc.

also OP didn't mention anything about other surgeries like nullification/vaginectomy, but I (blogrunner) assume that whether you'd want anything other than meto or phallo is just irrelevant to the poll.