(nsfw) When a woman gets a sex change, do they have a working penis?

Okay this is gonna be a bit gross and a bit NSFW so be careful.

There are two options for genital surgery.

Metoidioplasty depends on the effect of testosterone on the clitoris; basically the clit gets bigger, and will end up being 1–2 inches in length and resembling a perfect penis, capable of full erection, orgasm (and even penetration for some lucky lads). Metoidioplasty cuts the penis free of the clitoral hood so it hangs in a natural position, and hooks up the urethra so it’s possible to urinate through it. You end up with a perfect but very small penis. A scrotum with silicone implants is also constructed from the labia. Cost – around $15,000–25,000

Phalloplasty uses skin and tissue grafts from other parts of the body (usually the abdomen, inner thigh or inner arm) to construct a full-size penis which is then grafted on, again with a urethral hook-up. Clitoral tissue is used on the head of the new penis in the hope of maintaining orgasmic function. Again the scrotal implant is made too. Erection is only possible by using an implant and pump, but penetration is possible. Loss of sensation is a common problem and orgasm may no longer be possible but some trans-men prefer to risk this in order to end up with a full-size penis. Cost around $30,000–50,000.

There are a lot of risks with both types of surgery, including horror stories of phalloplasts actually falling off, and cases where the urethral hook-up didn’t work. Neither of these surgical options will allow actual ejaculation because the testicles are made of silicone.

As an alternative there are some really excellent-looking medical prosthetics that can be used instead – either for sex or for urination, but rarely both functions in the same one. They cost between $500 and $1500 but would need replacing every couple of years or so.

@downtide I knew that bitch was lying to me when he said he had a 12” penis because he’s FTM!!

Wow, thank you @downtide. What’s down with the vagina opening?

@MyNewtBoobs he probably has one made of plastic that he bought off the internet!

@downtide Oh my goodness, falling off?
And, would one be able to tell the difference between a “born with” penis vs a new penis (by looking at it I mean)?

Good question, I was pondering many things after the Chaz Bono question.

I’m not that educated in transformations such as these, so please excuse my terminology :)

@Pele Forgot that bit – the vagina is closed up when the scrotum is made and some of the tissue from it is used to make the extended urethra.

@PluckyDog With a phalloplasty, yes you can definitely tell. It looks pretty ugly. With a metoidioplasty, no you can’t tell the difference between a trans-guy and a guy with a natural micropenis.

Thank you @downtide for educating me. Wow, what process. That’s huge. All of tears I bet. Years of work?

How interesting. I suppose that when it comes to the physical, M to F would be a heck of a lot easier than F to M, at least when looks come into play.

It’s certainly perfectly understandable why many FTM transfolks opt to not have bottom surgery at all.

That’s a very risky procedure to undertake and I’m assuming that the most important considerations are how the transperson views himself and secondarily how important a penis would be for his wife/partner.

Aside from that, who really cares what the rest of society thinks ?

@Pele yes it is an ongoing process of several years; not just that part of the surgery but all the other treatment too.

@Buttonstc it is all very risky and the results are not ideal. I still have time to decide but I’m not sure if I want to go through with that part of the treatment.