So I'm Reading Dr. Perovic's Surgeries;

[Guest Seth]

and I'm having a little bit of trouble exactly understanding what some things mean.

Like "Can Dr SV Perovic do "glans sculpting" so the glans looks more natural and conspicuous? Can anything be done in that regard in addition to the de-epithelialized skin strip at the tip of the neophallus created during Total Phalloplasty?

Dr Perovic responds: “The best way to achieve this is a tattoo. It can look very nice.”

or "How does Dr. Perovic incorporate the clitoral nerves to the neophallus during his Total Phalloplasty?

Dr Perovic says: “We don't incorporate the clitoral nerves into the neophallus but rather the ilioinguinal nerve (rises from the first lumbar nerve, passes through the inguinal canal and superficial inguinal ring to supply the skin of the upper medial thigh, mons pubis, and scrotum or labia majora) in order to provide tactile sensation. We preserve the clitoris and cover it under the skin so the patient can have sexual arousal and orgasm.”

This is all a bit confusing, and I was wondering if anyone could help me out here.

[Guest MrAwesome]

and I'm having a little bit of trouble exactly understanding what some things mean.

Like "Can Dr SV Perovic do "glans sculpting" so the glans looks more natural and conspicuous? Can anything be done in that regard in addition to the de-epithelialized skin strip at the tip of the neophallus created during Total Phalloplasty?

Dr Perovic responds: “The best way to achieve this is a tattoo. It can look very nice.”

or "How does Dr. Perovic incorporate the clitoral nerves to the neophallus during his Total Phalloplasty?

Dr Perovic says: “We don't incorporate the clitoral nerves into the neophallus but rather the ilioinguinal nerve (rises from the first lumbar nerve, passes through the inguinal canal and superficial inguinal ring to supply the skin of the upper medial thigh, mons pubis, and scrotum or labia majora) in order to provide tactile sensation. We preserve the clitoris and cover it under the skin so the patient can have sexual arousal and orgasm.”

This is all a bit confusing, and I was wondering if anyone could help me out here.

Well, I'm pretty sure neophallus is the penis. When he attaches it to the enlarged clitoris. Phalloplasty is the enlargement of the penis, basically they take the enlarged clitoris, and add other of your own tissue to it to make it larger. The use the Labia to implant the testicles. I'm guessing they take the nerve that would run to there and include it in the penis.

Also Metoidioplasty I think it's spelled is when they extend the urithra, and run it through the penis.

I personally don't think I want a phalloplasty. I want everything else, just not the extension part I've seen some of the post op pics, and I don't like it. I might, but I dunno.

[Guest Cody_T]

Man, talk about timing... I just read all this stuff yesterday

Like "Can Dr SV Perovic do "glans sculpting" so the glans looks more natural and conspicuous? Can anything be done in that regard in addition to the de-epithelialized skin strip at the tip of the neophallus created during Total Phalloplasty?

Dr Perovic responds: “The best way to achieve this is a tattoo. It can look very nice.”

So the glans is the head of the penis and definitely the worst part of a phalloplasty. The de-epithelialized skin strip is that line around at the base of the head, where they've taken off the top layer of skin to provide a differentiation. It doesn't come out astoundingly realistic. So what they can do is tattoo more detail into the head of the penis, and veins on the outside of the shaft. That makes it look more realistic.

or "How does Dr. Perovic incorporate the clitoral nerves to the neophallus during his Total Phalloplasty?

Dr Perovic says: “We don't incorporate the clitoral nerves into the neophallus but rather the ilioinguinal nerve (rises from the first lumbar nerve, passes through the inguinal canal and superficial inguinal ring to supply the skin of the upper medial thigh, mons pubis, and scrotum or labia majora) in order to provide tactile sensation. We preserve the clitoris and cover it under the skin so the patient can have sexual arousal and orgasm.”

Some surgeons do microsurgery to embed the nerves from the clitoris into the penis. That means that they'll develop over time and provide erotic sensation to the entire penis. Instead, Perovic takes a normal nerve and puts it into the penis so that over time you develop normal sensation... like you might get touching your leg or arm. The clitoris is either embedded within the base of the penis, or elsewhere (not sure on this) so that you'll get erotic sensation from that part, but not from your entire penis... pretty much at the base, I guess.

Lewis- metoidioplasty is when they free the clitoris from its surrounding tissue, giving it more length outside of the body (as it's about four inches inside the body... although you can't access much of this). It results in say, an inch to three inches. Varies.

Urethral extension and hookup is when they use tissue to extend your urethra up through your penis so you can pee standing. This can be done with metoid or phallo.

[Guest MrAwesome]

Lewis- metoidioplasty is when they free the clitoris from its surrounding tissue, giving it more length outside of the body (as it's about four inches inside the body... although you can't access much of this). It results in say, an inch to three inches. Varies.

Urethral extension and hookup is when they use tissue to extend your urethra up through your penis so you can pee standing. This can be done with metoid or phallo.

Ohhh that must be why I was thinking metoid... Hmm that's pretty much what I want done, of course removing my icky female sex places too to make it look basically like a mans....

[Guest StrandedOutThere]

Sethster! That website uses a lot of medical jargon. You can look up a map of all the nerves in the body and find out which ones he means. Also, it's good to see if you can find some diagrams of where they cut to do the surgery. I know older phallo techniques used the radial forearm (gnarly scar...way nasty) or took skin from the upper thigh. Perovic grabs some skin from off like your side or your back. I mean...phallo skin...it's gotta come from somewhere. I wish they could keep the chesticles and just use the skin from that. Man, I had enough chesticle skin taken out to cover phallos for both of us. I don't know about you, but I could live with my phallus being made out of chesticle.

Okay! Back on topic. Here's a link to a website that gives some more common sense descriptions of different surgical techniques.

Hudson's Guide: FTM Genital Reconstruction Surgery

I think some of the techniques leave the skin flap attached and just do "skin origami" to get you your phallus. Good stuff. That means that some nerves are left intact and the blood supply is at least preserved a little. Grafts take longer to heal and your chance of complications is higher. I'm pretty sure about that.

Oh...dude, you have to check out the pics on Transster. It looks like Meltzer crafts a mean glans.

Still, if I were picking between the surgeries, I'd go for meta with urethral lengthening. I'm still undecided on testicles. I want some, but I want real ones. Plastic doesn't do much for me. It makes me scared they'll pop out or something. I'm a hypochondriac.

[Guest Seth]

Can you send me some of those pictures from Meltzer?

How are the doctors coming along with the "growing the shwang" thing?

[Guest Seth]

I want to be able to feel it throughout the ENTIRE penis, not just at the base.

That Monstrey dude looked like he did a good job. I saw the photo, by the way.

That Meltzer guy was pretty good.

[Guest StrandedOutThere]

Did you join Transster? You are underage, so I don't know if you can. There are pics online. Just use Google.

With phallo, there isn't any certainty that you will feel anything. I've read posts about people who don't get much sensation at all. Some people have better results. You'd really have to email people off of Transster who have actually had surgery. I'm a newb.

[Guest Martin]

Some phallo methods have a high chance of sensation in the entire phallus. Others don't. I think radial forearm has the highest possibility of good sensation, but I could be wrong. I decided pretty early on in my research that I want a meta and not a phallo.

[Guest Seth]

Yeah, I joined.

And, just as long as it looks decent. I'm fine. I don't even mind much about peing while standing up!

I think I'm a backwards transman...