Surgery questions

So, my doctor also suggested vaginal surgery to create a vagina as an easy fix! Is this right?

Some physicians recommend “vaginoplasty”, although this happens less than it used to. It is often a surgery to enlarge a vagina by taking skin or another part of your tissue (sometimes skin from your legs or buttocks or another part like bowel tissue), making a cavity, and transplanting the tissue into it. When transplanting tissue, certain vaginal smell and discharge often occur when using bowel tissue (note: this type of surgery isn’t common in Europe much anymore.) For some, it can mean needing to wear sanitary pads every day. Another surgical option is called the Vecchietti—especially in Europe, this is the main form. It is a technique where the vagina is surgically dilated over 3-7 days. It can be painful, but may have less side effects than other surgical options. There are so many variations of these surgeries—often named after their inventors. Because of this, no technique has made itself known as the “best,” making choices even more difficult.

Also, what you may not realize is that there is a lot of maintenance you have to go through after you have surgery. You will need to dilate the area and maintain the V after surgery to keep it from closing. You may also have to deal with scar tissue and healing tissue.

So, although at first impression surgery might seem ‘quick and easy’ it is altogether, a riskier option and can be painful. Because of scar and healing tissue, you risk losing pleasurable sensations in and around your V—no surgeon or doctor is 100% perfect (they are the first to admit this) and none can guarantee you no complications. If you choose surgery, make sure that your doctor has lots of experience in the exact procedure you are having. If at all possible, talk with other people who chose this option, just so you know all aspects of the surgery in the short, medium and long term before choosing it.

And, remember, dilation, on the other hand, is self-led—meaning that you can start and stop dilating when you feel it is a good time for you. With dilation, you have complete control. Also, dilation has less side effects and is generally effective as a first solution. Because of this, we suggest to try dilation first and use our tips.

Do I have to have surgery on my penis? Is it okay to just pee sitting down?

You do not have to have surgery on your penis. It is absolutely okay to pee sitting down. In fact, lots of guys do this, even without these conditions.

If you can’t find a private cubicle or stall to sit down, there is no need to be uncomfortable in the urinal. Chances are that the guys standing there are pretty focused on their own penis and not checking out each other. You can try to be discrete yourself and just go about your business and leave.

Peeing standing up isn’t a requirement for being a guy—in lots of places, guys don’t even stand up to pee. Your interests and abilities are a lot more important than being able to pee standing up. And, very few guys can urinate with precision enough to always avoid spillage on shoes and pants, so don’t worry too much about it.

If it’s really important to you though and you have a condition like hypospadias that might make it hard, there are reusable plastic funnels that can help you stand to pee. You hold it under yourself when you pee, and the pee goes shooting out the front. Ask your doctor about it, or you can also find it in camping stores.

Some guys can’t let themselves pee in public if someone else is there, too. This has little or nothing to do with shyness or genital appearance, as you might think. It can happen because guys are nearby or start talking. If you can’t find a stall, go to the furthest urinal and try to block out other sounds in the room. Some guys don’t drink much liquid when they are in public, but that isn’t a real solution and can be dangerous for the body. Try to work up confidence urinating around people you trust to grow your confidence.