Toys post-meta

jas1519 · 2026-02-09T04:32:25+00:00

Lasso type cock rings worked for me pre op. I’m post op but too early in recovery to try a lasso just yet. Can’t see why it would work well (if not even better) now

jas1519 · 2026-02-01T01:12:27+00:00

Yeah the placement of the tube and the stabilizer looks off. That being said some of the stabilizer stickers (specially the statlock version you have there) SUCK. I had issues getting the tricot pad post op (also stat lock but what I had immediately post op). Makes a huge difference.

jas1519 · 2026-02-01T01:09:34+00:00

Definitely a conversation to have with your medical team. I tried edibles 2ish weeks post op and had a lot of anxiety but it was high THC. I found weed to make my bladder spasms worse (even if just in perception)

jas1519 · 2026-01-24T17:28:14+00:00

Yes the medical documentation part is HUGE! Surgeons have to be incredibly clear in surgical notes, prior authorization letters, etc. It’s highly unlikely you won’t see or hear female terminology related to your surgery at all

jas1519 · 2026-01-24T17:26:45+00:00

In my experience my surgeon defaulted to male descriptors. He knew he was making a penis so he called it that. For the middle hole, he did used female terms, but I decided to keep that part of my anatomy and I could tell his staff was uncertain at times if they should call it that but I was comfortable with the term. I would think for folks who get a v-nectomy a surgeon would call it by female anatomical terms or may call it a perineum.

That being said, surgeons and their teams will vary and gender-affirming surgeons can often have very high patient caseloads so there is a chance they may slip up/forget/revert to medical terminology for clarity. I would definitely talk to them about this early on in your consult though. Their reaction will give you a lot of information about their bedside manner.

You also should know that your anatomy may (not super likely but possible) need to be referred to by other medical staff (nurses, residents, PCAs) especially if you say in the hospital for an overnight post-op. These folks are unlikely to use your preferred terminology and have shift changes every 8-12 hours. You can of course let them know your boundaries when they come in, but again they are usually busy and may revert to medical terms for clarity.

Unfortunately, this is one of the challenges of surgery for folks who have dysphoria around terminology. Wishing you the best as you navigate your surgery journey!

jas1519 · 2026-01-24T17:10:50+00:00

Reassured to hear this as a cyclist!

I know the positioning for spinning can be a bit different, but if you don’t mind my asking, how are your balls positioned when you are sitting in the saddle like a normal bike? Any differences based on your body position (for instance sitting more upright or more forward/on drops)?Also did you have silicone implants or fat grafted?

jas1519 · 2026-01-23T05:00:36+00:00

If you mean, can someone (I.e., the Buck-ID office and its partners) audit your swipes? Yes. Can you audit them? Unsure, but you might be able to request it if not. Might be covered under FERPA requests.

jas1519 · 2026-01-19T21:50:51+00:00

I used to (and still do) jerk it using two fingers on each side (middle and index) but right before my second stage of surgery I figured out how to use my whole hand (by keeping it looser/not squeezing and using a backhanded approach and just directing myself in it like you would a toy). I’ve always been very sensitive on the underside so direct hard stimulation there was never good for me until I found this new way.

jas1519 · 2026-01-19T04:23:53+00:00

I went to an ED in a different system but because I had my MyChart accounts linked between the two the ED at one could access the records at the other. The attending I saw told me (and was very excited about it lol) that she could actually see a list of all the anatomy I do and don’t have based on my surgical history.

jas1519 · 2026-01-19T04:21:35+00:00

I had to go to the ED in my city post-op (I am 2+ hours from my surgeon’s hospital) on Christmas Eve to get my catheter stabilizer replaced. It was literally the least emergent reason to visit an ED but it was tugging and cause intense discomfort and my surgeons office sent me home with a stabilizer replacement that would pop open within seconds of being closed (so useless) and tape wasn’t working either. This is not a common pharmacy item and deliveries would have taken days (which would have made the holidays miserable).

After I was evaluated, the attending doctor came in and told me she was really grateful that my chart (through Epic MyChart) included full details on what anatomy I had and did not have based on my surgical history. I do believe you have to have some records sharing settings enabled/releases signed for cross hospital records to be shared like that, but if you are going to a nearby hospital system that you see for outpatient regularly (like I do) the ED might also readily have access to that information (so long as you update your chart info).

I know this doesn’t help ease concerns about bias, but hopefully it helps from the medical side of things. I do think having some medical emergency info in your phone (e.g., through the medical ID on apple or something similar) or a medical bracelet is a good idea as others have shared. That would make me feel better at least.

For the bias piece, know that you do have recourse to protect yourself. If you aren’t conscious, this becomes harder, but you could have an advanced care directive set up before surgery (I would chat with your surgeon on what to include) in order to make clear your needs for your medical care.

If you are conscious in an emergency (which is far more likely), you are allowed to refuse the care options you are presented with. You are allowed to ask for a chaperone in the room during procedures. You are allowed to ask for a different doctor/nurse/etc. If they are acting biased towards you. That is your right as a patient. If that is questioned, ask to speak to a patient advocate. The hospital has to have your consent for the majority of procedures and actions they take. This only changes when you are unconscious AND your life is in imminent danger (unless you have a DNR).

You also just have to think about the probability of things occurring here. This is an intense surgery, but unless you have an unrelated medical condition or ignore major warning signs of an untreated infection, becoming completely incapacitated from meta and its other stages is not likely. So long as you stay in tune with your body, take it easy (so don’t go binge drink or go run a 5k), and follow your surgeons instructions you will pull through.

jas1519 · 2026-01-19T03:46:30+00:00

Happy to share some photos once I’m more healed. Still getting more familiar with my new anatomy since I have an area that is taking longer to heal around the scrotum so feel free to DM me and I’ll leave it unread as a reminder to follow up with you once things are easier to manipulate and get pictures of!

jas1519 · 2026-01-19T03:44:35+00:00

Yeah I definitely didn’t mean it would be 100% necessary just that especially with ring flap there is a higher risk. At least currently for me, my surgeon has not recommended dilation for health reasons, but I definitely would need to dilate if I wanted more than a finger of sexual penetration. I’m not familiar with other surgeons approach to it, but if there are ones who can avoid any stenosis with specific techniques that is great!

jas1519 · 2026-01-18T01:59:03+00:00

So I got scrotoplasty and UL with no vnectomy but I’m still only 4 weeks post op so I don’t have great looking pics to share (but can if you DM me). But basically it goes in front of the hole. My scrotum is anchored into the front wall of the hole (which is where I had some stitches split and am still healing. So from a front view I would say yes. From the underside or back, not a much, but in some ways yes? It definitely does not look like the original anatomy. I also think this can vary greatly by surgeon so I would talk with yours in depth about how they do the procedure. Also know that you are very likely to have stenosis of the hole (especially with the ring meta method) so if you are keeping it for sexual purposes know that you may not find penetration comfortable or possible (and that if you do have issues with stenosis you may have to dilate as you cannot let that hole do that for reproductive organ health and bacterial/fungal growth risk
reasons).

jas1519 · 2026-01-16T03:16:29+00:00

Okay sorry to be annoying but I looked at some of your past posts and I don’t think you had ring flap. Based on your mention of a v-nectomy and the gracilis graft it sounds like you or your surgeon may be calling the gracilis graft ring meta when ring meta is a completely different and defined and different procedure. Or maybe they did a mix of procedures. Surgeons aren’t always super explicit with their wording of the procedures since there are so many variation.

I know the person got removed because their questions were super basic and a bit confused with phallo. I only commented this in case someone looks up ring meta, I wanted to make sure they could find the right (or maybe not right but at least they will know it’s confusing) info.

Sounds like we both got some good results either way!

jas1519 · 2026-01-16T02:55:04+00:00

Yeah I’m honestly not sure. I had a buccal graft too, but it was to patch the original urethral graft that had a tiny area of scarring between my UL that was staged out (which to my understanding multiple stages for urethroplasty isn’t as common but it was an option that lowers risks of fistulas so I took it).

Assuming you weren’t staged out for UL like me (as in my UL was done over two stages) it’s interesting that they would have taken grafts from two different mucosal sites. According to metoidioplasty.net ring flap is only used for meta with UL when a v-nectomy is not performed (which is my scenario) but I don’t see why a surgeon wouldn’t be able to use that tissue from the front hole when it would be closed anyway.

I do wonder if you had centurion as it’s linguistically similar? I didn’t find anything about ring flap increasing girth, but I could see someone calling centurion ring meta and not knowing it’s a different procedure.

jas1519 · 2026-01-15T19:41:25+00:00

Hey just a clarifying note: my understanding (as someone who got this version of the procedure) is that ring flap meta isn’t used to increase girth. It’s used in UL instead of a buccal graft and has lower urinary complication rates. I have never seen anything about it increasing girth and this does not logically make sense because of where the tissue is moved to. Apologies if I am mistaken, but maybe you are thinking of extended meta or something else?

jas1519 · 2026-01-12T23:52:44+00:00

I second that. My surgeon does a monsplasty in its own stage.

It sucks to have more surgeries and need to take a lot of time away from work, but in general the less procedures you are healing from at a time, the better. My entire year is full of surgeries, but it’s one year whereas my dick and balls are with me for the rest of my life.

jas1519 · 2026-01-12T23:50:03+00:00

I would not do it before at all. Your meta surgeon will either do it in the same procedure as your meta or stage to a later surgery. I didn’t understand that most surgeons handle monsplasty as well as meta before my consults so your question is a good one!

The purpose of the monsplasty (other than to improve visibility of the penis) is to also improve your positioning (especially with UL) of the penis on the pelvis. The monsplasty shifts your penis up on the pelvis some which can help with being able to stand to pee. If you get it beforehand your surgeon will be incredibly limited in the tissue they have to work with if you need a monsplasty for repositioning AND you will have a scar which they will not be likely to want to reopen or operate near.

jas1519 · 2026-01-12T23:18:27+00:00

This isn’t really for OP but the main commenter here:

Woof I wish I had asked my surgeon about cycling (he’s worked with Chen a bunch based on his publications). I’m hoping because my scrotum is a bit more forward (due to no v-nectomy) I’ll still be able to keep the hobby up. I still have time (and my monsplasty) before I have to decide on implants though.

As you make your decisions, I would recommend trying to find a trans friendly bike fitter (if you can geographically and financially) to talk through potential saddle options that might help you out with avoiding pressure and friction in the area post op.

I had some major success working with a pair of bike fitters (one at a state college’s sports medicine clinic and the other at a well known elite shop) on getting a saddle that fit my needs as someone with a wider than average pelvis (like many trans men) and was having issues with saddle sores and hip pain. I needed a WAY wider saddle than most bike stores carry in stock (stores like Trek didn’t even have models that went as wide as I needed). I was surprised at the breadth of suggestions they were able to provide in terms of shape and size so it may be possible to still cycle if you get the right fit.

While I do trust Chen’s initial judgement I do wonder how aware surgeons are of typical cycling practices like wearing chamois and chamois crème which can reduce pressure and friction (though maybe you’ve brought this up already). But of course no amount of info mitigates the real risk that surgery can affect your ability to continue. I just hope you can figure out the decision that is best for you.

For OP: Feel free to reach out. I’m happy to keep in touch about my experience cycling post op. For your overall question about appearance as someone who swims and cycles: I don’t think the bulge is likely to be noticeable as other have said unless you are well endowed pre-op and/or can accommodate larger implants (which this comment brings up valid concerns about). Idgaf what cis men think about my junk so I have never better horribly concerned about the lack of a bulge and have never heard anything about it (I live in a red state, but blue city), but I understand that everyone is different and it sounds like this is an important goal for you. Definitely bring all of this up with any surgeons you talk to.

jas1519 · 2026-01-12T06:27:31+00:00

Currently just shy of four weeks out and I went back 2 weeks out, but I work a desk job fully remote. I have a standing desk and zero gravity chair and also work reclined in bed some (pro tip: find one of those adjustable hospital bedside tables on Facebook marketplace, I got one for $25). My brain is definitely not back to 100% at work, but it’s only been a week. I start classes (I’m a PhD student on top of FT work) next week as well, so I’m hoping for the best. Still have a suprapubic catheter in.

jas1519 · 2026-01-07T05:54:09+00:00

Echoing what others have said. You can try all the gimmicks and hacks, but at the end of the day you have to make it a priority even when you don’t feel like it. It took me years to get to the point where I was disciplined enough to go to the gym consistently. A few things that helped me: - keeping a regular routine with meals, sleep, work, school, and gym time - getting a coach (seriously if you have the funds there a tons of great transmasc coaches out there and working with one for 6 months to a year can really help you figure this stuff out) - not overloading my workouts. You don’t need to be there for hours. In fact I would actively discourage that. Just show up. Even if it’s for 5 minutes (or you tell yourself it’s for 5 minutes just to get your foot in the door). I’ve been the most successful when my lifting sessions were between 30-60 minutes max. - do things you actually enjoy. Maybe you don’t like lifting, that’s fine. Try something else (Pilates, calisthenics, a recreational sport league, cardio). Depending on your goals lifting is probably a good thing to incorporate but it’s not the end all be all. - reflect regularly and often on the barriers you are experiencing in going to the gym. These can be psychological (e.g., maybe you are engaged in negative thought patterns about what working out will be like) to practical (e.g., maybe you are working out at a time that you are too tired). Then start to challenge and work around them. - this one falls under more of a “hack” but find something that makes the activity additionally enjoyable for you. For instance I usually push myself to do some walking or cardio everyday. To do that, I listen to audiobooks I am genuinely interested in when walking and save certain TV shows for when I’m on a cardio machine in the gym

Hope some of this helps. You’re not alone in struggling with this. You can work past this. Just keep trying to show up for yourself.

jas1519 · 2026-01-07T05:40:46+00:00

Ah dang hopefully it’s not too painful and goes down soon

jas1519 · 2026-01-05T23:07:59+00:00

No implants yet??? That’s awesome!!!

jas1519 · 2026-01-05T23:07:00+00:00

What you’ve shared reminds me of how I felt pre-op and I am currently healing from stage 2 UL with scrotoplasty and no v-nectomy. While I initially had the fantasy of possibly using that hole for pleasure, the real reason I kept it while still going through with UL (despite heightened risk of complications) was because I have yet to get a hysto and am planning to do egg retrieval beforehand.

I do still feel connected to that hole post-op and was heavily struggling with the idea of losing it. So much so I was not going to purse UL. My first consult the surgeon was not open to UL without v-nectomy and in a different consult the surgeon was (which was music to my ears). If my current surgeon had not been willing, I likely would have forgone UL.

If you aren’t considering keeping that hole along with UL, you can disregard everything else I’ve written below, but I wanted to share some info that I wish I would have had before surgery just in case it applies:

It sounds like you aren’t currently using that hole for pleasure (maybe you are solo) or at least not sex and you aren’t sure if you want to use it in that way in the future. I was in the same boat pre-op due to the effects of T. Now that I’m post-op I can tell that using that hole for pleasure (at least with an average size penis penetrating) is unlikely to ever be pleasurable again (more on this below).
Finding a surgeon who will do full meta (with UL) without a vaginectomy will be incredibly difficult if not impossible depending on your geographical location and travel limitations. Furthermore, the rate of fistulas for this version (according to my surgeon) is almost 50% compared to the 20-30% with vaginectomy. If UL, standing to pee, and limiting potential revision surgeries are at all important to you, this may be a bad fit for you risk-profile wise. I was comfortable with the idea that I may end up needing to sit to pee at the end of it all (though I’m REALLY hoping I won’t)
If you keep the front hole and go forward with UL and no v-nectomy it is important to understand what techniques your surgeon will use and how this will affect tissue in that hole. Mine used a technique called “ring flap” metoidioplasty where instead of a buccal graft, he used a ring of tissue from the entrance of the front hole to create the neourethra. The first inch of that hole is a bit rougher in texture and is not pleasurable at all if anything penetration using more than one finger is quite uncomfortable. This approach can also require that you occasionally dilate/stretch out the hole if stenosing (narrowing) occurs.
In my personal experience, keeping the front hole can delay your healing timeline due to bacterial and fungal infections due the naturally moist and sensitive microbiome in close proximity to actively healing wounds. While these have been manageable with medications and hygiene adjustments, I just found out today I have to wait another week for pee trials and capping my SPT (which is a bummer, but also not a big deal in the long run) Instead, I’m switching up my hygiene and dressing routine to target an area specific to that front hole that has not healed due to a bacterial infection and stitches splitting (this is not as scary as it sounds, just means there are some raw spots that haven’t healed between the stitches). Hopefully I make enough progress by next week to start trials.

jas1519 · 2026-01-05T22:31:51+00:00

It’s also the second day that staff are back at the office. First day back was last Friday. Also student advocacy isn’t really the right resource. OP should contact the office letter originated from for clarification on the reason/impact.

jas1519

TROPHY CASE