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Gnossiennes
Jan 7, 2013


Loving chairs more every day!

banned from Starbucks posted:

Wait what? How do you gain testicles? Where do they come from?

as a trans masc person who has done a lot of lower surgery research in hopes of having lower surgery a couple years ago (COVID ruined those dreams and i'm leaving my job in a week, so lol, welp):

it's scrotoplasty, and essentially the labia majora are fused -- the exact "style" depends on type of scrotoplasty, particular surgeon's technique, and limits of the starting tissue. depending on surgeon, they may use tissue expanders here, or go straight to testicular implants iirc. the implants are just lil polymer ovoid implants.

labia majora fusion works quite well because they're homologous to a scrotum, and already like, y'know, kinda dangly.

the scrotoplasty part of transmasculine lower surgery is comparatively pretty simple. phalloplasty (generally a free flap graft from arm or thigh, rolled into a tube, with nerve hookup -- generally with urinary hookup, but not always) is very complex, with permanent hair removal requirements that take ~1yr prep time, is staged across several surgeries, and has pretty intense recovery times. Urinary hookup especially introduces a lot of risk for healing complications (generally stricture or fistula). Metoidioplasty is a little less complex, but is very dependent on individual response to hormones and existing tissue.

They're all pretty fascinating surgical procedures, but it can be difficult to get information on if you aren't actively pursuing it.

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Gnossiennes
Jan 7, 2013


Loving chairs more every day!

oh actually i left out a key part about scrotoplasty + phalloplasty lol

if you're doing phallo, you also have the choice of getting an erectile implant or not, and if you choose implant, there's two main variants: a flexible rod (essentially so you can bend it down for the ol daily driver mode), OR an inflatable implant. the inflatable implant has saline that moves from a reservoir into cylinders in the shaft implant, and a pump and a release valve in the scrote for moving the saline back and forth. so in some cases, the testicular implants are those instead of just the ovoid ones.

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