Can phalloplasty result in normal urination?

Yes, phalloplasty can result in normal urination. During phalloplasty, the surgeon will create a new urethra that allows the patient to urinate while standing. However, there are some complications that can affect urination after phalloplasty, such as:

• Urethral stricture: This is a narrowing of the urethra that can make it difficult to urinate.
• Urinary incontinence: This is the involuntary loss of urine.
• Postvoid dribbling: This is the leakage of urine after urination has stopped.

These complications can be treated, but they can also affect the patient’s quality of life. It is important to talk to your surgeon about the risks and benefits of phalloplasty before making a decision.

Here are some tips to help you achieve normal urination after phalloplasty:

• Drink plenty of fluids. This will help to keep your urine dilute and prevent it from becoming concentrated.
• Empty your bladder regularly. This will help to prevent urine from backing up and causing a UTI.
• Avoid straining when you urinate. This can put pressure on the urethra and make it more likely to narrow.
• See your doctor if you have any problems urinating after phalloplasty.

With proper care and follow-up, most people who have phalloplasty are able to achieve normal urination.

Phalloplasty is designed to create a neophallus with the ability to urinate, typically allowing for standing urination. While the goal is to enable normal urination, it’s essential to understand that the process of achieving urination after phalloplasty may differ from that of a cisgender male.

Here are some key points to consider regarding urination after phalloplasty:

1. Urethroplasty: Part of the phalloplasty procedure involves the construction of a urethra within the neophallus. This urethroplasty allows for the passage of urine from the bladder through the neophallus.
2. Post-Operative Care: After phalloplasty, a urinary catheter is often in place to allow for the drainage of urine while the surgical site heals. Catheter care is essential during the initial recovery period.
3. Healing and Learning: It may take some time for individuals to become accustomed to urinating through the neophallus. Learning how to control urine flow, aim, and adjust to the new anatomical structure can take practice.
4. Standing Urination: One of the goals of phalloplasty is to allow for standing urination. With time and practice, many individuals can achieve this goal, which can enhance convenience and comfort in daily life.
5. Potential for Complications: While the goal is normal urination, there can be complications such as strictures (narrowing of the urethra) or fistulas (abnormal connections) that may require additional surgical interventions.