Who did your phalloplasty?
- Dr. Crane and Dr Safa/Dr Watt of the Bunke Clinic did stage one, Dr crane did stage 2, Dr Chen did stage 3 & 4, and he will be doing my last stage.
When did you have the procedure and which did you choose?
- Sept 10, 2014; ALT Phalloplasty using the right thigh
What was the estimated cost?
- $200K+ number is still up in the air I haven't actually added all the bills yet since I am not finished with surgery.
Did you have help from insurance?
- Yes, I live in California. Here the state mandates all insurance carriers in the state to cover transgender health care. I applied through the marketplace, due to my income level I was placed on Medi-Cal (California's medicaid) managed care program with primary provider of Kaiser Permenante of Northern California.
My out of pocket cost was $0, as a Medi-Cal member I have no co-pays for my medical care.
Where did you stay?
- At home
What did it cost?
- $0
How (and how long) has recovery time been?
- This is one of those questions that really can not be answered in a straight forward answer as every stage has a different recovery to it lol. In total recovery has been up and down but totally worth it and I'd do it all again to gain the same results I have at this point. In hindsight I would say the longer time in between the stages you give your body the better your healing in this surgery will be. Do not rush things in hurry to be done or in rush to have sex or things like that you will only live to regret it as it sets back your progress in the long run. Not to mention leaves you pretty damn miserable laying in bed while you have to let your junk heal and mellow out. Healing has a pretty horrible way of reminding our asses to chill out when we dont want to lol. But seriously, I would say after about 18 months post op things have mellowed out pretty well for myself. With proper care and time I am glad to be at this point in recovery and to almost be done with this process.
Any complications?
- Yes, during stage one I had necrosis at the tip and UL issues. Dr Crane and Dr Safa corrected this issue immediately within the first month. During stage 2 I had a buccual mucosa graft inlayed to the tip of my phallus to prepare for future UL repair and he did some lipo to my phallus. At the moment my urethral opening is slightly to the right at the tip about an inch under where the actual tip is. Something similar to how hypospadias condition is. This will be fixed during the last stage to the tip thus far it has been no issue other than looking aesthetically different.
-Fistulas, 2 of them within a month. I treated both with Medihoney, and within 3 weeks of proper usage and wound care they closed on their own without surgical intervention.
Were they resolved on their own or did they require further surgery/revisions?
- explained above
What stage are you on/how many left?
- I just have to have my urethra re-centered to the tip and my glans re-detailed to my specifications as discussed previously with Dr Chen during my penile implant stage.
Which stages are you planning?
How is sensation/erotic sensation?
- Perfect!!!! thanks to microsurgery I am at 100% base to tip still amazed every day about the sensation and very puzzled by the claims in research out there. I really wish there were more studies so I could participate and help update statistics for us as I really think what they are doing for us now a days is changing what they used to know about phalloplasty in general! I just have a really hard time believing I am the only one having success
How much time did it take to regain?
- I started getting sensation almost immediately which was very odd even Crane noted this. However the first sensations were NOT good feeling it was more electric feeling pins and needles type of sensation. Then it began to dull out a bit around 3-4 months and start to feel a bit more pleasurable. Then from there it began to grow increasingly stronger and along the sides. I choose to not have any surgery between stage 1 and 2 for 10 months I believe this gave my body its own time to regenerate without being messed with. During this time i fed my system with all the fuel it needed to recoup and regenerate its nerves and cells at top speeds naturally. After each stage my sensation seemed to increase a bit also I reported this to Crane and Chen also. By my year mark I had full sensation base to tip, the one sensation that I still am getting back slowly is hot/cold its very spotty but slowly its coming in.
Are orgasms different?
- My orgasms are EXTREMELY different. They are totally more intense now and I like that a lot. I feel everything in my penis not just at the base but when i stroke I feel every touch, grip, etc on my phallus as if its always been there especially at the tip. This is one thing I can say that is continuously growing as time goes on. I am very interested in seeing how things progress over the years I may have to keep track of this for my own records.
How are your aesthetics?
- Things are great thus far, I am just waiting for my glans to be re-detailed thing things will be settled down and healed for good. I need a little bit more hair removed but its nothing that will kill me if it doesnt happen today lol.
Are you happy?
- Hell YES!
Has dysphoria lessened?
-The moment I woke up the dysphoria was gone!
Any regrets?
- Yea, that I didn't have this option when I was 18 so that I could've had surgery then lol
Would you recommend your surgeon and procedure to others seeking bottom surgery?
-Yes, however make sure you do your research and make sure you are a good fit physically for this surgery. Be realistic and have realistic goals, not everything is for everyone and we all have to take this into consideration at all costs it is for all of our safety and well being.