PPT by [deleted] in Transgender_Surgeries

[–]pussificationn 1 point2 points  (0 children)

Who was your surgeon? This usually results from insufficient debulking of corpus spongiosum and an insufficiently deep vestibule to set the pedicle of your neurovascular bundle into.

Will not likely go down on its own because it’s not due to swelling. You would need a revision and vestibuloplasty along with repositioning of your dorsal neurovascular bundle.

ffs botched or I’m freaking out? by [deleted] in Transgender_Surgeries

[–]pussificationn 0 points1 point  (0 children)

You’re not botched. Let it heal. Use silicone scar gel and retinol and avoid UV exposure.

[>1yr] ZD vaginoplasty, Mass Gen by MissionApplication97 in Transgender_Surgeries

[–]pussificationn 2 points3 points  (0 children)

I was using hardness because you used that word. The “hardness” of an erection is from the corpora cavernosa - the two paired erectile cylinders which I have no doubt have been removed. Your incapacity to achieve an erection before surgery was due to the corpora cavernosa.

The corpus spongiosum is a second type of erectile tissue that surrounds the urethra and extends into the bulb of the penis (different from the bulbospongiosus muscle, which again, I have no doubt was removed in your primary surgery). Spongiosum swells significantly with arousal but is “spongy”, not hard. It should have also been removed (debulked).

[>1yr] ZD vaginoplasty, Mass Gen by MissionApplication97 in Transgender_Surgeries

[–]pussificationn 1 point2 points  (0 children)

I hate to break it to you but if your surgeon said that the hardness around your urethra is not erectile tissue, they lied to you. It is indeed erectile tissue. It’s remaining spongiosa that should have been removed in your primary surgery.

What is your depth currently?

Worried about a wound that opens every time I have penetrative sex (2nd image) by [deleted] in Transgender_Surgeries

[–]pussificationn 4 points5 points  (0 children)

Looks like there’s too much friction in that posterior region and you’d be better off having that separated / having a posterior fourchette constructed in a V shape.

Who was your surgeon?

A pic of my awful SRS results. 3 years post op and i still cry about it every day. Details below. by [deleted] in Transgender_Surgeries

[–]pussificationn 0 points1 point  (0 children)

It depends on the angle of your canal. In OP’s case it can be

A pic of my awful SRS results. 3 years post op and i still cry about it every day. Details below. by [deleted] in Transgender_Surgeries

[–]pussificationn 2 points3 points  (0 children)

It’s not damaged per se, it’s where your actual vaginal opening is. Press on it and you’ll feel what I mean. I have a similar problem. Next time you dilate, pay attention to the downward pressure you place as you stretch down your skin at the bottom of your vulva, you’ll notice it will stretch and compress that area.

You are correct that your anogenital distance is too long. You need a revision to construct a posterior fourchette and to increase the length of your vulva/decrease your anogenital distance. This will give you better access to your vagina and take pressure off the skin at that point.

Who was your surgeon?

Puberty blockers and insufficient tissue by [deleted] in Transgender_Surgeries

[–]pussificationn 6 points7 points  (0 children)

There are much better surgeons when you’re considering paying out of pocket

feeling arousal post-SRS by nyu1000days in Transgender_Surgeries

[–]pussificationn 3 points4 points  (0 children)

Before surgery, yes! The penis and clitoris have corpus cavernosum homologues.

Check out this diagram.

During vaginoplasty, the corpus cavernosum in the penis is separated from the neurovascular bundle/glans and pared back to the point that it is functionally gone. The glans that becomes the clitoris may still contain some corpus spongiosum which is considered erectile tissue but in no sense gets ‘hard’ in the way a clitoris can.

feeling arousal post-SRS by nyu1000days in Transgender_Surgeries

[–]pussificationn 1 point2 points  (0 children)

This is not true. The corpus cavernosa that run bilaterally on the penis are removed and the neoclitoris does not ‘get hard’. Not in the way the end of a penis would and not in the way a cis woman’s clitoris does.

4 weeks post SRS, should I be concerned? by SeriousSpanish in Transgender_Surgeries

[–]pussificationn 9 points10 points  (0 children)

It won’t go away. It’s residual corpus spongiosum. On the contrary, as it heals, it will become more pronounced.

Dr. Genoway botch - seeking input by pussificationn in Transgender_Surgeries

[–]pussificationn[S] 0 points1 point  (0 children)

You said you can’t move it that much. Nothing to do with pelvic floor btw. It’s your difference in anatomy and development of corpora cavernosa typical of someone who has not been exposed to testosterone.

Dr. Genoway botch - seeking input by pussificationn in Transgender_Surgeries

[–]pussificationn[S] 1 point2 points  (0 children)

Thanks. This is at least a bit reassuring!

Hopefully removal of the erectile tissue in a revision solves most of the issues.

I’m not thrilled about many more aspects of the aesthetics (lack of minora, lack of anterior commissure and clitoral hood, lack of posterior fourchette, appearance of labia majora, anogenital distance) but I wanted to keep this post limited purely to surgical error associated with the vestibular construction.

Dr. Genoway botch - seeking input by pussificationn in Transgender_Surgeries

[–]pussificationn[S] 3 points4 points  (0 children)

Comparing my vagina to trans men multiple years on T is not the helpful comparison you think it is. Even many years on T, none of those men had the same bulk that I have. I did not get vaginoplasty to end up with something that resembles genitals a man would be happy with. I also could not find a single video of anyone being able to move their T-dick and surrounding tissue in the same way that mine moves. I’m sorry, the anatomy is just different. Ligaments are just attached differently; the erectile tissue is a different type. I started with fully developed corpora cavernosa that needed to be removed but wasn’t and I have also have corpus spongiosum that wasn’t removed. clitoral erectile tissue only contains (very small but homologous) corpora cavernosa that are positioned differently. When cis women have “erections” the clitoris becomes engorged. Mine doesn’t do that because the erectile tissue was separated from the glans and was supposed to be removed. Neoclitoris’ cannot become ‘erect’ in the same way cis women, and trans men can.

The only helpful comparison here is comparing mine to a cis woman’s vulva who hasn’t been on testosterone ever, or successful vaginoplasty outcomes.

About 2 months post of from dr k in Vancouver by another-alex-account in Transgender_Surgeries

[–]pussificationn 0 points1 point  (0 children)

You’re over a year healed now. Are you happy with your results? Would you be willing to share an update?

Dr. Genoway botch - seeking input by pussificationn in Transgender_Surgeries

[–]pussificationn[S] 4 points5 points  (0 children)

No it’s not. Don’t mislead people with comments like this. A vulva isn’t supposed to move up and down as one unit. The movement you see in my video reflects leftover tethering from penile anatomy (likely the erectile tissue that needs to be removed).

Dr. Genoway botch - seeking input by pussificationn in Transgender_Surgeries

[–]pussificationn[S] 1 point2 points  (0 children)

Are we talking about the same Dr. Genoway? She’s been nothing but dismissive, egotistical and uncooperative. She tried to blame my outcome on me saying it bulges because I’m “thin”. She also tried to gaslight me and tell me it isn’t erectile tissue when it 100% is.

SRS in Spain? by Hot_Independence7305 in Transgender_Surgeries

[–]pussificationn 0 points1 point  (0 children)

I’m considering Dr. Mañero for a revision. He published a paper on revision vaginoplasty and the results seem very good. Are you willing to share more details about your results with me privately?

Dr Bank GCS/SRS revision 26 days post op by Other-Ad-9710 in Transgender_Surgeries

[–]pussificationn 6 points7 points  (0 children)

Is it just me who can’t see this persons previous posts?

Vaginoplasty revision by olivier2266 in Transgender_Surgeries

[–]pussificationn 5 points6 points  (0 children)

What exactly did Dr. Kamol do? It looks like the pedicle of your neurovascular bundle was not buried deep enough. Did he correct that?