There’s just a theme of me being late on updating, but like my previous post, this has to do with returning to work. Stay till the end for sex talk.
On Thursday, May 10th, I had a follow-up phone call with Dr. Safir about my healing progress from first stage metoidioplasty. My initial surgery was performed on March 7th, 2018.
Dr. Safir and I had a really great conversation about my surgery, my results and what we are going to do next.
We discussed my urination at length. I have been dealing with at least two fistulas since the initial urination trial. He wants me to continue to send pictures/video every three weeks or so until August, when the four month mark will be up and we will go from there on a potential repair. He implied that I might go out there for repair, but if he’s wanting to separate the repair stage from stage two, then I’m going to see if he thinks my urologist here can do the repair.
Dr. Safir and I actually started discussing a lot of stage 2 things on this call. I asked him about this: “majora fold reduction,” a term I’d seen on Chen’s site. Dr. Safir responded that he and Dr. Chen had actually spoken the day before and this came up in conversation. He said it is a type of L-shaped incision that reduces the majoral folds at the top of the genital region/pubic bone.
We also discussed doing a “lift” due to my anatomy. I was very firm on wanting the “majora fold reduction” and the “lift.” For me, I think those two things are going to be very vital when it comes to my final satisfaction. I am not sure if the “majora fold reduction” will take the place of a monsplasty or not. I’ll ask him next time we speak.
Towards the end of our conversation, I told him I’d made the decision to go with the Coloplast testicle implants. I think his reasoning for those is solid and in the end, I want the best results with the least complications that I can possibly have.
It will be interesting to see what the next two months hold. So far, plugging my fistulas with my fingers is proving to only help half of the time. Still, it feels better to me to do something, rather than do nothing to try to help my situation. In the end, I trust that things will be OK. I do not regret any of this for one second and would do it all again in a heart beat.
I asked Dr. Safir about my sexual sensation. Many men report that sex is “fantastic,” “amazing,” and “better than before,” post-op. So far, this has not been my experience. I still have a line of stitches on the underside of my penis, which the local urologist would not touch or remove. Dr. Safir informed me that these are no longer providing a structural purpose, but I am now stuck with them until they come out. These stitches are probably impeding some of my sexual satisfaction. He also told me that the goal during surgery is to preserve the top of the shaft and tip of the penis to ensure sexual satisfaction. So far, these are the most erogenous zones I currently have.
I do think that some of my difficulty post surgery with sexual satisfaction has to do with psycho-somatic responses. These are manifesting themselves in loss of erection, difficulty orgasming and difficulty being present during sexual situations. While frustrating, these are things that can be dealt with and overcome. Dr. Safir did not seem to think that I was having significant sexual problems and encouraged me to not get discouraged and continue to “practice.”