[Image description: Black text that reads “1 month, 1 week, 6 days until my stage 1 phallo surgery date” on a blue background. /End ID]
The countdown to my first stage of ALT phalloplasty has begun!
For those who haven’t been following my journey on my personal transition sideblog I’ll give a brief update below:
My surgery will be done by the NYU team: Dr. Bluebond-Langner does the plastic surgery, Dr. Zhao does the urethra and implant stuff, and Dr. Levine does the flap and microsurgery, and a bunch of other folks do assorted things too.
I’m non-binary and I want to keep my vagina because I have dysphoria about not having a penis, but I don’t think I have (a ton of) dysphoria about having a vagina so I plan to leave it as is so I’ll have less surgery & recovery, and the possibility of a sexual backup if I don’t gain as much sensation as I’d like to have from my penis depending on how my body heals.
I’m hoping that maybe I’ll find myself less dysphoric about using my vagina when I’m not unhappy with what’s missing; if not, I can always change my mind and get a vaginectomy in a later stage if I think it’s worth doing, so not getting it now doesn’t prevent me from getting it one day in the future.
I do want to be able to pee though my new penis while standing up, but I also want to avoid complications and repairs because I think that’ll be very rough on my mental health.
Urethral lengthening is one of the parts of phallo that has the highest complication rate, and getting urethral lengthening without a vaginectomy means the rate of complications is even higher.
So I’ve decided I’m not going to get a UL even though that means I’ll still be dysphoric about not being able to use my penis in a way that I’ve always wanted to. It does suck because I’ve always liked standing to pee and I think being able to do so would be convenient in men’s bathrooms, but I’ll still be able to use the kind of funnel/tube STP device post-op. And having to sit in a stall now and then isn’t the end of the world.
So I’m not getting a vaginectomy or urethral lengthening in this stage, I’m just getting the penis added on. My new penis will be created by taking skin from my thigh and then it’ll be moved to my genital area and attached to my body above the clitoris. Because they’ll connect it to the nerves in my body, the nerves from my clitoris should grow into the penis and eventually I might be able to feel it!
I might be also getting scrotoplasty in the first stage because I’m not getting the vaginectomy or UL, but we’ll see.
Even if I do get scrotoplasty in stage one, I won’t be getting glansplasty, testicular implants, or erectile implants until a later stage, so my stage one surgery is just the first step on my journey.
I decided to use my thigh instead of my arm because I have skinny arms and I would rather have a penis that’s on the larger side than the smaller size if I had to choose (and I do have to choose). But that means I might need a debulking surgery that makes my penis smaller in girth— I have chunky thighs so big dick problems might be an actual issue!
I also plan on continuing hair removal post-op because I didn’t do enough electrolysis pre-op and I don’t want a hairy dick because I’m a vain person with certain aesthetic preferences. I also want to get medical tattooing to add some color and detail to my penis, but that’ll be a later-down-the-line thing as well.
Eventually, when all the surgeries are over, I’ll have a nice lookin penis that will have an implant inside that allows me to get hard so I can have sex with it, and I’ll have a scrotum with silicone testicular implants for the #aesthetic, but I’ll also still have a functioning vagina and a clitoris too, and I’ll still pee from the same place as before.
I think this will make me more comfortable in bathrooms and locker rooms because the visual will be right (you won’t notice my original parts unless you’re between my legs looking up!), and I’ll be more comfortable in my own body personally because I’ve always felt that I should have been born with a penis and now I’m getting one, even if it’s 21 years late!
But for now, I’m just getting ready. I have one month, one week, and six more days before my surgery, and I have to finish all the work for my college classes before then because my surgery happens to be on the last day of the semester for me!
And I’m also going to be working a lil over 30 hours a week (my first shift is this Saturday) in addition to being a full-time college student so I really need to focus on my academics (or at least try to...) because uhhh yeah it ain’t going so great and so yeah that’s where I’ve been.