We cannot guarantee return of nerve sensation. As time goes on, the tingling feeling begins to subside. Different donor sites have different nerve qualities. The arm donor site has the greatest number of nerves available for nerve hook-up and is best if your main goal is sensation.
The leg donor site has greater variability, but tends to have less available nerves. The nerve associated with the MLD flap is a motor nerve, meaning there will likely be no sensation on the phallus. Clitoral burying involves transposition of the clitoris into the base of the penis, to increase sensation. This is typically done at stage 2. Orgasm is possible after phalloplasty, especially if your main goal is preserving sensation.
It is important to note that your penis will not ejaculate with semen at the time of orgasm. Penis size is dependent on your body. Thinner patients with less fat on their arms or legs will have a penis with less girth. Alternatively, patients with a greater amount of fat will have a thicker penis. The length of your penis depends on your donor site, but typically is about inches.
After the first stage, the penis may decrease in size as post-operative swelling decreases and the tissue settles into its new location.
Scrotum size is specific to the patient and dependent on the amount of skin that is present in the genital area prior to phalloplasty. The greater amount of genital tissue, the larger the scrotum size and subsequent size of the testicular implant. Unfortunately, while there are lots of options, very few are approved by the FDA, and as such we are limited in what we are able to offer patients.
No, you do not need to purchase your own medical supplies. All the items that you need will be provided to you by the hospital, and we work with your insurance company to ship you additional supplies and set up home health care. For Stage 1 of phalloplasty , we ask you to stay local for weeks following surgery.
After Stage 2, you will need to stay local for weeks, at a minimum. Stage 3 only requires days. Staying local requires being able to feasibly come to clinic or the hospital should a complication arise — typically staying within 90 minutes of our facilities.
Our social worker can help you with resources, and will work with you to make sure you have everything you need for a great post-operative experience. To schedule consult We need 1 mental health letter and any other information asked for after your intake. You can refer to the communication from our team in MyChart for more information. Post-operative care Will be scheduled at the time your surgery date is finalized. If you have any questions, please reach out to our team through MyChart.
In general, gender confirmation surgery includes several procedures performed at once. The testicles and part of the penis are removed, and this tissue is used to create fully-functioning external female genitalia vagina, labia, and clitoris. A small piece of the head of the penis is then used to create a clitoris. Outer labia are formed from the testes, and inner labia are formed using penile tissue.
Additionally, the surgeon will remove erectile tissue from the penis so that they newly-formed vagina and clitoris do not become swollen during sexual arousal. The urethra, which is the tube that carries urine from the bladder, will be shortened and repositioned. The prostate will be left intact. A successful GCS will provide the patient with external female genitalia that permit sexual penetration and orgasm, maintain touch sensation, and allow for downwards urination in a steady stream.
GCS is usually performed as the last gender transition procedure, and patients must meet several requirements set out by the World Professional Association for Transgender Health WPATH in order to be eligible for this surgery. These requirements include two letters of recommendation one from your mental health clinician and one from the physician who provides your hormone therapy , at least one year of continuous hormone therapy, and at least one year of living full-time as a woman.
GCS is considered a major surgery, and it is essential that patients follow all pre-procedure instructions in order to obtain the very best surgical outcome. It is important that the ICTC staff have all your pertinent medical information prior to scheduling any surgery.
Do not consume anything during this time period that is red, orange, purple, or caramel in color. Hormones and other drugs may need to be discontinued temporarily. Make sure that you leave cash and any other valuables at home.
The average recovery period for GCS ranges from weeks. Our staff can assist you in booking a hotel near-by with special medical rates. We also suggest packing personal care and comfort items e. During the initial recovery period, focus on resting, drinking plenty of water, and making sure that your surgical site is well-iced in order to prevent swelling. While most patients do report feeling sore after their GCS, any discomfort is typically quite manageable when pain medications are used as directed.
Minor bleeding is expected after catheter removal. More often than I care to admit, I'll walk out of the men's room if there are too many men in there. I wish there were more gender-neutral restrooms. I wish that people didn't feel a claim to porcelain pots based on gender in the way that they do, and, more than anything, I wish any gender is enough. I miss two features of living in a male body: running outside shirtless, and being able to pee standing up.
I do not miss male bathrooms, however, in the slightest. As a recovering sex addict, I would grit my teeth to maintain my composure whenever sexual acting out abounded in a public facility.
Even the odor of commercial cleaning solution on porcelain triggered memories. Nothing seems so close to any moment in the past as a smell from memory. I had been on estrogen for five or six months at that point, so my facial features had softened and I had grown small breasts. A guy was entering as I was leaving: He looked at me, then up at the bathroom sign, then back at me, then up at the sign again — and then he went inside, shaking his head.
This reminder of what was wrong with my body was excruciating. Bathrooms are safer places now that I can pee with the right body. And if I find myself wincing at the toilet seat and wishing I could pee standing up, at least I can inhale a sigh of relief — because unlike men, of course, women shit roses.
It was a warm day in San Francisco. I was at a park, doing volunteer work in food distribution and vegan education. I'd been on testosterone for a full year, and had been using men's restrooms exclusively that whole time, so far without incident.
I was still nervous using the men's room in this park, however, as the lock on the single stall was broken. Regardless, my bladder would not be denied. I headed toward the restroom. As I entered, I heard a man on his way out say to my back, "This is the men's room; the ladies' room is next door. I did my business with the door unavoidably cracked open, and got out as fast as possible. Since my transition, whenever I've been misgendered, I've always reviewed what I was wearing.
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