#urethral problem

[d3nt4l-d4m4g3]

a story of one fake penis, 39 surgeries and counting.

This story I found through this post. don't click it unless you want to see frankendick. Frankly, the phalloplasty looks okay (only compared to most I've seen and I've seen too many. too... too many doing this work) besides the enormous scars and color mismatch. It's a low bar. But I was interested to see the user's progression.

That post, of surgery results the user admits took three years to achieve (""), is from two years ago. According to the user's more recent post history, it's been downhill from there.

11 months ago, the user's erectile implant began pushing through the skin, requiring surgery. Three months later, after the revision, the complication repeated. In this post from r/Everythingphallo 4 months ago, called "Is there anyone here who has had a phalloplasty reconstruction?"— the user states:

Initially, everything was perfect – it looked aesthetically pleasing, had great functionality, and the sensation was at 100%. However, over the past 3 years, I have had 15-20 surgeries due to complications and issues. The appearance is now completely deteriorated, and my functionality is greatly limited. The scars are contracting more and more, causing a loss of 4 cm in length, which wouldn't be so bad if it still looked good and functioned properly.

in the comments, the user clarifies a major reason for the many revision surgeries was problems with the constructed urethra. Multiple surgical revisions to the urethra caused stiffening, hardening, constricting scar tissue. A bacterial infection was additionally overlooked for "several years" which worsened the damage, and no doubt put the user at severe risk of bladder and kidney infection.

As indicated by the post's title, the user does not want to stop surgery, but instead wants to entirely reconstruct the phallus using the same technique, radial free flap phalloplasty, as performed the first time. This would mean she would have massive scars and limited mobility/strength in both of her arms and hands.

In this post from two months ago, things are somehow worse. (How..?!!)

user states:

 Recently, I lost all sensation (previously 100%), can no longer experience orgasms, and suffered a 50% reduction in length due to a parasite that damaged the tissue. Furthermore, I am scheduled for an emergency surgery because my ED has once again resulted in the skin breaking, marking the 5th or 6th time in a year. In general this is my 39 surgery and I’m so tired.

Parasite?!? Which apparently doctors missed for OVER TWO YEARS?? Jesus Christ, if she was playing medical bingo she'd have won years ago. But of course, she's lost everything.

All that the first phalloplasty got her was 39 surgeries, urethral strictures, loss of all sexual sensation, bacterial infections, parasites, she still wants another one.

Don't you dare say this is life-saving surgery in any capacity. It is life-ending, mentally, physically, figuratively, literally.

[pseudowho]

Hi Mrs Haitch! First let me say that I adore your stories and the way you write the men in your fics. Not only are they hot and enjoyable to read but also they feel real and adult. I don't want to bash on anyone by saying this, but sometimes it's difficult to enjoy fics written by younger people when you're pushing 30 because they portray a different reality. Please, never stop writing!

Before getting into the next part of the ask I'd like to say that this is in no way a demand and I it's not my intention to trauma dump on you. I just felt like talking a little about my experience could provide a bit of context.

I just read the ask about the soft spot and, although I'm not a virgin, I'm a serial victim of bad sex. I would love technical (even if explicit) descriptions on how to find the famed spot. I think is really cool when women in the medical field talk about sexual health, and it could be good having this kind of knowledge on a famous fic blog like yours, since I imagine a lot of fic readers are either virgins or had less than ideal sexual experiences, like me.

I don't want to seem like I'm pressuring you though! I totally understand if you prefer to keep this kind of thing out of your blog. It's just that a while ago I read on another blog from a healthcare professional a post about how sex shouldn't hurt even in the first time and I was blown away (this happened years after I started having sex and after having deemed myself "defective" and doomed to painful sex to the rest of my life)

Sorry for the long ask. Sending lots of hapiness your way <3

Well, if it helps even one person, it is absolutely my pleasure to do so.

I'm sorry for your bad sex. Nothing excuses it, frankly, and I'm a firm believer that most people are profoundly shit at giving vagina-owners orgasms.

(you calling my blog 'famous' does not go unnoticed and I could blush. Shhhh.)

I think age comes with so much beauty. I am a staunch believer in the unifying power of people, and when groups of women support the ducklings of the group, the ducklings are far less likely to be led down the garden path, on what is 'normal' or 'abnormal' or 'good' or 'bad' in sex.

This is why men and the media fear strongly-bonded groups of women so much-- it's almost like we'll talk and start to take note of the real problems. Cats amongst pigeons, right?

Anyway...

Cw and tw: medical discussion, discussion of self-examination

So again, while the location of the g-spot varies in exact location from vagina-owner to vagina-owner, on average it is located 2-3 inches into the vagina, on the anterior vaginal wall.

What I mean by anterior vaginal wall is, if standing and facing forwards, it's the wall of your vagina closest to the front of you, rather than your back.

Picture posted again, for reference!

The g-spot is of variable size, usually the size of a large coin, and it may feel a bit rougher or ridged than other parts of your vagina, but becomes spongier or thicker and plusher when aroused or stimulated.

If you were to get two fingers on your dominant hand, reach inside the vagina up to the base of your fingers, and hook forwards, you should find it.

I suggest for the first time, finding it when you need to pee. This is because, the g-spot sits against the urethral canal (the tube you pee out of), and if you have a full bladder, you'll know you've found the g-spot because it will feel really sensitive and likely increase your urge to pee.

If you happen to orgasm with g-spot and clitoral stimulation while you have urine in your bladder, your chances of "squirting" (which, if you see my previous post, is almost certainly just pee) are much higher. It's a unique experience and you should try it. Put a towel down.

I find a good sized wand vibrator, inserted and positioned just-so, will give great continuous g-spot stimulation while you, or someone else, goes to town elsewhere.

Start combining all of the erogenous zones and it's party time.

As said previously, sensitivity is very variable. Exploring and knowing yourself is key to showing a partner how to pleasure you.

If you have sex with a partner who responds with anything other than "teach me" absolute enthusiasm, when you want to show them what works for you...if they 'try' for a short time, then give up? If they carry on doing their own thing anyway? If they're impatient?

Kick them to the curb. They can go fuck themselves.

Very much love as always,

-- Haitch xxx

[tiredwitchplant]

Everything You Need to Know About Veggies and Fruits: Cranberries

Cranberry (Vaccinium Macrocarpon)

*Kitchen *Medical *Feminine

Folks Names: Bog fruit, Marshworts

Planet: Mars

Element: Water (juice), Fire (berry)

Deities: Astarte, Marjatta,

Abilities: Healing, Protection, Love, Lust, Positive Energy, Courage, Passion, Action

Characteristics: Native to Eastern North America and northern Asia. Small, slender, evergreen shrub growing to 1 ft with oval, dark green leaves, pink flowers and round/slightly pear-shaped red berries.

History: This jewel-toned gem of the bog is native to North America and a traditional food from Samhain through Yule. Its association with the American Thanksgiving meal is long rooted in tradition, but there is no historical evidence proving it was actually served at that first Thanksgiving celebrated by the Pilgrims. Despite this, cranberry something or other is commonly found on Thanksgiving and Christmas feast tables all across the United States, Canada, and the United Kingdom. Cranberry garlands made by stringing hundreds of the hard round red berries with a needle onto a long sturdy string is a traditional Christmas decoration. It is believed that cranberries got their name due to cranes always eating them and the blossoms of the berries look like the head of cranes. It is considered a sacred fruit in some indigenous circles such as Algonquian and Iroquois.

How to Grow:

Easy to Plant: Relatively

Rating: Moderate

Seeds accessible: Sometimes seasonal

How to Plant Cranberries

Video Guide

Where to Buy Seeds

Magical Properties

Can be used as a substitute for wine

Dried cranberries can be used in a charm to honor the wisdom of elders or as an offering to ancestors

It’s bright color signals energy, passion, courage, rejuvenation and rebirth

Can lend abundance, love and healing in kitchen spells

Since they are from the bog, it said to be feared by evil spirits and can offer protection

Placing a bowl of cranberries under one’s bed can restore depleted energy and cure an illness

Drinking the juice with your partner on a dark moon can keep your relationship free of trouble and continue to go strong

Can help link wisdom and guidance of ancestors

Can be utilized in energy cleansing rituals to remove negative energies from the aura

Is said to restore chakra alignment balance and create harmony

Burning bundles of cranberry stems can purify the energy of space and promote spiritual well-being during rituals and meditating

Medical Usage:

A classic remedy for urinary tract infections and can prevent and treat problems such as cystitis and urethritis

Can help to disinfect the urinary tubules and may be taken for problems associated with poor urinary flow such as enlarged prostate and blade infections

Can be used long term to prevent the development of urinary stones

Research in 1994 showed that cranberry juice helped really well with UTIs in women

Sources

[batmanisagatewaydrug]

Hi! So I have a very lovely update!

Several [period of time because time isn't real] ago, I sent you a message asking about urethral pain (as a vulva-haver). And all these [time] later, I have *finally* discovered:

-being on testosterone can dehydrate you (and cause vaginal atrophy)

-eating gluten while having celiac disease can give you not only diarrhea but UTIs!

-trying to pee "after sex" (or any kind of penetration even if solo) WHEN YOU DON'T HAVE ENOUGH WATER IN YOUR BODY CAN HURT BECAUSE THERE'S NOTHING TO PEE OUT

So um, now that I'm not eating gluten and I'm drinking fluids at normal levels... I haven't had any issues with peeing afterwards. None. Nothing.

Urethral pain solved! If anyone else is having these problems (though I fully admit it might only be my dumb ass), make sure you're taking good care of yourself in *other* areas as well as your sexual health. Thank you, sex witch, for believing in me 💖🙏🏻

hey!!! this is so exciting! I love when people are not only able to find answers to their medical questions, but also come back and share! thank you so much for this, I hope it can be helpful to other people who might be experiencing something similar :)

also ps hey @ everyone: this is another one of the many reasons I advocate that people don't take "pee after sex" extremely literally! there's no need to sprint immediately to the toilet and force it, just go when the need naturally arises!

[aizawasgay]

Do you think in MHA medical/surgical stuff around trans ppl has improved since 1) takes place in the future and 2)a shitton of quirks that require more thought and diversity? What do you think would change?

yah for sure

hrt is probably a lot easier. instead of constant routine injections or tablets, it's probably not a stretch of the imagination to say they could just.. alter your endocrine system to naturally produce the hormone levels you need to achieve your transition goal

surgery is also probably a hell of a lot more advanced - im sure surgical scars are optional, and keeping sensation is a guarantee

like, for ftm top surgery, if you get free nipple grafts then you're pretty much gonna lose sensation there. mine are fuckin numb as shit. not a problem in the futuristic bnha world - if you wanted, you could get extra nipple sensation, why not!

and with bottom surgery, fuck i bet they have it good - you wouldn't even need a full thickness skin graft for phalloplasty, they would just create that shit for you without you having to live life with huge scars like that - i bet it's no big deal to just graft a quirk-grown penis onto someone without all the potential complications that urethral connection and nerve grafting have currently

fuck it! if a trans woman wanted to have a womb and ovaries and the capability to have a baby, that's fully on the table! trans men with working testes and sperm and the ability to have bio kids without the debilitating dysphoria of pregnancy - please god i wish that was real

if someone out that had a chromosome swapping quirk they'd make a fuckin living helping trans people

also like some people in that world are animals so i really can't comprehend transphobia existing in bnha

[criticallyacclaimedstranger]

Specific sex stuff that our Pascal blorbos are into

Previous: Pascal characters fave sex positions

Frankie - He wants to put a baby in you. So badly he's shaking. Just let him.

Joel - He will fuck you on an animal rug in front of a fireplace. He loves seeing the flames reflected on your naked skin, with fur underneath you. It awakens something feral in him.

Javi P - stockings. Rub him off with nylon-covered feet, and he will do absolutely anything and everything for/to you.

Pero - loves to put it in your ass.

Marcus P - wants to watch. Just you, or you with someone else. Will go crazy from seeing you pleasured, while he himself has to wait.

Dieter - craves urethral sounding. You don't only own his cock, he needs you to rule it and stick stuff into it.

Ezra - roleplay, especially you being a cute little fox or kitty with an ass plug tail.

Dave - dick cage during the day. Knowing the key is on a chain around your neck gets him hard, which is a problem. (This is why he kills people.)

Oberyn - he needs to eat off of you. Will serve himself, and eat, an entire meal on your body. Drizzling sweet sauces between your thighs, and licking it all up, is his favourite.

[probably-dissociating-again]

Phallojourney Part 3

Hi everyone! I had my consult with the plastic surgeon, my urologist, and a licensed social worker yesterday. We went over some of the next steps, they took some measurements of my forearm, and talked about what I need to do to prepare.

One of the unfortunate things is that they’re going to have to use my left arm for the skin graft, which means I’ll be losing the tattoos on that arm. They’ll be internal so the phallus won’t be tattooed. They want me to do electrolysis and check back in 3 months to see if the skin is ready. I’ve heard that it’s not comfortable, but about on par with pinching or getting a tattoo.

Another step for me is losing weight. I don’t appear to be very overweight, but because I’m short my BMI is more heavily affected. I’m currently 214 lbs and will be aiming for around 190 lbs before the surgery. I don’t want to take weight loss drugs, so I’m going to be increasing my normal activity and working on eating out less. Depending on your BMI, this may be a requirement for surgery if you go through the same process. People with a higher BMI are more at risk for complications or problems healing, so someone surgeons have restrictions in place.

Another thing I’ll need to do is getting my letters for insurance. I’m currently seeing a psychiatrist, so I’ll be asking her for a letter. The social worker at my appointment will also set up an appointment with me and will write me a second letter. Some insurance companies are more strict about how many letters are needed, so definitely talk with your insurance to see what is required. The surgeon is also asking that I get established with a new therapist since I’m currently not seeing one.

They also gave me some information about what I can expect from the surgery and recovery. The actual procedure will take all day and then I’ll spend around 5-7 days in the hospital. I’m also being advised to take around a month off work, even though I work from home at a computer. If you’re in a more active job, you’ll likely need to take longer. I’ll have 2 catheters alongside drains, so they recommend having someone at home to help you with taking care of it.

Last for this update, we also discussed the additional features of the surgery. I decided that I did not want to do the scrotoplasty and I want the vaginectomy. This means that they will remove any vaginal tissue and sew it closed. They will not be creating a scrotum. I also made the decision that, in terms of appearance, I would prefer a circumcised look. I am also not pursuing an erectile implant, but I will be doing urethral lengthening to be able to urinate through the new phallus. All of these are options that you can choose to customize your new phallus, but are not required. Any additional surgery, such as creating the circumcised appearance, will take place a few months after the creation of the phallus after it has healed enough.

Thank you for joining me on this journey and I’ll see you all with the next update!

[olderthannetfic]

The ask that said they saw a post where someone tagged some images as "he's so urethral" made me curious as to what it was. I searched on tumblr and there's more than one. Is it a meme? Are they serious? Some seem to be serious like they think it's the actual word to use. I'm so confused...

--

I'm sure it's a common autocorrect problem, among other things.

[macgyvermedical]

Great question @iputmybloodintothis !

For the purposes of this post I'm assuming you mean urinary catheters. Other types of catheters, including IV/central line catheters, chest tubes, etc... can be covered on request.

The answer is that we have examples of urinary catheters going back to 3000 BCE. There were catheters found in Pompeii and ancient Egyptian archeological sites.

These were what we would today call "straight caths"- catheters that were inserted to drain the bladder and then immediately removed. This is because there are lots of problems that come up as we age that prevent urine from passing out of the bladder. Some of these include bladder paralysis, bladder stones, urethral strictures or inflammation (swelling or scarring shut of the tube that sends urine from bladder to toilet), or prostate enlargement.

It's also a pretty simple concept for olde timey medical folks- person can't pee, but they really have to pee, so we're gonna stick a tube up where the pee comes out to get the pee out. The ability to do this would have been life saving.

Despite being life saving, they were not comfortable. Ancient catheters were made of reeds, straw, or onion leaves. Hopefully this was an occasional problem for an individual, and not a multiple-times-per-day one.

Over the course of history, reed or straw-type disposable catheters gave way to metal re-usable ones. These came in silver, brass, copper, gold, and lead. They were not particularly malleable, but could be curved to fit the individual who was using them.

In 1752, Benjamin Franklin's brother needed a catheter due to urinary obstruction from bladder stones. The inventor created a silver coil catheter that would have been one of the first flexible catheters available. Below you can see the catheter he invented. The top tube is actually a tightly wound silver spring, which would be covered with gut to make it waterproof. The bottom tube is an insert that would be used to give rigidity while inserting or applying the gut. It is also thought that Franklin himself used this later in his life.

In the late 1800s, the first flexible rubber catheters were created. They unfortunately tended to break down when exposed to urine, leaving debris behind in the bladder. This got a little better once rubber vulcanization and latex rubber were invented.

It wasn't until 1935 that the modern Foley catheter was invented. The Foley catheter is named after it's inventor Fredric Eugene Basil Foley, who designed a catheter with a balloon on the part inside a patient's bladder. The balloon was filled with sterile water or saline, and was inflated to keep the catheter in place. Prior to this, if continuous drainage of a bladder was needed, an ordinary rubber straight catheter would be stitched or taped to the labia or head of the penis.

Today catheters are either made of latex or (more commonly where I am) silicone. People who are paralyzed or have chronic problems emptying their bladders may self-straight cath several times per day. People who need continuous bladder drainage (say, during or just after a surgery where they are unable to get out of bed temporarily, after bladder/prostate surgery, for precise intake/output measurements, when a patient has severe skin breakdown and is incontinent) usually have a foley catheter inserted. Today they look a lot like this:

As far as unconscious/confused people go, they pretty much just pee. Catheters carry a risk of infection, so unless there is a very specific reason for one, we often don't put one in unless the person couldn't pee without it, or them peeing the bed would be detrimental to them physically (severe wounds, need for perfect immobilization, surgeries, etc...).

[defilerwyrm]

I went back through your asks tag a bit and didn't see anything about this--very sorry if you've answered it before!

I'm less than a year on t, and it's been helping a ton so far; my mental health has improved drastically since changes started happening. But I'm also nervous because originally my plan was to just go on until I got some of the permanent changes, like the voice drop, and then go back off to avoid too much lower atrophy, but after seeing the improvement in my quality of life I'm realizing that going off t is probably a bad idea for me. The idea of any of the less-permanent changes reverting makes me feel sick

I'm not sure how long you've been on t but it seems like it's been a while, and I know you've gotten bottom surgery which changes things, but I was wondering what your experience was with atrophy in general? My doc mentioned that they're happy to give me estrogen cream if needed, but I've heard mixed things on how well it works. I've already noticed some stuff like (sorry, tmi) I can't piss as forcefully anymore. I've done some research but most of the people I've seen talking about it are pretty early transition (or... less than 5 years at least?), and I'm more worried about the long term

I'm not against the idea of getting bottom surgeries and a hysto to prevent atrophy cramps, I *am* dysphoric about my natal junk, but I'm already gonna be in deep financial shit trying to afford top surgery which is a lot more urgent to me, so realistically it's not gonna happen

idk, any advice? Sorry for the rambling

Also I didn't realize you were the one who wrote love songs for monsters - that shit changed me when I read it all those years ago. Thanks for doing what you do

I typed up an answer to this, tagged it, clicked the post button, and my wifi shat the bed. When I was finally able to reconnect, Tumblr refreshed and I lost everything. T___T

Sorry this took so long to reply to! Using a cut for my own TMI

I lucked out and didn’t really have any appreciable amount of atrophy. It made my groin less of a horrid swamp disaster zone, but I still wouldn’t have called it “dry.”

I do have a bit of keloiding in my urethra so whereas I used to be able to empty a full bladder in 12 seconds flat, now it’s about a minute and a half. Not painful, at least.

Estrogen cream is a topical hormone, not a systemic one, so it shouldn’t interfere much at all with your HRT. I think it’s worth a try if your atrophy is bothering you.

But yeah, if you end up getting phalloplasty (or metoidioplasty) with urethral lengthening, that’s done alongside a vaginectomy, at which point the whole atrophy problem ceases to be an issue.

Also thank you!! I have an abiding affection for those little stories and it’s always so pleasing to hear that someone enjoyed them. :D

[answersfromzestual]

Expectations

(Writers Opinion Piece- Mine)

I want to just remind people here that at the end of the day, you choose your surgeon, not your current budget, not your insurance company, not your government. Whether the surgeron(s) you want are covered or not. You choose who does what with your body. If you had/have bad results because the doctor was not good or was new(er) at the procedure, you are risking yourself potentially. Go with your gut, and wait for a better surgeon to come along. Just because it's faster/sooner doesn't mean it's going to make you necessarily any happier.

In my personal experience, waiting is a big part of the transitional experience. It took 6 years to finish my entire phalloplasty procedures (the minimum wait between surgeries is 6 to 8 months). From the building to the implants, it took 6 long years. The biggest gap of time was from phalloplasty construction to my urethral lengthening. I was super depressed because things were taking longer than I wanted.

Waiting sucks, but do your homework and find someone who will do and has previously done successful surgeries. I understand expenses, I understand these procedures are expensive, I understand that you've been waiting __ many years to feel complete.

If a better doctor is available, ask to talk to them. They may have payment plans, or they may make things easier for you. Make a gofund me. You don't need to go with whoever your insurance will pay for, or the cheapest surgeron because you dont have any coverage at all. Wait for the right doctor, don't rush into a bad situation and assume the same outcome as more skilled surgeon.

I will tell you, your happiness does not rest purely with just having the body you want. Trust me, I had many bouts of depression after even being completed for years.

In all cases, remember to keep your expectations realistic of how you may look. I will remind you all penises look different, all bodies are different. Don't expect to be looking like someone from porn. Like a model is picked for their looks, a porn star is also picked for the look of their genitals.

So if you've got some time to wait, work on making yourself feel better and more complete, more confident with yourself, before surgery. I put all my happiness into all the procedures, thinking the real problem was my body dysphoria. It wasn't. I had many things hidden away, and only a couple of that many had remotely anything to do with my body. It can be a real painful experience waiting so many years, putting all your eggs in that basket, and then you finish. You expect to feel complete and satisfied with life, and when your life doesn't change like you thought it would, or it didn't make you feel that happiness you planned on it giving you. All of this, it still does improve your mood and life, but trauma and bad things can still be hurting you, and you don't even know it.

I am not suggesting any type of therapy necessarily, just, don't expect being finished to your desired body is going to be a fix-it-all solution.

This was all my personal opinion and experiences being expressed here. None of this information applies to every single person, but patience, self care, and realistic expectations are important.

EDIT: I wanted to also add it does take some time to get used to your new body, and get comfortable and actually love it. You always find something not to like at first. And it's all because of expectations we actually didnt really set ourselves... All we see in media is a certain look and I didn't fit it. I didn't think I was normal... Everyone in the world thinks that, and gets insecure about their body. Today I love my phallis, I love my chest. Yeah, I don't look like a porn star, I look like me, a regular real life person, not a hand picked actor.

Stay golden everyone ✌️💙💜

[turgidscum]

I mean if you don't think people need bottom surgery to be trans then why care about keeping the hole? Weren't you once complaining about some transmeds seeing you are not valid cause you use yours anyway? Or am I mistaking you for someone else? I get what you're saying though, this many people wanting to keep both is a bit sus. I just had my hysto but tbh idk where the hole even really is cause I don't go in there. If I saved money by not getting a v-nectomy I might just do it? idk what the benefit of removal is if I don't even notice I have a hole? Of course I wouldn't have a problem with getting it done if it comes with it though, as again, I never use it.

no, you're right, that was me. i use my natal genitalia at present because i love my fiance and he's not entirely comfortable with anal at present, though we are taking steps to make him (and me) more comfortable.

i truly dislike the idea that someone has to get bottom surgery to be "really trans" so don't get me wrong in that regard. i know not everyone can afford it, not everyone wants to risk it, etc. note: this is different from people who are happy with their natal genitalia. if you're simply indifferent to it, that's fine, but if you actively like it and wouldn't wake up with the opposite genitals tomorrow, then it's a biiiiit of a red flag to me.

i digress.

a lot of people don't get urethral lengthening, and that's fine. most of the time i see this, it's still with a v-ectomy just without going through the extra process and risks associated with ul. i totally get it. personally speaking, i'd never be comfortable with this, but not my circus, not my monkey.

now. regarding the v-ectomy in general.

i understand why people wouldn't want to mess with it... to an extent. generally speaking, a v-ectomy isn't an additional cost, but is rather included in the surgery listing for phalloplasty. every surgeon i've looked into has had this same process. ul is an extra, but not the point. to keep the v, it is very intentional when you very clearly have the option to get rid of something that - supposedly - you have enough dysphoria about that you're seeking the opposite genitals.

and i say opposite because the salmacian movement is just a body-modding community, not a trans-based one. if you do these things for body modding purposes, i will have no problem with that. just be honest with yourself and the people looking at your results that this isn't because of dysphoria, but because you wanted both sets of genitals to some extent.

i just hate seeing people on the sub saying things like, "i love my v, can i keep it and still have phallo?" and that stuff makes me very, very uncomfortable. i dissociate heavily to use my natal genitalia, but to see these people actively enjoy their natal genitals to the point where they flaunt them and want to keep them despite being given the option to get rid of it (for no extra cost, generally) makes me feel gross. it's an experience that most transmen don't relate to, but unfortunately, the sub isn't just for transmen and cismen who're getting phallo anymore.

generally, i don't care what someone does with their body. if they want both, go ahead, but maybe don't claim to be trans if you're fine keeping your natal genitalia when you have the option and ability to get rid of it.

[myhealthhospital]

Understanding Urethral Stricture: Causes, Symptoms, and Treatment

Urethral Stricture: Causes, Symptoms, and Treatment

Urethral stricture is a narrowing of the urethra, the tube that carries urine from the bladder out of the body. This condition can lead to various urinary problems and discomfort. Understanding the causes, symptoms, and treatment options for urethral stricture is essential for proper management.

Causes of Urethral Stricture

Urethral stricture can be caused by several factors, including:

Trauma: Trauma to the urethra, such as from a pelvic fracture or a straddle injury, can lead to the formation of scar tissue, which can narrow the urethra.

Infection: Infections, such as sexually transmitted infections (STIs) like gonorrhea or chlamydia, can cause inflammation and scarring of the urethra, leading to stricture formation.

Inflammation: Chronic inflammation of the urethra, often due to conditions like urethritis or balanitis, can result in the narrowing of the urethra over time.

Medical Procedures: Certain medical procedures, such as catheterization or surgery involving the urethra, can increase the risk of developing a urethral stricture.

Congenital Factors: Some individuals may be born with a narrow urethra, predisposing them to developing strictures later in life.

Symptoms of Urethral Stricture

The symptoms of urethral stricture can vary depending on the severity of the narrowing. Common symptoms include:

Difficulty Urinating: Narrowing of the urethra can make it difficult to start urination or maintain a steady stream.

Urinary Retention: In severe cases, urethral stricture can lead to the inability to urinate, which requires immediate medical attention.

Urinary Tract Infections (UTIs): Narrowing of the urethra can increase the risk of UTIs due to incomplete bladder emptying.

Urinary Frequency and Urgency: Strictures can cause the bladder to contract more frequently, leading to a constant urge to urinate.

Spraying or Dribbling of Urine: The narrowing of the urethra can cause the urine stream to spray or dribble instead of flowing in a steady stream.

Pain or Discomfort: Some individuals may experience pain or discomfort during urination, ejaculation, or while passing urine.

Treatment Options for Urethral Stricture

Treatment for urethral stricture depends on the severity of the condition and may include:

Dilation: This involves stretching the narrowed portion of the urethra using a series of dilators of increasing size. It is a common treatment option for less severe strictures.

Urethrotomy: This procedure involves using a special instrument to cut the stricture, widening the urethra. It is often used for short strictures.

Urethroplasty: In more severe cases, surgery may be required to remove the narrowed portion of the urethra and reconstruct it using tissue from other parts of the body.

Medication: In some cases, medications may be prescribed to help reduce inflammation and prevent further scarring of the urethra.

Self-Catheterization: Some individuals may need to perform self-catheterization regularly to help keep the urethra open and maintain urine flow.

Conclusion

Urethral stricture is a condition that can cause significant urinary problems and discomfort. Understanding the causes, symptoms, and treatment options for urethral stricture is crucial for effectively managing the condition. If you experience symptoms of urethral stricture, it is important to consult with a healthcare professional for proper evaluation and treatment.

[mirandamckenni1]

Urologist Explains Everything You Need to Know about After-Dribble | Post-Void Dribbling Ever wondered why there is a leak after you pee? Post void dribbling is the leakage from the bladder after urination and before the bladder is totally empty. In this video, renowned Urologist Rena Malik explains everything you need to know about it. Thanks for watching!! Become a Member to Receive Exclusive Content: https://ift.tt/hmS82JG Schedule an appointment with me: https://ift.tt/Fysrzlt ▶️Chapters: 00:00 Introduction 00:11 Post Void Dribble (After Dribble) 00:48 What causes this? 02:07 Study about this 03:38 Urethral Milking 06:17 Urethra Corpora Cavernosa 07:00 Things you can do from Urinary Dribble 09:10 Conclusion Postmicturition dribble in men with no previousurogenital surgery: Systematic review and meta‐analysis of treatment modalities https://ift.tt/hK8CMVB Watch the video till the end and let me know your thoughts in the comments. If you like this video, please SUBSCRIBE and don’t forget to press the bell 🔔, like, comment and share. Stay safe and Love all. 😍 Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more. ▶️Check out my Amazon storefront (affiliate links included): https://ift.tt/WzsUYMo. ▶️Coupons & Discount codes (affiliate links included): https://ift.tt/q5n2r10 -------------- ▶️Please Subscribe: https://www.youtube.com/@RenaMalikMD/?sub_confirmation=1 ▶️Visit my website: https://ift.tt/86aOUSQ ▶️Listen to the podcast: https://ift.tt/hGBq01r --------------- ▶️Follow Me On: • Instagram: https://ift.tt/xu6y5sF • Twitter: http://twitter.com/RenaMalikMD • Facebook: https://ift.tt/qpYWf7v • Tikok: https://ift.tt/i1L2On8 • LinkedIn: https://ift.tt/KiDMV5I • Pinterest: https://ift.tt/gmfU6yt --------------- ▶️Sign up for my e-mail list and get more content from me: https://ift.tt/n6maveV ▶️Get your FREE OAB Guide: https://ift.tt/QzoD8W3 --------------- ▶️Check out these playlists: • A Urologist explains what is edging and is it SAFE: https://youtu.be/qN23jUSSdVM • Penis Problems?! Erectile Dysfunction, Premature Ejaculation & More: https://bit.ly/3wwivzS • Overactive Bladder Treatment: https://bit.ly/3hMzBoP • How to Increase Testosterone: https://bit.ly/2T9QJKV • Women’s Sexual Health: https://ift.tt/ykQIDEe -------------- ▶️DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death. -------------- via YouTube https://www.youtube.com/watch?v=_jt3rG12UfM

[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.

[cryptidshadows]

Hi this is kind of invasive and you definitely don't gotta answer - I'm a trans guy ~2mo on T, and it's been great so far, already feel way better even with just my small changes. One thing I'm worried about is I've heard that once you're 10+ years on T, there are some unavoidable lower/reproductive system issues that can only be solved with surgery. Specifically painful cramping that requires a hysterectomy, and urinary urgency that requires bottom surgery with urethral lengthening. Was this your experience too? Can't really afford surgeries rn and if I can save for one, top surgery is way more urgent. I wouldn't mind getting hysto if I can afford it someday but I don't think I want bottom surgery; I do got bottom dysphoria but bottom growth is helping a ton. My doc did talk to me about atrophy and prescribing estrogen cream if I experience symptoms, but I heard that doesn't help with uterine issues at all, nor urinary urgency most of the time. I really don't wanna go off T ever if I can help it though lol, so I'm just wondering what other people's experiences were, if it was that big an issue, and how they dealt with it. Sorry for the wall of text and invasive question, thank you if you respond and hope you're having a good day either way

Hey glad things are going good for you dude! Since answers are medical and will involve certain medical terminology, I'll put that under the cut.

Honestly these are some tough questions to answer, because there hasn't been enough research conducted on trans men on T for 10+ years yet, at least not enough to be truly conclusive. I had an endocrinologist tell me that it was imperative that I get a total hysterectomy within 2 years because it was inevitable that I'd develop endometrial atrophy. Buck Angel (my opinions on him aside) often speaks of how he nearly died from atrophic complications. But I had another endocrinologist and ob/gyn tell me that there isn't really a lot of evidence that there's a particular timeline or even that it happens to everyone. When it does, it's typically gradual and very rarely severe enough to cause life-threatening problems. That doesn't mean it's to be taken lightly, but it also happens to some cis women who've had a total hysterectomy or are naturally producing less estrogen, especially later in life.

I had a hysterectomy just 3 weeks ago, after more than 10 years in HRT. The biopsy did reveal endometrial atrophy. I was not experiencing cramping or pain (actually, I had very severe pain and period issues before HRT, which went away entirely once I stared T) but sometimes penetration with toys caused some light bleeding. Estrogen cream can help with that, yes - but even post-hysterectomy, I'm producing natural lube down below so far. But with any medical intervention, there's risk involved.

For urinary urgency, yes lol, I do have to pee more often, but I also drink entirely too much coffee, so that may be a factor. I've never known any trans men who had surgery for urethral lengthening except as a part of bottom surgery (to reroute the urethra through their neophallus or bottom growth). Hysterectomies come with a risk of more urinary urgency and incontinence as well. There are pelvic floor exercises that are often recommended to prevent these problems, which I'll be doing once I'm a bit more healed up.

It's very good that you're prioritizing the surgery you most need, and not pursuing operations that you don't feel are vital for you. With costs, you may be able to get a hysterectomy covered by insurance, especially if you have any pre-existing issues like PCOS, endometriosis, or evidence of atrophy, so at least there may be financial options for you if you are one day in need of it - but there's no solid evidence that you will absolutely need to remove everything as a result of HRT, at least not that I know of yet.