In what order should surgeries be done ?

[SmoothieSoon (imported)]

I would like to end up as a complete smoothie but am not sure what is the best way to go about it. Should it be 1. orchiectomy with complete scrotatectomy to remove excess skin. 2. After waiting a few months then a penectomy with urethral relocation ?

Is there a doctor in the US who would do both procedures at once ?

I would like to hear from anyone with personal experience or informed opinion.

[Losethem (imported)]

The surgeries should be done in whatever order the man having them desires. Though with the penectomy portion of nullification I would recommend having a functioning urethral reroute done first.

I know someone who had his penectomy done without getting a reroute first and he ran into complications.

--LT

[bobbie (imported)]

You should be on castration type drugs for some time first. Six months at least. You need to know your hormone number. This is a way to know if you are feeling all the effects of castration. No unexpected surprises.

If you are going to start dressing more female then you should do it full time for a year or so. I believe that is the shortest time recommended for a transsexual to try things out.

I would think you would have a long talk with the surgeon first. Map out the best way the surgeon would like to do it.

Cost will also be a large factor on how and when you are done. Doing it in stages may cost more but you have more time to reflect on just what your doing.

Your best bet to find a surgeon is to look for a surgeon preforming sex change operations. They are experts in the area. No pun intended.

[PetJohan (imported)]

Keep in mind that to truly remove all the penis, it's necessary to go nearly two and a half inches into the body. That's major surgery which involves rerouting the urethra and, for it to be truly "smooth" you may well require plastic surgery in the future. If one looks at photos of men who have been nullified, there is a distinct Y shape which defines the surgical lines. Comparatively, excising the scrotum and testicles is relatively simple. My own suggestion would be to remove first the part that will cause the patient the least mental trauma subsequent to the procedure. Doing it as one procedure has some positives in so far as the surgeon is concerned in that you are going to have to open pretty much the same areas twice. Then there's the infrequently mentioned prostate; Though it has nothing to do with "smoothing out" for a man to become without gender then it must be removed. Now you might be looking at three surgeries. In the end, it's a very personal decision but one in which the surgeon must have some input. As to drugs in advance, probably a good idea but they do not represent the slug to the mind that totality of excision of all genitals will bring. I only did spines and brains but had you come to me, I probably would have only done one at a time starting with the testicles.

Wanting the smoothy is fine but never forget that to achieve it requires a helluva lot of very precise surgery, this isn't just about how you'll look but how you'll live the rest of your live.

[daifu-orchid (imported)]

Yes, once you are sure you want it, getting castrated -and removal of the scrotum seems the comparatively easy part.

To get rid of the the penis completely seems to involve (according to some homework I did a while back:

"Where removal of the penis is involved this requires significantly greater skills than the removal of the testes. Advanced techniques of nullfication include severing the 'suspensory ligaments' to drop the penis before amputating it, also to produce a urinary outlet lower down for convenience. A new urinary opening may be made between the root of the penis and the anus, this involves advanced incision and suturing skills.

Such an opening reduces the need to remove more of the penis itself to lower the urinary opening for convenience. During the surgery a catheter is placed in the urethra, where it remains during post-op and healing. A tiny (or large, depending on the exact style of the operation) pee hole remains."

Most of my old links don't work now, but a search with "penectomy thailand" gives many leads. (Maybe use duckduckgo.com if you don't want to be tracked.)

The surgery is done by some of the most experienced in the world, costs half or less than US prices, but even with the airfare, still costs less. The letters requirement seems best resolved by direct contact with the folks doing the surgery, as this isn't quite the regular M->F.

This topic comes up every so often here, so try a search of this site for some useful necropostia?

[Begoneboy (imported)]

you guys gave "smoothiesoon" some great advice. My hat is off to you for that. Especially by addressing the fact that the prostate is still in there.

I didn't bother to have the prostate removed and over the years am glad for that. It does indeed provide a substantial benefit to a healthy happy life.

Smooth is after all subjective to how an individual feels. I feel quite smooth to many and not exactly so to others. However, what is the most important

is how a person feels about themselves. I feel smooth to me so that's whats important. And it was the easiest for me to have both castration and penectomy all at the same time.

There was no need to go deeper into the body cavity to remove the prostate in order to achieve my desired results.

[TgEunuch (imported)]

If I ever have to option, I would love to have my orchiectomy, scrotatectomy, penectomy and urethral relocation done in one operation with only one recovery and be done with it.

[robertbruce (imported)]

It seems to me like there is more surgical experience with sex change surgery. Why not just get a vagina and call it a day?

[sparkey49 (imported)]

Not everyone wants a vagina!

[Chrissym (imported)]

I think you should have the surgeries in any order you want. I am certainly glad i had all mine done at once for healing purposes but spending the rest of your life without a penis and having to sit to pee is a major step! If you find women sexually attractive maybe just start with you balls first though as penetrative sex becomes a bit more difficult with a penis