u/Ryn_333

AFAB NB, no T, looking for something as close as possible to smooth, but without burying the clit because I still want sensation, and I just need information on how that would work and to what degree it's possible.

My gender clinic (which has not yet performed afab nullification, ever, but has performed a lot of gender-affirming genital surgeries in general) says that nullification requires some amount of urethral lengthening, because otherwise scar tissue may block the urethra, which would be a problem. So the urethral opening can't stay where it is, it has to go somewhere, but where? My clinic also says afab nullification isn't fully possible, because then the urethral opening would be too exposed and might get infected often, it needs to be tucked away in enough protective tissue. I don't really understand this.

Has anyone here gotten nullification without clitoral burial or removal? How does it work?

If you look at female genitalia on a diagram, there's a top part where there's a clitoral hood, then a clitoris, a urethra, then an opening, then the bottom part near the perineum (which is already closed for me post v-nectomy). Do they leave a small part in the middle and close the top until the clit and bottom part until the urethra? Can the whole labia minora go away?

Man I want diagrams. I want information.

I will be contacting Essen, and I will be talking to the urologist at my gender clinic directly (up to now it's been the psychologist relaying their words), but I just don't want to come across to them like someone who is completely uninformed and misguided about what the possibilities even are. I don't want to start those conversations armed with zero information. And if my clinic says something isn't possible while in actuality it is, I want to know about it and be able to guide them towards better information or towards fellow surgeons in other countries to talk to.

Are there really no surgeons who've publicized information about afab nullification, at all? No research to link to?