r/Metoidioplasty

im not excited anymore :(

the closer it gets to my surgery the less excited i feel. i know that i want this surgery. i know that my life will be better after this surgery. i know that i absolutely cannot deal with having the body i have right now forever. and i used to be excited! for so long i was looking forward to meta and thinking about what things would be like after i was healed but its like now that my surgery is getting closer all i can think about is the fear.

every time i think about meta i can just feel this like. Despair settle over me. i want what this surgery can give me but i Dont Want This Surgery. im scared of the pain, im scared of not healing right, im scared of what my results will look like, im scared of ruining the things i already like about my dick, im scared of needing help with things that i want to be private. ive had surgery before and its always been so easy, even when other people said it wouldnt be, so i want to tell myself that thisll be easy too! but i know itll be different.

other people talk about being in pain for weeks like its something you just endure and it sucks but its fine, but ive never been in pain like that. i dont know how to deal with that. i dont know if i Can deal with that.

i keep trying to tell myself that no matter how badly i heal or how much i hate my results, it'll be better than having a Hole in me that isnt supposed to be there. and i really believe thats true. but for some reason it just isnt making me feel better anymore.

and whats worse is that all of the fear of surgery is mixed up with some of the worst genital dysphoria ive ever felt. i thought leading up to surgery my dysphoria would get better--thats what it was like for top surgery! but instead its so much worse. i think about it all the time and instead of focusing on the fact that itll be over soon all i can focus on is how much i hate it and how gross i feel. my sex drive is like gone, i just cant make myself enjoy anything that involves my body anymore. things that i used to feel mostly good about have become uncomfortable. things that i used to feel a little weird about have become intolerable.

its like theres no way to think about it thats positive. the wait is too short, because im terrified, but the wait is also too long, because im miserable. i need it to just be over with already so i can stop worrying about all of it, but theres no way to make that happen. i have to just sit and wait with the terror and the misery until my surgery. and then ill have to just sit and wait with the pain and the worry until i'm healed. and any happiness that might come after feels so far away that i cant even look forward to it because all the bad stuff is standing in the way.

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u/Zealousideal-You5408 — 6 hours ago

Does having a long/mobile urethral plate affect ul?

So I am a way off of getting metoidioplasty but I was wondering. My dick is pretty untethered and mobile, there is about 6cm between my urethra meatus and the tip of my glans (when stretched). I know that often for ul, the surgeon has to cut the urethral plate and add extra material (buccal/labial/vaginal) so your urethra is extended and your dick can be "tubularized". But if you already have a long urethral plate, is this still necessary? Or can they make less cuts/modifications of the area and therefore have a much easier recovery?

Also, if anyone has reccomendations or links to videos showing the process of surgery (as in surgery actually being performed) that would be really helpful. I am trying to learn as much as possible for in the future, and also cause I find it really interesting. Thanks

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u/14_its_over_9000 — 6 hours ago

how does a foley catheter work with underwear??

pre-op, asking out of curiosity and i guess for reference later--how do you position a catheter in underwear so that it isn't uncomfortable/pulling on anything? ive tried to imagine it but i just cant picture any way to make it work short of literally cutting a hole in the underwear, which surely most people arent doing?? are they way more flexible than i think and its just easy to bend it however?

my urethral opening is going to end up between my penis and scrotum and im just like.. the tube has to go some direction after it comes out of my body.... where could it possibly go......

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u/earthlighter — 12 hours ago

mons resection vs. monsplasty ?

hi all! i have an upcoming mons resection in about a week (might have to b rescheduled) and wanted to do an excision of the “outer” skin after having already got simple meta. i’m scheduled for a mons resection and not a monsplasty? theyre saying an excision of the outer parts is not included in a mons resection, i thought there was a difference between a mons resection and a monsplasty?

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u/ilovebongwater — 21 hours ago

Concerned about potential damage

I am coming up on 3 weeks post op. Until even just a few days ago, swelling made anything down there hard to see, but now it is finally going down. Pre-op, I did not have a lot of foreskin and saw my glans, but post op it has not been visible to me yet. As swelling goes down, I am noticing my penis looks a bit lopsided if that makes sense? I am also concerned about how things look the second photo. It looks discolored and misshapen, along with the slight bleeding, making me fear that I may have been damaged. I have reached out to my surgeon but have not gotten a reply yet, but I do have a post op appointment coming up soon.

​

So in the meantime I just wanted to ask anyone else if they looked like this for a bit and things ended up okay in the end? Medical providers can be a bit dismissive at times so I wanted to get other people's perspectives. Thank you to anyone who responds!

u/Natural-Pie4252 — 1 day ago

5 days post op meta with dr. chen

my penis swelling is finally going down lol!! that was kind of freaking me out a bit so i'm happy it's visibly gotten less swollen in the past 24 hours. so far the worst of this has been the bladder spasms and this godforsaken fucking bag. i hate foley catheter bags so i'm very glad that for my post op on thursday i'll be switched to a spout!! i was also very nervous about my mobility post op, and so far i am walking around pretty alright! i called my boyfriend today and paced around my airbnb for 40 minutes without even noticing. my walking has more been waddling tbh, which has actually been putting unecessary strain on my right hip flexor, and that has been causing me more pain and discomfort than the surgery itself lol. everyone in my life was making it like bottom surgery was going to be excruciatingly painful and awful to heal from, but honestly it's been fine so far. i'm very grateful to have been able to have this surgery done and i can't wait to see how my dick will look in the coming weeks!! i also can't wait to be able to jerk off again lmao

u/staphylococcsucker — 1 day ago

3 Wochen Post OP (Stage 3) Dr. Bohr, KEM, Deutschland

Bin sonst stiller Mitleser. Ich hatte vor 3 Wochen meine dritte OP bei Dr. Bohr: Hodenimplantate in Größe XS wurden gesetzt, zusätzlich zur letzten Füllung mit Eigenfett bei Stage 2.

Leider sitzt ein Implantat etwas weiter hinten/oben. Ich hoffe, ich bekomme es noch in die richtige Richtung geschoben.

Ich bin trotzdem sehr zufrieden, aber ich erwäge noch eine Monsplastik.

u/Complete-Ad-2302 — 2 days ago

Bifid to VY revision stage 2- Implants

I had several revisions done by Dr Stirling to my urethra and scrotoplasty. 4 days ago I had my testicular implants put back in and I’m so much happier now! Having one connected sack is euphoric and my implants are much higher and set forward now, in a much more realistic position. I’m still swollen so I’m excited to see how things look once it settles! Anyone looking to go from bifid to VY, it’s absolutely worth it.

can u get vnectomy then meta w/ uL?

i'm going to be getting a hysto, wondering if it would be possible to get vnectomy and then later meta with uL, or if i need to wait to have vnectomy until meta for any reason?

i tried searching through to find the answer, but i didn't see anything, please link another post if you know of one.

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u/treeboi666 — 1 day ago

To shave or not to shave, after surgery

I'm being discharged from the hospital and the doctor told me to shave for 2 weeks so the hairs won't irritate my skin. But I already have 2 weeks of hair growth, won't shaving just irritate it further?

Did any of you keep shaving after surgery? Do you regret it?

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u/disisMark — 2 days ago

What healing with lymphedema looks like (6 weeks post op stage 2)

Lymphedema is fairly rare with metoidioplasty but will go away on its own with time. I was told to try compression underwear but this is pretty annoying. :p

u/star-succubus — 2 days ago

It is hard to make peace with having to settle. Anyone relate?

I knew I wanted surgery by 16, I just didn't know what yet. I dove into research, planning, dreaming.

At 25, I am 5 years post top, 4 days from hysto/ooph, 5 months from pannulectomy consult, & 2 meta consults deep. I would guess I am a year to year & half from meta.

I decided long ago that I couldn't handle the constraints of phallo- Medicaid, a dwindling savings account, a condition that makes healing hard, an intolerance to discomfort, it adds up.

Meta is no cakewalk either, but it always seemed more manageable/feasible for me.

I know there's always the far off pipe-dream of getting phallo done later, but I don't foresee that.

I have tried very hard to find a rational excuse to make peace with this- "I'm a bottom/nonbinary anyway..." or "I will enjoy maintaining sensation..." Or I try to talk myself out of it all together because I fear I will be unhappy.

It can be heartbreaking to look at wonderful phallo/meta results or a beautiful cis penis.

To add insult, I have tiny bottom growth & it's buried. My first consult even said I was too small for her to UL.

I do hope when I finally get my meta I will be able to be happy with it or at least tolerate it like I did for my disappointing top surgery.

My surgeon even asked me what was important. I told him I could tolerate anything at this point. It will be better than the alternative, but not what I dream of.

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u/Spaceboy2xx1 — 3 days ago

1.5 Weeks Post-Op

The last photo contains some wound separation. Okay I apologize in advance for the quality of the pictures. Healing is going well I think, other than the right side of my dick. I think I over did it with the walking and might have just rubbed the skin really raw and eventually caused little holes to form. Also, my body hates “dissolvable” stitches. Even with my top surgery they all eventually got pushed out of my skin instead of staying on the inside and dissolving, so thats probably also adding to the irritation. I’ve started putting manuka honey on it and I am hoping that will help.

Also I think my dick looks like a fish rn. Like one of those wrasses with a bump on its head and I can’t unsee it 😭. I am very curious to see the state of my foreskin once all the swelling has settled.

u/Flux_Daddy — 2 days ago

How soon after post op were you able to jerk off again?

I am about a week out surgery, and I got everything. The meta, the balls, the UL, got rid of the extra hole, ya know, the works

I figured since everything kinda hurts right now, it would be a turn off. But hormones go wild man. But I don't wanna risk any complications. What do I do?

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u/Rocket_Leafeon — 3 days ago

7 weeks post op simple meta

I am quite pleased with my results. I def lucked out in the bottom growth department. Wish I had more pics to show you the before but the change is quite dramatic! My surgeon told me not to put his name on Reddit (too late) because he doesn’t want people to think he can promise these results. 😂

u/Revokutionarysun — 4 days ago

2 days post op from Mayo Clinic and doing well!

hi!

I just wanted to post that I’m 2 days post op from getting a Metoidioplasty, hysterectomy, vaginectomy, and a scrotoplasty all done in one surgery at Mayo Clinic, which took about 9 hours but I’m back home now and settled!

So far I’m very much loving the results of what they did, and the care I received . everyone was so kind and supportive at Mayo, my team was fantastic and everyone along the way was super kind and gender affirming.

I was a bit hesitant about getting this surgery done at Mayo because I just didn’t see any results from anyone else but they did a great job with everything.

if everyone has any questions I would love to help, still super groggy but just very happy with the care I got.

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u/Designer_Tax6010 — 3 days ago

1 Month Post-Stage 1 with McClung

Here are my collection of pictures from my total metoidioplasty with Dr. Christopher McClung in Columbus, Ohio. I had my surgery on May 4th, stage 1 which included UL, vaginectomy and scrotoplasty.

Picture 1. Pre-op
Picture 2. May 7th, 3 days post-op
Picture 3. May 10th, 6 days post-op
Picture 4. May 18th, 14 days post-op
Picture 5. Today, June 7th, 35 days post-op

I got my SP catheter out on Friday, June 5th and my biggest enemy in the world right now is post-void dribbling, but my surgeon tells me this is normal. As I heal from the catheter and surgery, things will tighten up again and I will learn the methods associated with avoiding the dribble. Until then, I have been wearing sanitary pads and/or gauze that I change out often, in order to keep my briefs clean.

I have experienced wound separation, mostly of the perineum, as well as a bleeding scare that got me a trip to the ER, but I am almost entirely healed from that now.

u/StrangelyBearish — 3 days ago

Grinding and Pressure Post Op

I primarily get off through grinding and putting a lot of pressure on my dick pre op. Have any of you required this to get off pre op and either were still able to lay on your stomach and grind post op or are able to get off another way post op? I plan on having balls and don’t want to crush them.

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u/Positive_Werewolf944 — 3 days ago

Almost 10 months post op full meta ( vaginectomy, bifid Scrotoplasty, UL) with implants

Time flies. I finally had my post op appointment after some cancellations. He said everything looked good. My right testicle never dropped so I need a revision there and I also want my bifid scrotum fused or more likely converted to a VY if Dr Miro can do that. I also want a monsplasty ( always knew this would be the case) and I want to see if he can remove some excess skin around my penis. He’s not the best to communicate with, but at my appointment it sounded like he could do all this. Here are some pics I like. Any questions please ask.

u/Orbiting-electron — 4 days ago