Hey guys update/help I have separation in my perineum right next to my anus and it is almost gone! BUT … I can’t see it the hair from my ass is growing almost into the wound so I cannot tell how deep it is anymore. What did u guys do to eliminate hair near ur surgical sight my main want is to remove the hair to see the wound better but it’s so long it’s hard to tell. Any help is appreciated!

TLDR: ass hair too long and growing into perineum separation and asking how to safely remove hair neat the possible open wound

Hi everyone. My penis is currently 18.5 cm and I’m considering shortening it because it’s difficult to function with this size. But I already had a glansplasty done. Am I right that the only option to shorten it would be removing the entire glans? I’m 6 months post-op now. The method I had was MLD.

Last stage finally complete. I am two days post op. Stage 3 consists of glansplasty, urethroplasty, and SP catheter placement. The procedure lasted 2 hours and I went home the same day. It did take some time for me to be discharged because I was super nauseous. I think it was because they gave me oxy while I was on an empty stomach. Which I did ask for because I felt a lot of pain when I woke up in the incision area where the SP tube was placed. The nausea went away eventually after sleeping it off and eating some crackers and an icee. The nausea came back during the car ride home but I ate some more at home and it went away.

Overall I would say that this is the easiest stage of all three because I’m the most mobile and there’s not really a lot of pain. There is a lot of discomfort though. The SP catheter can get really uncomfortable especially if it’s tugged or moved too much. I try to keep my movements very slow and calculated. There’s a clamp attached to the tube that I always attach to my underwear or shorts. That way if I have to move the pee bag, the whole tube isn’t being moved or tugged. But you definitely feel all that movement in your bladder if the catheter is tugged or pulled or moves even slightly, so clamping it to something is key. It’s not painful really but it’s uncomfortable as hell.

The UL hookup area in my phallus also gave me a bit of pain and discomfort that first day of surgery. Like sitting up right in the hospital and in the car gave me some pain in that area. But not so much after that.

The only pain I really get right now is in the incision spot where the SP catheter is placed. And I only get that pain when I lay down flat to sleep. I found that placing a pillow underneath my knees helps ease the pain, I guess because the area is not as stretched out. A wedge pillow definitely helps make the pain go away. The only thing is, I didn’t sleep well using a wedge pillow lol so I found that for sleeping, pillow under knees is better. Other than while sleeping laid completely flat, I don’t feel the pain in that area.

Bladder spasms do happen and are very sudden and uncomfortable. They don’t happen that often for me tho so I don’t take any of the meds for that. For me, it’s something that’s tolerable.

The skin graft site is super bloody at the moment, which is normal. But I don’t even feel anything in that area honestly. The area was still numb from stage 2 so it’s definitely numb after this 3rd stage. I don’t know if I’ll feel anything after I’m cleared to shower, but for now I don’t feel a thing in the graft site. I actually used a trimmer on my thigh and all the way up to the crevice of where my phallus is. I did this the day before the surgery cuz I’m hairy af and I remember the most painful part of stage 2 was when they were removing the plastic wrap from the skin graft site. And it was because of my hair. So I’m hoping this time around it’s not as painful since I trimmed. I’ll keep yall updated.

In terms of mobility, I walk really slow because I feel bloated most of the time, probably from the SP catheter. But I can do all my basic living things that don’t require strenuous effort like brushing my teeth, getting dressed, eating, walking around, etc. I’m staying at my mom’s and she just helps me with cooking, cleaning, and laundry. She helped me today wash below my knees, but if I had my loofah/brush stick, that’s something I could do on my own.

Some things that make life easier are my wedge pillow, reacher grabber, peri bottle, and a big ass stainless steel water bottle. The water bottle helps so that I don’t have to keep getting up or calling for someone to bring me water. In terms of supplies, I’m not cleared to remove any bandages yet but I was told I’ll mostly be using Xeroform and coban wrap for the head of the phallus, and aquaphor for the skin graft site. I’ll most likely use non-adhesive pads with tape on the skin graft so that my underwear or pants don’t get covered in blood. But I’ll give a more updated supplies list as the days/weeks go on.

While this stage feels the easiest to me, it still takes a mental toll because everything takes me so long to do. I’m mobile, but not like 100% like I am when I’m fully recovered. I just try to take things day by day and I also remind myself that these first few days, nothing has to be perfect. For example, I give myself a sponge bath and for my back, sometimes I have to over reach to get to certain areas. If I can’t reach a certain area, it’s alright. Like I’ll get to it when I can fully shower. I just do my best with everything I can do, and if I can’t do it perfectly, it’s totally fine. Because I know when I’m more recovered, I’ll be able to do it how I really want. So just taking things one day at a time, giving yourself some grace, and having a lot of patience is super helpful not only for this stage but for all surgeries really.

That’s all I can think of for now. Stay tuned for more updates!

My stage 2 consisted of: UL, glans, scrotoplasty, vagnectomy & a small dog ear revision.

I was asked to come back at 3 weeks to have a urethrogram prior to any voiding trials - the reason for this is that my neo-uretha had closed off previously and I needed a surgery to reopen and reposition it a few months after stage 1, and the revision had also begun to close off. Mr Lee was confident he had sorted it in stage 2 but wanted a urethrogram once things had settled a bit.

The Urethogram

I was told to undress completely into hospital gowns, and given a basket to put all my clothes into - I also had to disconnect my catheter bag (i had a flip flow so just turned it off and removed the bag). My wife wasn’t allowed in due to the radiation, but the whole process took about 15/20 minutes from getting undressed and leaving. It was just the doctor and the technician, both were lovely and very friendly, explained everything clearly and talked me through each step. Process itself: laid on a table, got my bits out, they were wiped with an antiseptic which stung a bit. Then they placed a local anaesthetic gel into my urethra which HURT!! felt like a lot of pressure and a bit of a pop. After a few mins they then put the tracer fluid in whilst they take pictures from different angels - this was also uncomfortable and did sting. I could see the screen and so i just tried to focus on that - it was quite cool to be fair. I was told by the Dr doing it that it looked all good but he would need a bit of time to review in detail.

Check-up with CNS

After about 20 minutes I had an appointment with Charlotte - she confirmed the urethogram was perfect with no issue. Thank GOD. It was my birthday today so she gave me the option to go home and trial voiding, or we could wait around and wee there. She gave me a jug and told me after weeing I needed to open the flip flow and measure the output - 100ml or less, otherwise I would have to wait a week and try again. I decided to wait, did my first wee at the hospital just to make sure everything was ok.

WOOOWEEE I can NOT believe how EXCITING it is to piss !!!!!!!!! No leakage, only a small dribble left in the bladder. Charlotte & Mr Lee wanted me to do at least 3 wees before they’d take the SPC out.

Went back to the hotel, did 4 wees and every one had way under 100ml left. Going to need to practice milking and aim for sure, as it’s a bit hit and miss but honestly couldnt stop smiling.

We went back to the hospital at about 4ish. Charlotte had a look at my scrotum as I had a tiny hole come up a couple days ago that I was worried about. Turns out it was 2 blue stitches working their way out so she clipped these back, took out some other stitches and gave everything a bit of a clean. She said I don’t have to dress with pads/jelonet anymore, just some vaseline on the glans and then honey & alginate on the area under my scrotum until it closes up properly but otherwise I’m healing perfectly.

Having the SPC removed was painful but definitely a lot, lot easier than the Foley catheter I had removed at week 1. The relief was pretty much immediate and I can’t believe how much more comfortable I am with it gone.

I’ve been given the green light to go back to work, drive, do chores - but to take it easy and make sure I’m not overdoing it.

So whilst spending 90% of my birthday at NVH, it was well worth it. I’m on cloud 9 to be honest.

Generally… I am feeling pretty good - the kidney infection I had is all cleared up, I’m only really taking paracetamol/ibuprofen at night to help me sleep. I initially found I was more independent compared to stage 1, but a lot less mobile. I started having a lot of issues over the weekend with the SPC and my whole stomach being in pain, but now that’s gone I feel really good.

I really cannot believe how much of a difference having the glans done makes to the connection I have to my dick. I’d do this all again in a heartbeat.

Picture just because! I took in the hotel room just before leaving to have the SPC removed.

Happy for questions :)

Tis’ me again - the guy with theater seats in his house 🤣 Approaching one year post op and I’ve tried quite a few brands of boxers trying to find something that works for me. Most brands just don’t have a big enough pouch and squish my penis (5 inches).

- Seperatec: don’t like messing with all the pouches at the urinal

- RealMen: just looks ridiculous and they ride up anyways LOL

- Pair of Thieves: a great back up option. But pouch is a bit small and they ride up

Brands that work so far:

-BN3TH: my favorite by far! Expensive, but they are perfect. Very comfortable pouch and they don’t ride up

-StepOne: pouch is tight rather than too small. Excellent for keeping everything in place when needed (exercise)

-Obviously: great stretchy pouch. the only briefs I like and will probably try their boxer briefs soon

This list may change post testicular implants! Would love to hear your recommendations as well.

I’m 5 weeks post op and my dick has gotten significantly more squishy over the past week, I think there’s been a big drop in swelling. There’s obviously still more swelling, but I think that’s affecting girth more than length at this point.

I’m very very pleased at having gotten the exact size I wanted of 4.25”, I don’t have very elastic skin so if I experience any size gains I expect (and hope) they are minimal and that I don’t get longer than 4.75”. This is the perfect size for me and I can’t imagine trying to wrangle a snake much bigger than this. My girth currently is sitting at 5” measured in the middle, so once all the swelling is gone I expect will be closer to 4.5-4.75” around, which is also in the range I wanted!

I had a granuloma that developed into a fistula, but apparently no fluid was coming out (I’m scheduled for urethral anastomosis in stage 2). Today I started dilation with catheterization as my doctor instructed, and the swelling just burst, and a lot of blood started coming out. I’m feeling pretty devastated and don’t know where to turn for support; I don’t know how this will be resolved. It seems like a very invasive fistula. If anyone has been through a similar situation and feels comfortable sharing it, I’d be delighted to hear from you.

on may 6th i got large testicle implants placed to stretch my scrotum out more. I had a lot to begin with but my surgeon said he wants to aim for making enough room as possible for my pump in 6 months.

week 1: pain was very manageable. random aches here and there. I was up moving around within that same week.
skin felt very firm and tight. walking wasn’t painful but it was discomfort at times.

I also got a glansplasty revision and had to wear a bolster and got that removed at my 1wk f/u appt.

week 2: majority of swelling has gone down. I can move the skin around my balls now.
my glans are healing beautifully.
my head it’s defined now and i have a “mushroom tip”
i love it. when i first seen it i was afraid i wouldn’t like it because im very specific, but it turned out to look great.
i also will be returning to work tomorrow even though i was excused for 6 weeks but i’m fine enough to work without restrictions.

Hey all, just an update as I’m 10 weeks and 6 days post op Stage 1 Phalloplasty with UL (Urethral Lengthening) the team said it’s all healing well, despite some small set backs the external healing is doing amazingly. The area that split open on my left buttocks incision has pretty much sealed shut now, just one small corner left. I’m veryyyy happy with my size, so much of my dysphoria has been lifted already. I’m excited for stage 2 and to have a total hysterectomy, bilateral salpingo-oophorectomy and vaginectomy!

Happy to answer any questions!