Hi, welcome to another episode of Trans 101!
Today we are going to be talking about bottom surgery. Now there are two different
types of bottom surgery
that are the main ones. There is metoidioplasty and there is
phalloplasty. In this video I'm going to be focusing on metoidioplasty,
and in the next episode I'm going to be talking about phalloplasty.
Now I'm going to try to explain this procedure as simple as I can. But you need to
just keep a couple of things in mind. One not every surgeon
preforms it exactly how I'm gonna explain it. Some have different techniques.
Some have different methods, some surgeons don't do
certain things. But Im gonna give you kind of a brief overview
of what metoidioplasty is just so you can understand this type of
bottom surgery. I will also be using words
that some people may not be comfortable with but I want everyone to understand
one hundred percent what I am talking about and I will be using words
that are anatomically correct to a persons body.
So with metoidioplasty what they do is they will take the clitoris,
this will be the clitoris, they cut the ligaments underneath
so that they can release the clitoris.
Now the sew the skin underneath to make it a little
more girthy and more phallic like,
because or else you're just gonna have ligaments here that aren't gonna be very
comfortable and just kind of there. After they do this
they will take the urethra that you have usually come outs this
way. They're going to reroute
the urethra and create a new urethra, so that
it can come out of the tip of the penis. So the next step is
that they build a scrotum. They're gonna use the lips that you already have.
they're going to cut underneath them to kind of detach them. Some surgeons
will fuse the scrotum together so that it's one sack,
others will leave it separate. And then the next step is a vaginectomy.
A vaginectomy is basically the closure of the vagina. So basically
what they do is they completely remove the hole
and they close everything inside. So when you
look you don't see that you ever had anything there. This is the most common
form of metoidioplasty but I will say that not everyone choose to
get everything. some people don't choose to get the
vaginectomy, some people don't choose to reroute their urethra,
some people don't choose to have a scrotum. It's really what
you want in your genitals. You find a surgeon
who will do that because anything is possible. If you just want to release
the clitoris, you can do that. If you just want to release
the clitoris and have urethra lengthening and keep your hole, you can do that.
If you want to close the hole and
have your release clitoris and
put the urethra, the new urethra, and not have testicle
implants. You can do that. So a reason that people might want to have
a urethra lengthening is because they want
to be able to pee standing up. So usually with metoidioplasty
if you get urethra lengthening you would be able to
pee standing up by holding, or some people don't even have
to hold, ehm their dick. And uhm
let it go! So this method
helps individuals who are very
very dysphoric about needing to pee especially in
public because they don't want to sit down and they cannot use a stand-to-pee device.
Now what about sensation?! Well with metoidioplasty you're not
messing with any nerves, alright. You are cutting
the ligaments under
the clitoris and sewing the together that it creates a more phallic
shape for your penis.
ehm but you will lo..loose sensation. So if somebody goes to suck
on you you will feel it as much as you felt it before.
Metoidioplasty isn't for everyone, there are some people
who don't have enough growth or are too small to
get metoidioplasty some surgeons will still preform
metoidioplasty on people who have very small clitorises.
The only issue with that is that
some people who have that and get urethra lengthening
it's a little bit complicated to pee. Some people aren't aren't still aren't
able to pee standing up just because of the position of where it is. And the peeing standing up thing
could be also a challenge for people that have metoidioplasty who are a little bit bigger
just because there's more fat around that area. So what's sex like?!
Well, people who have had metoidioplasty
have sex. You can have penetrative sex with your partner,
yes. But I will say that you do need
to be a specific length. Not everyone who
get metoidioplasty can penetrate a partner. Now if you're going to
penetrate somebody who has a vagina
you are able to position yourself where it just goes in
especially because the ligaments under the clitoris has been cut. You're released.
So it's not like you have some constrictions where you have to like climb on top
of the person and be on top of them in order to try
to get yourself in them. This way you--you're really you're released
so you could just go.
Uh it might be a little tricky for anal, but you can do it
as well. especially if you have length. Now some people
who don't have length want to know how to get length. Well,
the way to do this is you're on testosterone and you're still
unhappy or if you're not planning on going on testosterone
you can pump. So a pump is basically a device, a penis pump.
Bu--like I'm just gonna say it. It's literally a penis pump!
But it is made for people with smaller penises.
Ehm so you doing that almost every day will help
will help to kind of elongate the clitoris so that you would have a longer
penis once the metoidioplasty is created.
Created? Finished. The other thing that you can do is
DHT cream. I'm not gonna go into DHT cream here
but it is a cream that you can put on your genitals to make yourself grow.
It does work for a lot of people. I did make a video on this in the past,
so I will link that in the description below. Just so that I don't have to
talk about it in this video. What are the complication rates for metoidioplasty?
Okay so with surgery, any surgery in the entire world! There is a risk of complication.
Now the risk of complications are mostly associated with the urethra.
So because a surgeon is literally creating a new urethra to connect to your urethra
so that you can pee coming out
so your urethra is lengthened. Uhm.
There are two main things that can happen here. The first thing is a fistula.
Basically a fistula is a hole in the urethra.
So if-- I remember a surgeon making this analogy and it really helps.
When you're drinking out of a straw and there's a hole in the straw and then there's like liquid
that kind of comes out when you're trying to suck and you can't really suck
all that well because there is a hole that is just kind of taking that liquid.
That's what a fistula is.
Some fistulas do repair themselves on their own. Some do need surgical uhm repairment.
How common is this?
I can't give you a number. Every surgeon literally has
has a percentage of..of the complication rate.
Uhm some surgeons have said ten percent, others have said forty percent
so I literally I cannot give you a percentage. But it does happen.
But it doesn't happen to everyone, okay.
And the second complication that can have related to you urethra a is a stricture,
and that is a narrowing of the urethra.
So basically with that you usually need to get surgical intervention because they need to dilate the urethra in order for you to urinate.
And if you're not able to urinate they'll put a subpubic catheter inside you.
Other complications that can arise are obviously infection,
some sutures could open up and you could have uhm an infection.
Something happens often where the testicle implant that is put into the scrotum actually comes out.
That is something that happens often, I think because the body is just rejecting it.
But you can always get surgical intervention to close that and put in more testicles.
Usually people recommend to get a testicle that is a bit smaller then.
Because in the body I believe, tries not to reject it as much as if it was a bigger one.
So if you have bottom dysphoria,
what are the pro's of getting metoidioplasty?
Well with metoidioplasty you would not have to pack anymore,
because you have a package in your pants now. You have testicles
and you have a functioning penis that you can pee from standing up.
And there's a lot of things you can do with it. You can penetrate.
You can still feel everything, the nerves are all connected. Nothing is wrong there.
Now what are the cons of getting metoidioplasty?
I cons I feel are very subjective. I cannot give you an objective view,
but i will say this.
If you have size dysphoria
metoidioplasty probably isn't for you.
And I am saying this because i have gone to a lot of bottom surgery show and tells
and so many people have said that
they have gotten metoidioplasty in the beginning and then they still
had size dysphoria and it wasn't enough for them so they later on had phalloplasty.
If you don't know what phalloplasty is please take a look at the next video
because that's when I explain what that surgery is.
So if you have size dysphoria
please take a long hard look at this type of surgery
and at the growth that you have and really see is this
something that would alleviate my dysphoria. Because I
have known people who have gotten metoidioplasty and still had
size dysphoria and needed to pack later on.
You had bottom surgery and you still need to pack.
A lot of people have bottom surgery so that they don't need to pack, so it just becomes
a hassle. I guess a con could be that complications could happen.
But that could happen with any surgery. It could happen with top surgery.
It can happen with a hysterectomy. It can happen with anything.
What is the cost of metoidioplasty?
Can't answer that one for you either and I am so sorry I can give you a ball park number.
I have seen 15,000 dollars aaallll the way up to 50,000 dollars.
Depending on who you go to, where you go to, what country, and if it's covered by insurance
then most people don't have to pay because insurance pays for it.
Or you have to pay up front and insurance will pay you back.
And in Canada the government will pay your metoidioplasty your bottom surgery if you go to specific surgeons.
So all of this insurance and how much it costs is very hard.
What I would recommend doing is look at the list of surgeons that are available.
What type of surgeries that they perform and then look at how much they cost.
And if you want to see if it's covered by insurance then take a look and see.
Because some surgeons do not accept insurance.
Some surgeons don't ACcept ... I said it sound like I'm saying except.
Accept? Whatever.
Some don't talk insurance so you really need to do your research.
Especially when it comes to bottom surgery.
I though this video was gonna be a lot longer because there's a lot of information about metodioplasty.
But here we are I have given you all the information that I can.
If I have forgotten anything I will put it in the description below.
Because sometimes I forget things. I'm not a perfect person.
I don't have all of the information the the entire world.
Ehm, please take a look at the next video that I will post eh the next episode which is phalloplasty.
Where I explain what type of surgery that is. What happens. Complications.
Cost that I can't really tell you about but I can give you a ball park.
Type of surgery and all of this stuff.
Thank you for joining me and I will see you later, bye!
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