INTRODUCTION

Hi guys, I recently got back from Belgrade where I had surgery with Dr Miroslav Djordjevic  ( Miro) -

STAGE 1 was performed on November 2012. 
STAGE 2 was done in March 2014 
STAGE 3 in December 2014 
And ONE FINAL TRIP for urethral closure to the tip - See video

I went for direct MLD  Phalloplasty, including Testicular implants/ Vaginectomy / Urethral reconstruction / Glansplasty -

 Am willing to share my experience and give an acurate feedback about the outcome - I will try and precise informations that seem relevant out of my own journey there -

I will be pretty positive about it, won't forget to include the few downs that came along and will also allow a few tips about pre-op planning and post-op too - Would like to insist on the fact that this is one person's observation, and one's body reaction to a quite heavy surgery -

it is Not an effortless intervention, you  have to be prepared both mentally and physically and sure of your choice, be ready for pain management and discomfort and make sure you're in the right environment for recovery time -

Link to videos

Hi guys,
Have started to create short videos about MLD procedure -
I will keep on adding some along the way, relevant information seems worth sharing
and is a way to answer some general questions


                                             Introduction to Mld

                                             Stage 1 - Description

                                              Urethral Lenghtening
 

 

A WORD ABOUT SERBIA AND ARRIVAL IN BELGRADE

Serbia is part of what was known as  ex-Yougoslavia just a decade back, and country is in post-conflict and political restrains expansion; it is not quite heard of yet but the country is developping smoothly and surely, people are of a polite and pragmatical type. 
You find a good sense of hospitality and forwardness that can be found quite appealing; the arrival in belgrade is taken care of for all patients from overseas - 
One of the team (Djordje or Leo) will come and pick you up at the airport all the way to place of accomodation. So even though one is travelling from hundred miles away, landing there is not really an issue as long as you've kept precise about day and time of arrival , someone will be there to greet you.

The currency is made in dinars, it is possible to exchange euros and dollars once you get there; 

                               Look for that sign!

                                                                BELGRADE

CONTACT WITH THE TEAM

I established first contact with Dr Miro in May 2011 and have kept in touch since;

he is fast to answer, and writes what's necessary, he does answer to questions but i recommend spending some time making your own research beforehand and be quite clear about what surgery fits you before getting in touch. He is also fine with phone or skype contact with the patients.

Most of the communication is made through his assistant Marta, who also has a training in surgery;

There are 3 other guys that work with Miro, including the anesthesiologist who takes care of the pre-operative medical exams that are required before coming to Belgrade.

Contact with all of them is easy enough but have in mind that you are one patient amongst many others,

they are a hard-working team, with heavy schedules and as much care you do get, they also have a lot of different surgeries to carry out.

Miro is definitely a very skilled surgeon, passionately dedicated to his work, has a direct and warm approach and will answer your questions in a very short lenght of time.

If you can't find his contact , or have questions prior to getting in touch with the team directly, I'd be glad to answer  and put you through. 

PHASE 3 Completed

Hi guys, came back from Belgrade last month (Jan.2015) and result from 3rd phase
definitely works for me

Here are 2 shots of what i now consider a final result -


                                STAGE 3 - End Result

                             Lenght: 5.5/6 + silicone filled 27ml implants

                                             FRONTAL VIEW



Here is abrief description of what I asked Dr Miro to perform this time around -

Stage 3 : Canal Tubularization ( from half to tip of the penis)/ Aesthetical corrections (lump removal @ the base) + conclusive clitoral glans burial.

No erectile device as of yet - and that's a choice -
1 - I am okay taking my time on this one
2 - I can manage good intercourse (and from post stage 1) as it is.
3 - Penis got firmer as each phase went.

Urethral Lenghtening

Urethral Lenghtening as performed by Dr Miro:

Phase 1 = Extension of original urethra to 1/3rd or half of the penis
Phase 2 = Buccal Mucosa graft (that has to settle for a few months)
Phase 3 = Canal Tubularization (closure of the final canal)


Here are photographs of UL following stage 3


                          CANAL TUBULARIZATION


                               3 WEEKS POST-OP

                               1 WEEK POST-OP

Cock talk

Enough of those recovery speeches, what really counts is what you get after you've dutifully managed that out-of-this-world post-op care, to be taken seriously (very seriously indeed) but that you only want to go through w/th a touch of sense of humor, as tough as it can get sometimes.

Question is can I actually use this cock at all, what about rigidity, intercourse and how do I relate to it post second stage -

 Reassuring news is that yes some action is definitely and positively manageable -
As a reminder, I started the phallo process whilst in a gay relationship;
and I am way more of a topper than the opposite, so lets see what surgery has done for me so far.
The only way I could manage penetrative sex between stage 1 and stage 2 was to go w/th a chick - penis is not firm enough for anal intercourse.
It does not mean you can't have gay plays , after all penetration is far from being the only thing you can do to someone; rubbing, wanking, oral.. are available options.
As hard as u can try and set focus on other things than penetration, straightforward gay sex is still an issue when you don't enjoy bottoming that much.
Thats for the first drawback, let's move on to what actually Works and definitely makes the whole process worth it -


Post First stage
Let's push it a little and confirm that yes u can definitely go for penetrative sex after stage 1 only -

Wanking is possible after a reasonable healing time of 6 to 8 weeks after surgery
Wait until you've totally recovered and you may want to give penetration a try.
Your cock may not get a full erection but it is large enough to use it and 2 condoms make for the firmness; some added mental effort and serious play with your partner and you might even be surprised to find out that you can get close to stiffness. Happened to me a few times and that felt great. After all there is blood streaming in that shaft of yours.

TIPS : Infections are more likely to appear in that first year after stage one, always have some antibiotics on the side (Amoxycilline) and go for a course within first sign of something wrong going down there.

Post Second stage
Glansplasty is a must, makes a real difference to how your penis looks like but also Feels like and helps a good deal to diminish that "limp" sensation you may have to struggle w/th after stage 1 only.
Your cock gets a proper shape and oral sex is way more comfortable - both for you and your partner.
Wanking also feels different now that clithead's been attached and sown to the base, I did Not enjoy that "rubbing against it" feeling so that has vanished too, along w/th last remnants of slight dysphoria.
Penetrative sex is enhanced and accepting the fact that there's no point getting frustrated from what you Can't get - such as tough hard-on or the ability to ejaculate - helps a great deal in enjoying what you can actually do, and a lot of options open up.
I can now go for rough and raw, w/th a chick easily enough -
as for another bloke, that would have to be his own ability to open up. Anal sex even amongst gay bio guys is always a deal about who fucks and who wants to be fucked, and to be fucked, you need to open up, and what you decide to shove inside does not have to be stiff as a piece of wood -  Phalloplasty surgery conceived for trans makes large enough penises to arouse strong desire and allow different types of sexual encounters, wether gay, straight or bisexual.


TIPS: A cock ring to hold the base - + it looks good -
 "They Fit" type of condom, when you're on the larger side and to cover buccal mucosa graft 

http://www.theyfit.co.uk/

STAGE 2 MLD

Now is time for a report on second stage , that I was finally able to achieve, after months of painfully putting some cash aside; this surgery is paid out-of-pocket and it sure wasn't an easy target..

Anyhow am pretty positive w/th the results, here is a full description of a 3 hours procedure: 

Neophallic base reshaping / Nerve hook-up /Replacement of Bilateral testicular prostheses - from 21ml to 27ml / Urethral reconstruction with buccal mucosa graft / Glansoplasty ( Norfolk technique ) / Clitoral covering -

Yes, that's a lot of things done in such a short time , big up for Dr Miro's confirmed skills -

 And here are images  

                                          SUPRA-PUBIC CATHETER ( 3 weeks )

Glansoplasty (Norfolk technique)

Shape looks good and definitely makes  a difference from result after stage 1 -

I did discuss it previous to  the surgery w/th Miro so we could agree on what i was looking forward to, aesthetically speaking -

Feel is great, touch too -  should be more comfortable to stand naked and share it w/th any  future partner - happy w/th the outcome -

Urethral mucosa graft ( part 1 of final stage)

Looks rough but isn't painful

  Surgical explanation: this is the first step of Urethral Lenghtening finalisation; some skin was taken from inside of my left cheek (= Buccal Mucosa Graft) and attached to the phallus - that has to be constantly treated with moisturizer and cream Until it gets suple and elastic enough to be sewn back together to create a final urethral natural tube (called urethral tubularisation) - Most important is that it doesn't dry up -

4 months post stage 2

A little update would not do any wrong

Fully recovered from stage 2 now, am back on track and have been totally mobile since end of May (surgery was in March)
All in all it was about 2 months before my genitals were clear of any suture or soreness.
First cycle ride felt really welcomed, being able to stand up a whole day, garden and get back on a ladder too -
Because I could not use lower part of the body so much for a while ( and yuh.. was that hard to accept...) I had the chance to do shoulders (but also arms/abdominals) work-out by weightlifting - that was perfect up until I could use my whole body again.

Lads, I really want to insist yet again that post-op phallo is definitely not something to take lightly -
It is nervously straining to be totally aware of your surroundings, to feel awake and sharp and then find out each day that your body can't keep up. You can always perform necessary stuff, like going shopping, manage a walk, or else but it requires patience and some rest before you can pretend a whole day out and about, and it can get quite frustrating at times -
In the end , looking back at it, am grateful enough not to have had any major complications, I still had to deal w/th an open wound between my balls and my butt, due to the flight back when a few stitches just ruptured - It took me a week to decide that as long as i kept it clean and that it had no sign of infection, I would not show up in a hospital service - it healed by itself in the end.

Chronological sum-up :
Surgery on the 10th of March
Upper body work-outs : end April
Outdoor physical activities (without straining): end May
Back to travelling: mid-June


 TIPS: Forcing yourself to rush back into work or physical activities is not the way to go if u want to avoid complications -
Always plan 2-3 weeks longer than what you're being told for post-op healing -



                                       CONDOM ON

                                                                                                            

8 WEEKS POST-OP STAGE 2

Having had the surgery on the 10th of March 2014, I had to figure out for myself how long exactly before I could get back on track and here are time delays precisions -

For that second stage, which is far less heavy on the body than first stage, only 3 hours on the table was necessary (when it goes up to 8 hours for stage 1) and i'd only spent one night in the clinic before being driven back to a hotel room the day following surgery -
Sticked around in Belgrade for 10 more days and took a flight, wearing the supra-pubic catheter once again, but this time had a neat device not to get drips of piss soaking my jeans..whilst walking around loaded w/th luggage....which had been an issue in the past -

SAFE N SMOOTH                                              

                                                                                                         

Back in a small studio sublet for post-op care, a lot of stitches to strenghten buccal mucosa graft in place + around rectum area where some skin tissue had to be removed (to avoid unecessary swelling)
now was only a matter of time before they fall off -

It took precisely 45 days before I could confirm physical mobility without any suture getting in the way - Before that and from day one , I had been mobile, having to shop or travel or getting meds but the whole area was obviously sore and risk of inflammation always present.
Especially since i had decided to swap medium-size testicles to larger ones, that was an added bonus that did go along the graft but which required some more time before resuming daily activities or long walks.
Once the soreness had gone, the few leftover stitches were enough to be an issue when trying to get active, even putting jeans on was a pain in the butt.. That's when you're a happy lad just hanging around in a pair of shorts, genitals dropping, avoiding tight knickers or itching of any kind.


       POST-OP KIT

            









          

                                                          CATHETER... OUT

TYPE OF SURGERY - Description

MLD PHALLOPLASTY Stage 1

Including : vaginectomy, neophallic reconstruction - microvascular MLD free flap phallo, clitoral lenghtening and straightening with the fixation at the base of the neophallus, urethral reconstruction 1st stage and scrotal reconstruction with bilateral testicular prostheses.
Total cost was around 18 000 Euros + Stay (about 2000 E for 15 days , inc. food )
(To double-check depending on what your surgery includes)

OUTCOME RESULT - 5.5'- 2 months post op

 Vaginectomy includes total closure of the vagina and removal of internal tissues - "Mucosa and submucosal wall are removed and then a muscle is used to close the space and create perineum as in male." No complication whatsoever on that side, no inernal pain, skin has sealed around the testicles, scar is barely visible. Also one of Belgrade's team achievement, vaginectomy is a difficult  procedure but they somehow handle it in less than an hour without risk of extreme bleeding and possible blood transfusion.

Clitoral lenghtening and straightening  with fixation at the base of the neophallus;

as you can see on the photograph, the head of what's left of the previous clitoral glans is visible between the balls ; it feels like a small piece of skin, very sensitive at the touch and it will be covered by the phallus in stage 2 - As far a I am concerned this is the only small detail that I hadn't expected, I had asked Miro about it and he was honest on saying that it would be placed between the testicles but for some reason I had assumed that there would be no trace of it after the intervention - I did not actually specified for it to be buried at that stage and when i asked about it a few days after surgery , from the answer i got and from what i gathered , it is safer  to "leave it aside" and focus on the urethra first. It does seem sensible to give priority to internal functionning and intervention is huge enough not to take any risk regarding aesthetical results. Still I am looking forward to 2nd step so that the head can totally disappear.

Urethral reconstruction stage 1

Neo urethra - 7 weeks post op

 Miro definitely succeeded in extending the urethra up to  1/3rd of the phallus (as shown ) .

I could use it after 4 weeks and it is a nice feeling Not to have any tube or catheter inside to be able to urinate; No infection , hardly no pain when peeing

It does go a bit everywhere at first but then flow gets steady and I can pee standing up almost without having to put jeans down -

Scrotal reconstruction w/th bilateral prostheses (21ml)

Medium-size Eurosilicone gel-filled prostheses (will go for larger size on a next stage), still quite hard to the touch at that point but should get squeezier wth time - Very sore first 6 to 7 weeks, very tight too , getting better after 2 months, skin is loosening around, scar barely visible -

One is looking up, the other one is lower down , will take a few more months before they both settle down and feel 90% natural..

Add: They are Several ways of creating testicles area;

there is the possibility of gradually loosen the skin Prior to get placement of implants (Scrotoplasty),

place some tissue expanders and then place permanent testicles prostheses on a later stage - You will find good description of those procedures on Meltzer website, http://tmeltzer.com/Surgeries_Procedures/ftm_surgeries/lower/tissuex_ftm.html

 Expanding tissue and placing prostheses at once is possible but it is quite intense regarding post-op pain, and risks of complications or infections are to be considered too. Every body has its own immune defenses and reaction to medical intervention, healing process is essential..

SURGERY AND IMMEDIATE POST-OP - STAGE 1

Surgery being scheduled on the 15th of November, I stayed for 2 weeks around, leaving on the 1st of december -

Spent 6 nights in a small, private hospital, checking-in the night before the intervention, clean, quiet , the nurses had long shifts , with a touch of sense of humor and got to learn a few words in serbian -

                                  ST MEDICA CLINIC

 First night - got a visit from Miro checking out last details and ultimate questions + from the anesthesiologist who explained what to expect for the day after surgery.

Morning before the surgery - After a light breakfast, priority is given to emptying your digestive system, you're being given a suppository that makes you go to the toilet, not a very pleasant feeling but is necessary, do take it in and use it, that'll be something less to worry the day after surgery-

One detail that was much appreciated, I got a first numbing shot beFore being taken to the operative room, in my room, so actually saw and felt nothing of the journey through the corridors, excellent.

During the stay at the hospital, you're lying down and hardly moving for 5 to 7 days, genitals are lightly bandaged and checked everyday and you get liquid painkillers and antibiotics through a tube connected to your hand - Body liquids go into 2 bags on the side of the bed -

The week post-op at the flat is when you actually take the measure of what your body has gone through;

flat is for rental (60 + 14% tax per night), comfortable, with all the facilities and in a quiet area.

I did ask myself before going to Belgrade if I wanted to handle the whole stay by myself and eventually decided that it would be nicer to have someone around.

It is not too much having a close friend or your partner to be there to help for food shopping, cooking and daily tasks (like putting shoes on..). And for company also -

That first week after the intervention is quite heavy and your body does feel slightly out of control;

in my case but from what i can suspect to happen to guys after phallo you are not in total control of the way your body voids urine, I got wet several times, best is to organize your bed covers, (and spare pairs of shorts and leggings..) and accept the idea - it only lasts a while and that will go as soon as the phallus catheter is taken out.
You have 2 catheters coming out of your body after surgery

Once the phallus catheter ( "foley" catheter ) is out - 15 days post-surgery, you still have another thinner catheter (called supra-pubic catheter) placed in your bladder, coming out of your low belly; you then void through that one for around 15 days - At that point (15 days after surgery) it is still too early to try and void through the phallus itself, neo-urethra needs to settle; That 2nd catheter is not obvious to use at first but with an effort on the stomach muscles, piss will definitely come out, the flow is quite slow (remember that catheter is quite thin compared to larger ones) and is very convenient for immediate post-op - Keep it for 4 weeks post-surgery -And you can wear under shorts and pants without discomfort, best is to stick it along your leg with a piece of medical tape.

TIP - If you encounter difficulties peeing I recommend some.. whistling! It relaxes internal muscles and helps ease up , try it -

Then comes the day where you want to start peeing with your neo-phallus, and that's were Miro skills definitely comes into play, urethra extension is a very delicate process and was a success as far as I'm concerned. Remember that at stage 1, the urethra can only be extended up to a certain lenght , 1/3rd to half up the phallus, and hole is created at the back (like shown on the photo) , under the penis.

That area created around the new urethra looks very sore at first sight, skin needs time to gently close down , and it will (count at least 6 weeks).

I can definitely pee standing up, i haven't experienced any pain since the surgery on that matter; important to drink clear water so your piss stays healthy and clean -

Neo Phallus  - 2 n 1/2 months post op

TIP  One thing that helped a lot especially on immediate post-op mode was to go under a shower for first piss in the morning and use the shower head to soothe area while peeing -

DONOR SITE

Ok so that's what's my side looks like after 2 months n half following the surgery - Site couldn't be totally shut down , leaving only a long side-scar;

Miro had to perform a free skin-graft, skin was too tight to put it back together - That's called donor site dehiscence, it happens in very Few cases  they manage to shut and sew a nice long line in 80% of cases , and you get warned that it could be a consequence of the intervention, depending on your body , muscles shape and skin elasticity - The more athletic your body is , the trickier it gets to close back totally -  It is all the more safer if you take at least 2 months to prepare the area through professional massages and skin stretching;

I had  around 20 sessions of it prior to my arrival in Belgrade. Skin was looking elastic enough, still i knew mine was quite adhesive and that muscles might get in the way..I was half-prepared to it so didn't get too upset and best was to handle after-care so it would stay healthy and clean. As abrupt as it can look to the eye, it is totally Numb, no pain at all, a bit too close to the armpit maybe but hey nothing can come too easily I guess - So the one detail i had to deal w/th post-op being that instead of taking some skin out of my thigh (which would have been yet another sore area on my body) I was told that graft was made from what was left of the vulva, meaning in short that i got a piece of vagina patched on my side, is that cool or..scary? All depends on how u look at it -  I'd like to insist that it is one of the most important step Prior to surgery to actually take the time to prepare donor site area, with (at least) 6 to 8 weeks of massages - depending on your skin elasticity -
  MLD Phalloplasty Massage video
+ Some Good Infos on  musculocutaneous-latissimus-dorsi-flap.htm To Copy/Paste in Google ..!
SEE LINKS @ bottom page

TIPS :  I chose not to get mad about it and am actually quite okay with the idea, i still have the possibility to cover it with a tattoo once it'll be tottally healed and safe -
+ I double-checked the information: there is a point where your skin reaches maximum elasticity, and i had done what was necessary, so it is neither a medical failure nor negligence on my part. It is only one eventuality that you have to be ready to deal w/th, still i insist it rarely occurs-  

5 MONTHS POST-OP HUNCHES

How about a short view of the results and of the general feel towards that new set of genitals -

Seems relevant enough to communicate as for informative purpose to those who are also aiming at phallo; I shall get a little graphic indeed -

Penis size is definitely fine , I have no doubt that the insertion of an erectile implant will be possible;

penis girth got more acceptable , in the sense that it felt really "fat" at first, and sligthly exagerated,

but that has settle along w/th the scarring, it got less thick and  more realistic -

As for testicles, that's  what i want to be talking about really; 2 things that have become obvious by now: they're quite rigid and hard to the touch, more than natural ones, and they won't go lower, one is closer to the base of the penis, and it doesn't feel like it's ever going to loosen enough to drop..

Scrotum construction can be done using different methods, mine was created all "at once", w/th the insertion of permanent medium-size prostheses, without any preparation of a scrotal bag;

Prostheses come in different sizes and you have the choice between permanent ones , (that are too rigid in my opinion, but that could suit guys that want harder balls) and expanders siliconthat you fill w/th e and that gradually strectches the skin - (over a period of several weeks ) - 

Some surgeons also prepare an empty scrotal bag for prostheses to be inserted later -  one of the advantage being that post-op pain is probably less intense and time of recovery shorter, but requiring added pre-operative organisation.

I also know that it is possible to change inital prosthetics for larger (or smaller..) at a later stage in surgery,( which I intend to do myself ) -

6 MONTHS POST-OP - PARTNERSHIP N GAY SEX

Right, so am back after a short period of standby - living - after several months away and separated from my present partner since pre-op last year -

Not sure how we managed that one but fact is that we've stuck together , regardless of the distance and unplanned events, added to the surgery that came after and w/th which I definitely needed to deal by myself.

I'd invited him on the 2nd week of my stay in belgrade, on immediate post-op mode, and he was awesome taking it all in , got to meet Miro and her assistant, and even helped to change donor site's bandages - We'd lived and travel together prior to the surgery but I was finding it really difficult to actually share the same space , considering the distance I'd already taken from my body long before i met him. I made a point not putting that aspect of myself too central as long as we were together but had to give it a break at one point so i could focus and deal w/th my own physical issues without the pressure or daily effort that comes w/th keeping up a close partnership.

There is no major difference in the way we relate to each other now that I've had phallo, except maybe that I can now appreciate the idea of sharing the same space, and that i can wake up with the tranquille reassurance of having achieved what had become the number one priority in my life.

Change of genitalia is a relief and has definitely lifted dysphoria - the anxiety and the anger that comes w/th it.

Sex is possible to a certain extent - remembering that I'm only first stage post-op and that insertion of an erectile implant should definitely heighten up the way I can use my new junk;

There is not so much sensation along the penis, it is more like a mental satisfaction as well as the shape and volume that comes into play -

However my partner managed to make it quite alive and slightly rigid, more than i would have expected at that stage of the surgery, flacidity does vary to a different level, and, hot water (like after a soak in a bath..) seems to make it firmer too - 

Penetrative gay sex is not so much conceivable right now, I feel quite keen on waiting for further intervention, 
Oral...well depends on guys, will wait for glanplasty for this one too.

    

10 MONTHS POST-OP - STRAIGHT SEX

hey guys, haven't been writing anything for last couple of months, not so good...
I might be a happier guy now that surgery happened last year, life is still the same uphill struggle !
Am still looking forward to stage 2 , especially for the clitoral covering, this is such a pain in the ..
I am loathing the sensation, really feels like unfinished work, I had to stop wanking because of that -
For years one of my prior issues alongside gender change was having a roof over my head -
I find myself travelling a lot, doing some back n forth between the country I grew up in and Uk just to try and fit somewhere and not be in someone else's place - daily survival is taking a lot of space in my schedule ..... am i trying to justify how come I still haven't been able to put stage 2 in motion?
Probably yes..
Anyway that blog is not about sucking issues like daily living, it's about the surgery and post-op impressions....so...... lets get back to it!

Last post was about gay interaction, which won't be possible until insertion of implants, like i said previously, penetrative gay sex is not that obvious, you need more rigidity -
However, my partner likes my cock and it definitely makes a difference to the way our bodies can relate - 
Still, I am quite obsessed with penetration to be honest, so I had to have a try w/th a woman, before that need to "get inside" would become frustrating and overwhelming to the point of dumbness..
I had not been with a woman for at least 2 years and it wasn't planned , I had no idea it was going to happen just a few days previously -
We spent a couple of nights together and took our time -
She was at that stage where she'd got really bored of regurlar sex w/th cis-guys, so she was quite happy being with a non-cis one and reciprocal experiment  was fine w/th her too -
It took me 3 sessions before I could actually get into her, w/th my knickers still on, for support -
Condoms are an issue if you don't have the XL size (!!!), standard ones are way too tight and i broke a dozen of them , trying to shove it in ...
But ......it does help a little for more firmness in the shaft - 
About firmness , it does vary, my penis goes from flaccid state to more rigid (never to the point of being "hard") and thickness changes too , along w/th tactile sensation -
Some guys choose Not to have any sex between stage 1 and stage 2 , i would easily be that type that prefers not to have sex at all than using a semi-rigid phallus ... still, there is no way I could spend so many months without having a go at it..
but hey thats also why I'm still living by myself , being prior surgery is ....undefinable.... and after that, being "in-between" stages is not a walk in the park neither, especially when you still have to make the cash for it to happen -
Coming back to that girl, we had good sex, respect and affection were present,
 and it's like a healing process to be able to share that with someone that you hardly know -
If I got one advice to give to anyone in such situations, bottom line is to Take your time , there is no need to rush anything, to feel uncomfortable, you're allowed to spend the night with someone without having to "perform" absolutely -
Once that trust is taking place, the body follows too, sex doesnt work if the brain interferes too much..

TIP: To achieve firmness, I used 2 condoms one over the other + a cock ring @ the base of the phallus
2nd TIP: To draw a glanplasty , I cut off the condoms at the head
to make it look more realistic n give it a cool shape   






 

Sensations - First Report after stage 1

I'll be quite blunt on this one; but  a lot of guys are asking about that on forums

In my case, is too early to give a proper feedback, still for those who wonder, you do Not get erotic sensation straight after surgery, it doesn't work like that..

MLD Phallus won't get sensitive to the touch before a good few months , and even then am waiting for 2nd stage to try and fix smtgh for more erotic sensations, which i know is possible -

Apparently Dr Miro can do a nerve hook-up during stage 2 ( if you ask for it) that should increase sensation in the penis -

A word about Pain management

Physical twinge can be one of concerns prior to making the decision to undertake phalloplasty;

I'll try and sound the most realistic without exagerating nor undermining the level of discomfort that you can expect whilst not be anguished by it.

I'd like to insist that it is quite important to feel in the right environement for time of  recovery, it plays a role in your mindset and mental readiness, being optimistic , trustful and positive about the outcome will definitely assure a smoother and faster healing. As much information you can read about post-op , Your body (and so does your mind) only in the end decides how to react to such an intervention, and as for other surgeries (such as chest or hysto or else), times of healing and tolerance to pain vary a lot and proper setting helps.

In my case, that included first of all having no outward pressure of any kind, so as not to feel helpless and guilty of not being physically capable of doing things and living as usual. Having someone around is recomforting and soothing as long as that person is neither stressing nor expecting you to get better by the day. The key is to accept being in a temporary position of mild incapacity, knowing that it won't last forever and neither pushing it nor get depressed by it because of social pressure. Along with a good deal of efforts (both mental and physical) to not remain inert and "beatened" by the post-surgery state, you still have to give your body a rythm, and make the best to get a coherent alimentation, as minimal as it can be sometimes.

I can't say it was a walk in the park but as intense as discomfort has been at times, it's already behind.

Phallus was what hurt the most at first, and felt quite heavy for 3 to 4 weeks, that goes as well , the weight reaches a tolerable level after a while -

Now Balls was something to handle, its plain and simple, there's no way you can stand up for more than a few minutes for almost 4 to 6 weeks - Its important to manage bouts of getting up and walk a little but you can't do it for very long at first -

I managed a walk for about an hour after 1 month but still had to wait another 2 weeks to make a full day out and about - Before that balls are really sore and best is to rest..and eat well too -

Medication is needed for the first 4 weeks , make sure you have your own antibiotics and painkillers;

they provide it for the first week in hospital but then you want to have your own -

Precisions on immediate post op (first 15 days to 4 weeks)

First month is the hardest part, it is quite intense and you want mental organization to remain cool n easy and medication is definitely necessary, but sound medication is what works best too -

TIP: Some painkillers are not strong enough on immediate post op and there's no point shoving too many in your throat at once, best is to ask your GP for slow-released painkillers so u only take one every 10 hours or so -

2nd TIP : Instead of getting some pills as antibiotics (Augmentin) I got them in powder (that you mix with water), and that was a lucky guess; not only that makes it easier to swallow but also helps a great deal to manage a toilet, and boy is that welcomed when you have stitches all around your genitals..

3rd TIP: Get some medication for muscle stiffness, its great for body relaxation and it makes you Sleep too, despite the pain -