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How's your bottom surgery 1+ years later?
(lemmy.dbzer0.com)
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this post was submitted on 25 Sep 2024
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Transfem
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Forgive my ignorance, but for what? Do you have discharge like a cis woman would?
There are multiple ways vaginoplasties are done. One is penile inversion, which results in a dry vaginal canal. Others use penile inversion plus some moist tissue so that the vaginal canal isn't dry. Sometimes this tissue secretes excess fluid and that's what the liners are for.
I think you may have meant peritoneal pull-through (PPT) for the second (self-lubricating) option.
Yes, and also the one where they use a piece of the colon, unless I am mistaken, that also uses penile inversion.
Ppt does not use the Colon or penile inversion. https://www.mozaiccare.net/peritoneal-pullthrough-vaginoplasty
Yes, I am referring to multiple different surgeries. The colon one is a sigmoid vaginoplasty. I am also aware that a vaginoplasty can be performed without PI. However there are surgeries that use PI and then use peritoneum to add additional depth.
This link here is to a surgery that uses PI and the peritoneum.
https://journals.lww.com/plasreconsurg/Fulltext/2021/08000/Penile_Inversion_Vaginoplasty_with_Robotically.29.aspx
Ppt does not use the Colon at all. https://www.mozaiccare.net/peritoneal-pullthrough-vaginoplasty
sorry, yes - can't believe I mixed these up, lol
No worries, I ultimately went with penile inversion but spent a year researching ppt.
yeah, I am opting for penile inversion as well, mostly because that's what my surgeon is good at, and because it is more of a "tried and true" method with less risk and faster recovery than the other methods.
Though I also might have less motivation than some trans women to have a self-lubricating vagina, namely I'm not young and potentially in situations where I would want to be able to have penetrative sex on demand (not wanting to plan and bring lube, etc.).
My life is much more boring. :-)
Yeah, also the issue with self lubricant is it's constant so you will always have discharge. Not a bad thing. Im younger, 30s, but I just have a small thing of lube that I can carry if I'm going somewhere.
Though if they could just do a full swap I would take it so I wouldn't have to remember hrt lol
yeah, I wasn't thrilled by the prospect of constant discharge either, but I think I would also just live with it if I felt I felt self-lubrication was a priority. For me the bigger reasons are about the surgery going well, the technique being well-practiced and established, etc.
You missed me with the full swap, though - do you mean you wish they could give you ovaries?
Yeah, I also had baby fever after getting on progesterone.
oh, yeah - I wish I could have ovaries, that would be amazing; I also wish I could have a uterus, but I guess in some ways it is convenient not to have one (no menstruating). I also like the control I have over hormones by injecting them, rather than ovaries that follow a fertility cycle that would be mostly irrelevant to my needs.
Yes the cramps and nausea I get from stress and ulcers is bad already sometimes but that's reducing with therapy and meds.
Ehh, I had penile inversion and mine has never been dry. It's only been a year but I still have discharge sometimes.
Same. I actually get very wet when I'm worked up haha. But yeah it varies day to day but usually I have a little bit of clear discharge so I wear liners to bed and sometimes during the day.
That's interesting. I've only heard from people who got PI that theirs is always dry. I am aware that the shaft can secrete fluids, but I didn't think it could be that much.
I think my Cowper's gland is really active. I have been able to have sex without lube if I have a good amount of foreplay.
I actually just looked it up and was going to edit my original comment but you already replied! Lol anyways, what I found was this:
From this source: https://pubmed.ncbi.nlm.nih.gov/37105933/
girlcum is precum????
I have discharge sometimes. Usually the day after I dilate in the morning I'll have some. My vagina does self lubricate, so it happens at times.