r/Metoidioplasty

I'm 4 1/2 weeks out of stage 2 (implants & revision)

I've been starting massaging now that my incisions have fully closed. I was nervous to do it early because I didn't want to open the wounds by messing with them while they were still delicate.

I'm wondering if there's anything else I can use besides just my hands to break up the scar tissue, like a massage gun type of thing?? The thick tissues are already beginning to soften but I just kind of wanna loosen them up as quickly possible cys the tugging of tightness in certain areas is pretty uncomfortable

I also wanted to put this out there in case someone can't get general anaesthesia for some reason, and this could make the difference between them being able to access this surgery vs not being eligible for it.

DISCLAIMER: this is an Italian hospital that does it this way, I'm not sure if there are other places that do this at all.

So, today I had my pre op appointment, they did some bloodworks, urine sample, EKG...and then I have the anesthesiologist come and ask me if I'd like to get spinal block Vs general anaesthesia since I react badly to it (I feel sick every time).

Has this ever been offered to anyone else?! Especially considering it's not a simple release, but the whole flippin deal, UL + v-nectomy too... Admittedly I was super curious, but the idea of "feeling" them "touch" down there was just revolting dysphoria wise, so I noped my way out of it at the speed of light. Also, 3 hours staring at the ceiling? No thank you. Plus the fact that I have scoliosis and last time I had a spinal block done...it took several attempts for them to get it right, and it was quite painful.

The surgeon told me I have no idea how many other surgeries they can do that way even tho it sounds crazy, but that he agreed with me that he thought general anaesthesia in this case was more sensible. I swear for the first few moments after he said that I thought he was making a very weird joke.

I’m 19M, nearly 2 years on T and planning bottom surgery (most likely extended meta).
Currently, I enjoy getting a blowjob from my boyfriend but once I get fully hard, I become too sensitive and it’s painful. I need to switch to fingering or being fucked to actually cum. I’ve always had this issue, never been able to cum easily from head. Would having meta have any effect on this? Did this issue resolve post meta?

I am looking for ideas, toys and tips. I am 1,5 years post op, full metoidioplasty with testicular implants.
It’s really my girlfriend’s question. My dick is too short for a satisfactory PIV sex which is a bit sad, because I would love to be able to come like that. I am happy with oral and hand jobs, but she wants to do more stuff to me. We are each other’s first and only sexual partner, and we are clueless what’s more (if there is more) to do with my anatomy. I’ve got mixed feelings about prosthetic. Packers used to alleviate some parts of my dysphoria (no bulge), but also made it worse (reminding me that I am lacking in this area). We are open to toys that are not realistic. I mean, we are fine with a realistic shape, but the flesh color is a dealbreaker.
Thank you for all your answers in advance!

On May 6th, I had a metoidioplasty with urethral lengthening, vaginectomy, and full hysterectomy. The doctors also inserted a catheter. They kept me in the hospital for observation for a few days, and then they scheduled me for a follow-up and sent me home.

Over the next couple of weeks, I experienced an increasing "pulling" sensation, like the catheter was getting looser. I told myself I was being paranoid. My insurance covers a home visit from a nurse every 3 days, and none of them noticed anything wrong. A few days out from my first post-op appointment, I felt like I couldn't even stand up straight without pressing my hand to my bladder! I kept placing bandage over bandage because I feared it was going to slip right out otherwise.

Yesterday, I had my first post-op appointment, and the nurse removed the tube from my urethra. She noticed that nobody had ever added a foley securement device to my leg, which apparently was supposed to happen before I initially got discharged. So my catheter WAS pulling because it was being weighed down whenever I stood up! The nurse attached a securement device for me. Then, when the nurse changed the bandages around my bladder, she noticed that this had caused the suture to pop out, so she adhered steri strips over the tube.

However, I've been feeling very paranoid about this ever since I got home. The catheter doesn't get removed from my bladder for another two weeks, and in the meantime I really don't even want to stand up. I don't feel the pulling sensation anymore, but I'm scared that it isn't secure without the suture, and the steri strips lose their stickiness so fast. I asked a friend to pick up some more for me, but even changing them is hard because I fear the adhesive itself will pull out my tube.

but the tube wouldn't come out THAT easily.... right? 🥲 I think I accidentally traumatized myself by not trusting my instincts and advocating for myself when I noticed the pulling sensation. I greatly appreciate reassurance and/or advice 😭❤️

I keep seeing extended meta mentioned in comments here but I dont understand what it is. Are there any surgeons in the US that do extended meta?

I’m new here and haven’t really been online around trans stuff for years so apologies in advance if I get anything wrong.

I’ve been on the wait list for lower surgery (originally referred for phallo, recently decided I’d be more comfortable pursuing meta) for about 5 years (UK NHS 🫠).

My main thing is that I want to be able to urinate standing without having to drop my trousers to my ankles (I hike a lot and hate having to squat in the bushes to pee… don’t get me started on barren landscapes). So UL is a must (specifically out of the neophallus - I’m aware that sometimes they reroute but that’s just not for me).

Beyond that, while I like the bulk that testicular implants give, I’m not keen on the idea of having foreign objects inside me, so I’m wondering about what my options would be realistically without implants to still get a decent scrotum.

On one surgery video I watched they pulled a flap of mons (? anatomy is not my strong suit) down, tucking the new phallus up and under to come out higher up, and then formed the scrotum from the fat flap along with the extra flappy bits remaining down there. To me that would be ideal, especially with the higher positioning of the phallus and slimming down of the mons without too much scarring, although I’m fairly slim so I don’t know whether there would be much bulk. I also don’t mind the idea of the scrotum being more anterior rather than hanging (if it gives the impression of more of a bulge that’s always a win 😂). But from what I saw that didn’t involve UL.

I’m basically wondering what options there are for scrotoplasty without implants when also getting UL? (Even better if anyone has experience seeking this with the NHS either at NVH or C&W)

So I had a doctor in mind. I reached out and I guess practicalities and stuff. But I guess they aren't able to help me. I think she'd have been the ideal surgeon.

And now I'm trying to find a second option. When really I'm not sure there's anyone else whose work I'd personally be happy with.

It's a bit of a vent and a bit of advice I want I guess. It doesn't have to be a recommendation, I'm just sad and could use some support.

I was wondering if anybody felt comfortable sharing or DM how surgery results look over clothing? I wonder about how the bulge looks like considering the size of meta. Thanks!

Hey everyone! I think one of the few things getting me through my anxiety right now is knowing how many members on here (and the phallo page) have had a wound separation issues and come out the other side okay. I’m 12 days post op and from scrotoplasty and suspensory ligament release, stage 2 will finish the scrotum and add clitoroplasty. I don’t know if I’m sensitive to the skin glue or my body hates the type of sutures they used..or I’m just not as great at healing as i thought.. but it’s tripping me out. I feel disappointed in myself (which is ridiculous I know) because I went into stage 1 knowing I picked less complex things such as no UL and no v-ectomy to lower my complications risk and yet it still happened. I’m an out of state patient for my surgeon and he has been extremely kind with me dropping photos to him over the last few days. He’s currently got me doing wet to dry dressings which makes me nervous because I don’t want to rest of the suture line to become waterlogged. Has anyone else had a different type of dressings? He’s also keeping me on Keflex in the mean time, and he’s not interested in using Alginate dressings. I’ve been drinking Juven twice a day since POD1 (a wound healing powder I would usually mix for patients as a nurse). Does anyone have any suggestions from their wound healing journey?

Having stage 1 full metoidioplasty (release, UL, vagniectomy and scrotoplasty) tomorrow morning with Dr. Christopher Mcclung! Im very excited and a little anxious about recovery. But overall relieved and grateful to be here and actually have it happening.

The posts on here have been extremely helpful with preparing for surgery both with supplies and mentally. So thank you guys for posting so much information!