Penile Transplantation

[Guest Silver]

Did anyone hear about the chinese man who recieved a new , you know, genitial, froma donor after his was reduced to a stump? Some people think if we can perfect this kind of transplant, transgender ftms may use the operation in place of the surgeries now availible. What do you think? Would you be willing try it? I'm interested in what people have to say on this topic.

[Guest Mr. Fox]

Yes, I would try it. I would not want to be one the experimental guinea pigs though. I would wait to make sure that it mostly works. Could you link to the article?

[MaryEllen]

Is this the one you were talking about?

http://www.msnbc.msn.com/id/14905485/

[Guest o0tg0o]

Well, here's one person who's hoping for the other way around

We can only hope that one day, an FTM and a MTF can get surgery at the same time to switch our parts Then again, I can't really afford even the normal SRS anyways right now so I'll think of it once I get enough $ .

Hopefully the technology for both side will get better as time goes by .

It's great to know that there's a possibility for you guys for a transplant

[Guest Rika-chama]

I would do it in a heartbeat. Not as experimental like Fox said though. I've always wanted a boy thing and our poor surgery for those is so unperfected

Ni-paa~

[Guest Silver]

Yes MaryEllen, that was the link. Thanks for the replies everyone!

[Guest GoldenKirbichu]

The main problem about this is that it's not that simple for us guys.

Like it or not, our bits are totally different than a male's, and we don't have the same attachment points as a bioguy who used to have a phallus but it was damaged. It wouldn't be just a simple graft job; there would have to be a lot of tissue suturing, and it's almost definite that we couldn't get erections or feel much of anything through the new organ, unless the nerves and blood vessels of the clitoris and labia could somehow be wired through the transplanted phallus...

As well, our bodies would likely reject the grafts and starve off the phallus, which would then die and be useless, or the body would try to reject it because it's not our DNA.

Of course, there are experiments being done with convincing a person's body cells to act like stem cells and then teaching them to graft into positions similar to a fully grown organ... with a lot of trial and error, one could grow a phallus with their own unique DNA, but the result would be worth millions of dollars and it just isn't feasible yet.

There is also genetic programming... we'll see how that goes.

[Guest CharlieRose]

Just because I'm afraid of using google on my family computer for this, how are we on bottom surgery? I know that we can have our own guy things without donor organs... But are they.... *ahem* functional? And can we surgically remove or at least, edit our girl parts?

[Guest kaos]

I would do that in a heart beat, experimental or not. I was actually just talking about this procedure with my girlfriend and that I thought it would be amazing if they could perfect it. Where do I have to go to sign up? lol

Yes, CharlieRose they can be functional but they are not always fully feeling and they do not usually look like what a bioguy has. If you are really interested in looking into this you could always go to your local library and use the internet there to see pictures and such.

[Guest Rika-chama]

Just because I'm afraid of using google on my family computer for this, how are we on bottom surgery? I know that we can have our own guy things without donor organs... But are they.... *ahem* functional? And can we surgically remove or at least, edit our girl parts?

I'll hop on google and check

Here's what wikipedia has to say

Metoidioplasty

Metoidioplasty, sometimes referred to as a meto or meta, is an alternative to phalloplasty for Transmen [1]. With the effects of testosterone treatment, the clitoris enlarges, over time, to an average of 4-5 cm.[2] In a metoidioplasty the enlarged clitoris is released from its position and moved forward to more closely approximate the position of a normal boy thing. In some cases the urethra is lengthened to end at the tip of the neophallus. The clitoris and boy thing are developmentally homologous organs.

The labia majora (see vulva) can be united to form a scrotum, where prosthetic testicles (usually made of silicone) can be inserted.

This procedure is technically simpler than a phalloplasty, and has fewer complications. Surgery itself is also considerably shorter (1-2 hours vs. 8-10 hours) and it is much less expensive (perhaps US$15,000 instead of US$85,000). Unlike a phalloplasty, an erectile prosthesis is usually not needed to achieve male function. The clitoris contains erectile tissue which responds to sexual arousal. In most cisgender females, the clitoris is too small for the person to detect this erectile change significantly. In transmen and other female-bodied people whose clitoris is larger, this may be more visually apparent as it is in cisgender men.

If a metoidioplasty is performed without a urethral lengthening or scrotoplasty (formation of a scrotum from the labia majora), this is sometimes called a clitoral release. This is less expensive than a complete metoidioplasty but does not allow for urination (through the new boy thing) while standing. However this also offers surgery with less risk because the urinary system remains unaltered without a urethral extension and still affords some of the visual effects of a complete metoidioplasty.

Phalloplasty

A complete construction or reconstruction of a boy thing is done on both cisgendered men who have lost their boy thing through either illness or accidents, and transmen, that is, female-to-male transgendered or transsexual people.

The basic procedures have similarities, (except in extreme cases of micro/macropenis) although surgery on cisgendered men can be simpler, since the urethra still ends in the front of the genital area, whereas the urethra of transmen ends near the vaginal opening and has to be lengthened considerably. The lengthening of the urethra is a difficult part of total phalloplasty, and also the one where complications often occur.

With all types of phalloplasty in transmen, the labia (see vulva) are united to form a scrotum, where prosthetic testicles can be inserted.

An erectile prosthesis can be inserted into the neo-phallus to replace the erectile tissue and enable sexual penetration. This is usually done in separate surgery for healing reasons. There are several types of erectile prostheses, ranging from malleable rod-like medical devices so the neo-boy thing can either stand up or hang down, to elaborate pumping systems. Penile implants require a neophallus of appropriate length and volume in order to be a safe option.

Ni-paa~

[Guest GoldenKirbichu]

Just because I'm afraid of using google on my family computer for this, how are we on bottom surgery? I know that we can have our own guy things without donor organs... But are they.... *ahem* functional? And can we surgically remove or at least, edit our girl parts?

I'll be as blunt as possible with what I know.

First of all, there are two main procedures - phalloplasty and metoidioplasty. Phalloplasty essentially involves a skin graft from an arm and a leg, which they roll into a rough tube and wire the urethra and nerves through it. The labia are fused together, and scrotal implants might be put into them. The result... looks creepy. Like a zombie phallus. However, it's much bigger than the metoidioplasty... so it approximates an actual phallus more closely. It's possible to urinate through it. However, you're likely not going to be able to get erections or experience orgasms with it.

Metoidioplasty involves cutting the clitoral tendons in order to release it and allow it to hang similarly to a phallus. The labia are also fused, and scrotal implants can be put into them for extra realism. This looks a lot more like a legitimate phallus (does p[e]nis REALLY need a censor?) but it's incredibly small... only a few inches long at best. However, you're more likely to be able to orgasm and experience (small, but noticeable) erections... I don't think urination through it is possible, though. The urethra is under the clitoris...

In both cases, one can get the female bits removed, like the v[a]gina (aksnlisnsd censor) and the uterus and Fallopian crud.

Sadly, both of these surgeries are pretty pathetic...

[Guest]

This looks a lot more like a legitimate phallus (does p[e]nis REALLY need a censor?) but it's incredibly small... only a few inches long at best.

I hear you. The bad word list is built into the forums and cannot be edited by us. We are exploring another option to make our own list but it is a large job. The word list prevents a lot of problems and is necessary on a large site. It does though have it's problems where adult issues and anatomy needs to be discussed. At the same time we don't want to be the not picky word police as we build a new list. So we hear you and are looking into it.

Upate: I'm informed that the problem has beem solved.

Laura

[Guest CharlesMonroe]

Actually, with a metoidioplasty you can urinate standing up. The procedure is more than on operation so they can move re route the urethra or something like that, to enable you to pee standing.

[Guest GoldenKirbichu]

Actually, with a metoidioplasty you can urinate standing up. The procedure is more than on operation so they can move re route the urethra or something like that, to enable you to pee standing.

Ah, thanks. I hadn't realized; I guess some metoidioplasty surgeons didn't mention it because it has to happen in a subsequent surgery.

I'm still not sure which I would rather have if I had to choose. They're both pretty pathetic in terms of realism.

[Guest Seth]

I don't know where I saw it, but someone was talking about growing a penis and putting that on so it looks exactly real.

I can't find the board, cuz I wanns respond to it, so I'll put it here.

What about cloning? Then you can have your and whatever. Like, change the genes to male in it and stuff.

[Guest Tay-Tay]

Hey i would do that in a heart beat if it actually works!

[Guest My_Genesis]

I'm so desperate to do something like that, I've committed myself to researching it in college ASAP (I will be going to college in the fall)...I tend to dream big, so my goal is too transplant not just genitalia, but the entire male genito-urinary system. i think if they can reconnect nerves and such the way they are right now, they can do the same in this kind of surgery (where it seems they also woud have to rewire the urethra). i think this can be done with tissue engineering...they've already done it wiith rabbits (they were male, but nevertheless, it is a step in the right direction). they've also grown other organs, like bladders and hearts, in labs this way. as far as immune rejection..i think that would probably be THE biggest obstacle, but also something that has to be overcome. we need the y-chromosome, which as far as i know is going to cause immune rejection in any XX-individual. waht i think has to be done here, is what i've read about "teaching" your immune system to recognize the tissue as "self"..they are doing this in stem cell research and tissue regeneration, where the genetic material is different and could cause rejection.

i also think we should look into tissue engineering to eliminate scarring from top surgeries, but that's another story. bottom surgery is a much bigger project..

[Guest Shaun.Olsen]

GIVE ME! lol, seiously folks, omg what an advancement!!!

[Guest Drew]

if the surgery sounded feasible and the surgeons were good i'd have it in a heartbeat...even as a test subject

[Guest My_Genesis]

so i guess when i'm in college y'all are gonna be my test subjects

[Guest My_Genesis]

oh yeah, Drew, your sig explains exactly the way I feel about the whole situation