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The person
Published in Suzanne Everett, Handbook of Contraception and Sexual Health, 2020
If a trans man needs to be catheterised, then it will need to be based on their genital presentation; trans men with a phalloplasty can be catheterised the same as with other men. A phalloplasty is a construction or reconstruction of a penis using veins and arteries from forearm or thigh to create a graft and shaft of the penis. A metoidioplasty is the creation of a penis and scrotum done by cutting the ligament surrounding the clitoris to create these.
Phalloplasty
Published in James Barrett, Transsexual and Other Disorders of Gender Identity, 2017
In summary, metoidioplasty can in some centres be a one-stage operation. The more complex the neo-urethra or neo-scrotum, the more likely it is the patient will require two or maybe even three stages. The bigger the clitoris, the more likely is a satisfactory outcome.
Before the cut
Published in Gabriele Griffin, Malin Jordal, Body, Migration, Re/Constructive Surgeries, 2018
Margrit Shildrick, Marie-Louise Holm
Beyond such drug treatment, what is often referred to as top surgery involves the removal or enhancement of breasts. Transfeminine persons may be offered the possibility of facial feminization surgery or surgical shaving of the Adam’s apple. Full GRS, also known as bottom surgery, is far more extensive. For nonintersexed AMAB persons it consists of the removal of testicles and the flesh of the penis, followed by the construction of a neo-vagina from the remaining skin tissue. In the case of non-intersexed AFAB persons, there are currently two available procedures for making a neo-penis, after removal of the ovaries, uterus and vagina, and closure of the former vaginal opening.3 One is metoidioplasty, an intervention surgically replacing clitoral tissue, which has first been hormonally enlarged, so that it protrudes more prominently from the groin, as well as creating prosthetic testicles in a scrotum. The other procedure, phalloplasty, may be a later additional intervention building on a metoidioplasty if a bigger penis is desired. Here skin and tissue from other parts of the body are transplanted to form a larger penis around the existing one, and erection is made possible with the aid of a built-in pump system. Regardless of which kind of neo-genitals are constructed, in any GRS performed today on non-intersexed individuals, existing nerve bundles are used, usually preserving sensation fully or partly as well as orgasmic function, which might even be enhanced (Cotton, 2012). Since the structure of intersexed people’s bodies differs from those categorized as female or male and varies across them, and the number of intersex persons is smaller than that of non-intersexed trans people, there can be no single account of such GRS procedures. Moreover, GRS on intersex adults is often an extension of surgeries made in infancy, childhood and/or puberty. Previously, but also today to some extent, such surgeries were aimed at obtaining a cosmetically normalizing result rather than the preservation of sensation and function, and this, for many intersexed persons, has resulted in lost sensation and/or chronic genital pains (Dreger, 1999).
Phantom Penis: Extrapolating Neuroscience and Employing Imagination for Trans Male Sexual Embodiment
Published in Studies in Gender and Sexuality, 2020
It is my contention that all trans penises need optimal embodiment for optimal function, and that the phantom is advantageous for erogenous sensation in the penises of trans men. For my purpose here, I consider all trans penises as conceptually “prosthetic” because they all enact formal bodily completion and they all present functional challenges, that is, gaps between proclivity and fulfillment. In every case, the phantom penis can offer a valuable bridge. Trans Male PenisesRearticulated original anatomy (linguistically claimed).Testosterone nurtured original anatomy (growing and libidinal).Penile prosthetic (inorganic; temporary augmentation).Bionic prosthetic (inorganic–organic collaboration; temporary or permanent augmentation).Metoidioplasty/meta (one’s own “alike” tissue, i.e., genital for genital).Phalloplasty/phallo (partly one’s own unalike tissue, e.g., arm to penis; partly one’s own alike tissue).Penis transplant (another’s alike tissue, i.e., donor penis to recipient; futuristic for trans men).Tissue-engineered penis (one’s own alike penis; futuristic).