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Throwaway account. I'm 22 years old.

I'm 1 week and 1 day post-op for a hypospadias and fistula repair with buccal mucosa graft, and I have a small fistula where the foreskin and glans (head of the penis) meet, on the underside of my penis.

This was a 2 stage procedure where I had the fistula and glans opened up to the urethra in August, and then after very satisfactory healing and the bruising dying down I had the second stage (taking the cheek graft, adding it to the urethra and closing it all up) last week.

This is quite an uncommon procedure because the foreskin was kept intact, and as a result a dressing was applied and removed 3 days after the surgery to avoid inability to bring the the foreskin back over later. I have a urinary catheter in and while urine bypasses when I poo, I'm not a very frequent shitter. I poo about once every 2 days, and I shower after every time then dry the penis and pull the foreskin back to dry the glans. The wound is generally kept dry other than these occasions, and on the occasions when urine bypasses it comes out of both the tip of the penis and the fistula.

A small slit-like fistula has developed where the glans meets the foreskin, on the underside of the penis, slightly to the left. I wanted to ask for people's advice experiences with fistulas and especially with fistula healing.

I've told my doctors I'm willing to keep the catheter in as long as is needed to increase the likelihood of the fistula healing.

TW: phallo negativity by others

I have started my phallo journey a longer time ago, but have only had meta so far. Fingers are crossed to receive stage 1 rff phallo upcoming year. I'm usually very good at dealing with dysphoria, have beaten depression and anxiety disorder. But from time to time I do have a bad time as well. This has sadly happened today. I had to buy women's shoes because my feet are one size too small for the normal male size in shops. What a bummer.
Then I came across a transphobic post on reddit in a gay subreddit about dating ftm. Ofc there was lot of shit being talked about genitals, misgendering, and so on... You also had the usual people assuming that every trans man has their original genitalia. But there were also a lot of guys, upvoted, claiming that phallo is ugly, will never be the real thing etc. This mindset seemed very prevalent on this post or sub and it ruined my mood even more today. Though I know that people on the web are just insufferable and more bark than bite.
That's why I'm asking you and am very interested in hearing about your positive dating experiences post-phallo. How is it going? Do you come across rejection due to your genitals often? How's dating with single-sex attracted people such as gay men? Is it really that bad in RL?

mods can delete this if not allowed This is more of a curiosity than something I will be pursuing, but I was wondering what types of sexual activities (besides penetration/ other types strenuous physical activity) are ok while healing from surgery in general? Is hand stuff ok? Oral? Unlike exercise, sexual activity has such a wide range, so what exactly do doctors mean when they say “refrain from sexual activity”?

Hey all,

I am 5 months post Rff with buncke/Chen. I have been doing a lot of lurking here as I heal, but this is my first post.

I have had a hell of a recovery. I have never had a chance to be back to normal since my first surgery in July. After sp tube was removed at 8 weeks, after I was back home, it caused a large hematoma which wasn't diagnosed until 10 days after removal, and at the same time I was suddenly unable to pee. I'm very far away from the team in SF, so the local urologist catheterized me (with a scope/ Foley, it was fine), and drained the hematoma. The hope it was all just a fluke, so 5 weeks later the catheter came out.

After 3 weeks, pee stream slowed down, signs of stricture, back to SF for urethroplasty. I'm now 4 weeks post op for a stricture close to my native urethra (and a revision of the area that had a hematoma because it didn't heal properly). My catheter just came out yesterday and I am TERRIFIED of further complications. My pee stream has been ok since removal yesterday, but I am constantly second guessing every slight variation in stream, every change in swelling, every twinge or sting or feeling of pressure.

For those of you who have had a hell of a ride with complications: how do you feel ok while not entirely trusting your body? How do you go on without just being utterly terrified all the time? I have felt like I've hit rock bottom so many times, mentally and physically, I would love to know how anyone who's had a lot of challenges manages to keep going.

Hi brothers! Was hoping to hear from folks who have had abdominal phallo. I did abdominal phallo (bird wing method) back in April 2024. It’s been 8 months and fully healed. However I’m starting to notice some tension and discomfort at my lower abdomen. It’s right where the new phallus and my lower abdomen meets. It’s not painful or anything but I can feel a little bit of soreness time to time. My phallus looks and feel very normal so I don’t think there is any issues with it. I probably think it’s the tension created at the starting point. Do any of ya’ll experience the same?

hi y’all, i‘ve recently been diagnosed with multiple sclerosis and one of my symptoms is pins and needles sensations on various parts of my body - including my arms and thighs

now, the issue isn’t actually my arms / thighs, it’s my spine / brain not being able to actually understand what the hell my nerves are doing, however i’m worried about how that then translates into phallo with grafts. i don’t want want a tingly dick regardless of what happens 😅

would microsurgery and the location change the fact that it’s all pins and needly and painful, or would it just mean my dick is pins and needly and painful ? - that’s my question!

i’ve tried googling around but MS makes me a minority within a minority, so i figured i’d see if anyone here has experience or any input on how nerves work? i know abdo is still a thing i could go for but with wait lists being years long and MS being whacky, i’m hoping to not be relying on which bits of me aren’t tingling at any given moment lol

I know the answer to this question is probably a big no/that it is impossible but is there anyone who has successfully had urethral lengthening done using only at home methods of hair removal instead of seeing a professional laser/electrolysis person? I am asking because I have 2 insurances 1 that has no in-network providers who do hair removal and the other one that tells me that the only way hair removal will be covered is if I have been approved for phalloplasty surgery and have a scheduled surgery date which makes no sense to me if I haven't completed hair removal yet... What would you suggest I do in my situation? I've been using hair removal devices constantly but all they seem to do is slow down my hair growth not eliminate it whatsoever. I can't afford to pay for hair removal out of pocket because its so expensive in my area and I've only been able to come up with the money to do 3 sessions of electrolysis in total.

Tw: weight height and eating issues mention

So I’m trying to lose weight anyways but also to have surgery and as hesitant as I am to share numbers I will because I don’t know how to explain it otherwise I’m 5’3 and I’m currently 208 lbs and I eventually want to get back to 111 lbs but I figured for surgery being more around the 140s is better so I keep more of my tissues on my forearms they aren’t very big for my weight anyways but then I’m scared losing the rest of my weight post surgery would shrink the phallo would that happen??? What if I end up not losing that much before surgery 😵‍💫…even though this won’t happen cause I have to lose before surgery what would happen if I did lose all the 99 lbs after surgery would my phalloplasty shrink severely ?? Does anyone even know 😢

I’m worried if I lose all before I won’t have enough tissue and I want this done from the best possible nerve option which to my knowledge is your forearm

P.s. I gained this weight from eating disorder recovery mixed with other issues…I know it’s a lot of weight but I’m trying to rebalance to healthy from disordered

I’ve seen people say with RFF the results are usually smaller and you’re really not able to control at all how much you get due to something about the veins lengths. But i saw someone saying some surgeons (the only one i’ve found who does it is Dr Chen) do vein grafting for that. Does the allow you to basically be able to pick your size? Would 7 inches be possible/likely that way?

I'm currently in the stage of being post-op with v-nectomy and hysto, and I find myself procrastinating on contacting my clinic to pursue phalloplasty itself. I think it's because I'm not feeling the same kind of agony over what I'm missing as I did over what I had extra. I also realized I may be asexual earlier this year, so now I feel like even being able to have sex the way I'd prefer isn't that big of an issue. But even so, I like to imagine that one day I'll be fully post-op, and that's why I'm asking if anyone else felt the same way pre-op, and if they feel like they made the right decision.

Hi everyone,

I’m looking for advice and personal experiences regarding phalloplasty. I recently told my sexologist (who’s been helping me through my transition) that I wanted to pursue phalloplasty. Her reaction caught me off guard. she seemed a bit sad and disheartened. She told me that while it’s possible, I should strongly consider opting for a metoidioplasty instead.

She explained that with phalloplasty, complications are almost guaranteed, and that the results rarely meet expectations. She also mentioned I might lose sensation permanently for anything sexual, which really scared me.

I feel conflicted now. Is what she said accurate? What were your practitioners’ reactions when you shared your plans? How did you handle the decision-making process?

Any advice, personal stories, or perspectives would mean a lot. Thank you.

Hi I want to know if some of you have similar thoughts/experiences :

I'm considering phallo but not 100% sure yet, I don't really have dysphoria but I think I will be better with one (but complications testimonies + not a lot of pics online from surgeons in my country kind of slow me down)

I don't really like touching myself (with a wand it works really well tho) and don't really like being touch (it works sometimes but I'm not really comfortable). I think I'll like it better with phallo (if I'll have sensation...) but not 100% sure either, did anyone have/had this concern ? Also I don't have any partner since 2 years, so no one to reassure me on sex life with or without phallo

Even if I'm passing as a guy since 3 years, on T since 6 (top surgery + hyste), in stories (books, series, movies etc.) I'm looking for sapphic content bc I don't identify in straight story or with male character, I relate more with """womens feelings""" (if it means anything) and with sapphic sex scenes. I don't think phallo will change that (and I don't look for it to change, I'm ok with this). I've never been with a straight girl (bi/pan or lesbian only), don't know if it will change anything. I know that I don't want to pass as female again.

Does anyone experience the same things and have phallo anyway ? If so, did it change anything ? I think maybe I'm a bit afraid of loosing a part of me with phallo, or don't find a partner who understand that I identify with sapphic content and not with straight content

[English isn't my native language, i'd like to progress so if I did any grammar misktakes or use wrong words feel free to correct me :) ]

[Throw away account]

Edit : I'm fine, as I re-read myself I see that it doesn't really sound like that but I'm just confused about my feelings and my willing/envy to have a phallo

Thanks for your concern and support :)

Which did you go with? Did your surgeon have a preference? Those with laser, did your hairs grow back?

Anyone have any experience? I just got off the phone with uw madison and they told me they've started doing phalloplasty earlier this year. BTW anyone in minnesota they want you to try there first now for insurance reasons. Anybody on here been and can share their experiences?

I had RFF phalloplasty with nerve hook up and burial about 11 weeks ago and haven’t been able to reach orgasm yet. I still have feeling where my old bits used to be and it feels good when I move my penis, but after some time playing with myself, the sensation just stops. Most posts I’ve read mention other guys reaching orgasm before the 2 month mark.

Is it normal for it to take longer and has anyone else experienced this? If it took you more than 2 months, could you share your experience?

Have you guys ever heard of complications from having a hidden urethra/no ul? I got a vaginectomy and no ul 5 weeks ago, so my urethra is behind my balls. I didn’t get ul so I could try to avoid complications. My surgeon is not the best at communicating and kinda freaked me out yesterday. I told him that I’m draining some clear fluid from somewhere behind my scrotum and he told me that that might happen indefinitely and we just have to wait and see! Yikes! For those of you with a hidden urethra/no ul, is that something you experience? I’d never heard of this being a thing. I’m going to try to clarify with him what he meant exactly, but I appreciate any insight. Thanks!

Does paying out of your pocket (no insurance) accelerate the schedule waiting time for surgery?

Crane Center in Boulder, CO — Dr. Goldstein! Finally got dates for phase 1 & 2! May 22nd and November 20th! I’m getting abdominal Phallo — stage 1 is creation of the phallus and since I’ve lost so much weight my doc is going to do a tummy tuck after gathering what she needs for my penis :)

2nd stage is vnectomy, scrotolplasty, glansplasty & UL from the ulnar nerve from my left forearm! Started electrolysis 6 weeks ago and have been doing 1 hour sessions each week considering I only need a small area done for the urethra.

Has anybody else had the hookup done?

I received my date for phallo! Was told it will likely get moved up sooner as dates are added to the books, but for now I HAVE A DATE!!! Feb 2nd 2026! Let the count down commence!!!

Sorry if this question was asked before. I couldn't figure out how to search for this.

I was wondering how it felt to finally start feeling sensations in your phallus? I heard a trans guy on YouTube talk about how he wasn't able to face the shower spray for a while because it freaked him out a little with the feelings.

I know what it feels like after top surgery, and how I would forget there aren't boobs where there used to be.

How was your emotional journey through healing, and when you were finally able to have feeling in your penis?

I can't imagine what it feels like to go from just having a T dick to actually having a penis. It's like... Having and feeling a body part that wasn't there before... What is it like?

Did it freak you out? Or was it just euphoric?

I'm a black trans man and ever since I started T this year (coming up to 7 months), I am realising a lot about myself. I'm feeling more manly which is great but one thing I feel I am uncovering is wanting phallo. I've always never really gave much thought into phallo and I also never really saw the point. it's not like I have bad bottom dysphoria. I haven't got a partner right now so as for libido I'm good and all that. I do want to know what head feels like with my growth as I do have a substantial amount but lately I've been thinking about in the long run what would I truly want? being trans is about truth to me and now I have asked myself that I am realising that I'd much rather just have a full blown dick. I'd rather piss standing up and have sex naturally in that way. I'd also want to have something be attached to me, a part of me 24/7. ive been looking at corn recently cus I do that to really just see what I may like or don't like and lately, I have been looking at piv sex and feeling like I am/will do that. I don't want to use a toy for the rest of my life, I'd rather it be all natural uno. I know I may not be able to feel much or cum in my girl but with me sex is more a mental thing so I know I will have the sensual love towards my girl to be inside her and ejaculate. I don't mind if the jhizz don't come out because I guess it makes our sex more sanitary. but yh I just wanted to get those thoughts off my chest. any tips feel free to comment.

Long time lurker first time poster. I am about 3 weeks out from first stage RFF with UL, scrotoplasty and vaginectomy. My surgeon is Dr. Celtik with the Crane Center SF and microsurgeons are Dr. Lee and Dr. Chang.

I had my video consult in May of 2024 with Dr. Celtik, and was told I would need to be at a BMI of 35 to begin the scheduling process. My BMI was about 38 at that time. Dr. Celtik was very professional and easy going and answered all of me and my wife’s questions. I really liked him and I think I’m in good hands! I worked with my primary care doctor, a dietician and a personal trainer that wrote a workout plan. I also began hair removal of the inside of my left forearm. I’m eating around 2,000 calories a day and at the beginning I was in the gym lifting weights 3 days a week and bike riding 3 days a week.  After 8 weeks I then got a new (harder!) workout routine and started 4 days a week in the gym lifting weights/cardio and trying to maintain active rest days.

In late October 2024 I was able to schedule surgery in January of 2025 under the expectation that I would continue to lose weight and be as close to BMI of 30 as I could get. I am, perhaps, in the best shape and health of my life. I am older than most of the people I see on here going through this, turning 49 in 2025, and I figured that maybe I could document my process and also provide a bit more info about Dr. Celtik. I don’t feel comfortable sharing pictures but I will try to provide the best descriptions I can.

I am worried about whether or not I should wait to get the surgery. Ideally I'd like to get it done as soon as I can, but I'm worried.... With the Trump administration and project 2025, what if my insurance is cut, or if I lose disability income? What if I have to flee the state, or country if things get really bad?

I don't know what to do. The future is uncertain and I don't know if I want to take the chance that I might be in my first or second stage of phalloplasty and I'm suddenly nit covered by my insurance or something?

I'm worried the most about a possible gender affirming care ban.

Please don't be mean. I'm scared and worried and am looking for advice.

Hello, I have been post op phallo for 8 months and am looking for a penis cover, I already had sex with my wife, but only had tape around the penis, and there it is constantly bent away, I am looking for an overcoat that brings a lot of stability and my penis does not bend so quickly, if you have any would like to send me thank you very much