Questions related to the surgery

As mentioned in my previous post i said i would post the questions i asked the surgeon’s assistant. Also, this post is NSFW as there are some details regarding myself and the surgery.

Note: Surgeons from different countries could give different answers than she did during the consult. These questions were focused on the procedure in the Netherlands.

Q: After shaving the genital area my skin get’s irritated, is that going to be a problem for the surgery

A: Yes, damaged skin is not good before a surgery so let us do the shaving.

Q: When do i have to stop my hormones? And when can i start them again?

A: You have to stop your estrogen 3 weeks before and your anti-androgen 1 week before the surgery. You can resume hormones 2-3 weeks after the surgery.

Q: Is being allergic to dust particles going to be a problem for the surgery?

A: Generally speaking the resting rooms are very clean so you don’t have to worry about coughing or sneezing too much.

Q: Which degree of sensation can i expect after the surgery?

A: In the vaginal canal there is not a lot of sensation, but on the outside (clitoris) there is a lot of sensation.

Q: Which degree of self lubrication can i expect?

A: You can expect some degree of self lubrication, but usually external lube is needed. If you’re lucky you won’t need lube at all.

Q: What depth of the neo-vagina can i expect?

A: Depends on your penile length, but usually between 10-15 centimeters.

Q: What are the chances of getting complications?

A: 2-3% puncturing the colon, bleeding 85% (fairly normal),Β  tissue not healing well 20%.

Q: How much experience do the surgeons have?

A: Bouman 10 years, Buncamper 15 years, Ozer 4 years. It’s likely you will get Ozer because the others don’t do surgery that often anymore.

Q: Which parts of the penis will be used for which parts of the neo vagina?

A: Penile skin for the inside of the vaginal canal, scrotal skin on the outside, penis head for the clitoris.

Q: What happens to the erectile tissue?

A: We will leave as little as possible.

Q: What doesn’t get created with the neo-vagina that natal vagina’s do have?

A: [laughs], a womb. In all seriousness we will try to get it as close in structure and aesthetics to a biological woman as possible.

Q: Where is the scar going to be?

A: On your groin.

Q: At what location am i going to have the surgery?

A: In a hospital in Amsterdam (Amstelland).

Q: Where can i buy dilators?

At the clinic for 40 euro’s.

Q: How many times do i need to do the pelvic excercises?

A: You can do it twice a week. Breathing excercises you can do every day.

Q: Who do i call when i have complications?

A: You should call the plastic surgery section of the gender clinic.

Q: How do i know the anesthesia works on me?

A: [laughs], you don’t have to worry about that. If we don’t see you sleeping we will give you a different kind of anesthesia.

Q: Which degree of pain can i expect after the surgery?

A: In the first two days morphine might be used, after that pain killers. If you’re still in too much pain we will give you an injection.

Q: What clothes should i bring before/after the surgery?

A: Something loose/wide that you feel comfortable in. Don’t wear anything that exerts pressure on the groin.

Q: Are there other things i should have before/after the surgery?

A: Pads, lube, towels, dilators.

Q: What is the average recovery period?

A: 6 weeks to do your daily things and work, 3 months to be able to do everything again.

Q: Is there a possibility for a labiaplasty after the surgery?

A: I don’t know why you would need that but yes, we do give those.

Q: What activities do i have to stop before the surgery?

A: None, you can do everything you want up until one day before the surgery.

Q: When can i have sex/do other sexual acts?

A: The surgeon team’s opinion on this isΒ  that you should first explore your new genitals (after 3 months) and then you can have sex (unless it hurts, then wait).

I hope you guys learned something from this πŸ™‚

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