Penectomy with sensitivity preservation

[Caged Werewolf (imported)]

I have thought about nullification for many years. For a variety of health related reasons I have decided on a penectomy and urethral reroute without having my testicles removed. I have met with a urologist willing to perform the penectomy and a urethral reroute, my desired end result. One possibility we discussed is preserving sensate distal penile tissue - essentially a hidden clitoris under the skin. This in theory enables sexual stimulation. My urologist is doubtful of this being effective, says it would complicate the surgery, would require another surgeon and add considerable expense not covered by insurance.

Is there anyone who can provide information or insight into their experience with a penectomy either with or without preserving this nerve tissue?

[Valery_V (imported)]

I have thought about nullification for many years. For a variety of health related reasons I have decided on a penectomy and urethral reroute without having my testicles removed. I have met with a urologist willing to perform the penectomy and a urethral reroute, my desired end result. One possibility we discussed is preserving sensate distal penile tissue - essentially a hidden clitoris under the skin. This in theory enables sexual stimulation. My urologist is doubtful of this being effective, says it would complicate the surgery, would require another surgeon and add considerable expense not covered by insurance.

Is there anyone who can provide information or insight into their experience with a penectomy either with or without preserving this nerve tissue?

I would like to remind you of the following thread:

6 Things I Learned Having My Penis Surgically Removed

http://forums.eunuch.org/showthread.php ... ly-Removed

[Caged Werewolf (imported)]

Thank you for the reply. I've read that article several times since it was originally published. I have a therapist and have discussed all of the points made in the article with them. I think a key difference between the author and me is I have real dysphoria and they didn't. Their penectomy was the result of cancer.

[Valery_V (imported)]

Please also pay attention to the author of the 14th post in this thread.

He didn't have cancer.

[WheelyFixed]

There was also a long thread that appears to have vanished as part of the missing penectomy forums glitch - as discussed here

http://forums.eunuch.org/showthread.php?

31685-Penectomy-and-Transgender-forums-gone hopefully it can be recovered (soon) as the primary poster (ncbill71) in the thread sounds like he has done much of what you are talking about... As you could guess from the forum title, it had a lot of other discussions that would have been relevant...

(I haven't tried, but is this something that could be reached via the wayback machine?)

Welcome to the forums at any rate...

WheelyFixed

[Caged Werewolf (imported)]

Thank you! It is looking like I have several months before I am likely going to have surgery. My doctor is going to confer with a colleague and see what options there are.

[WheelyFixed]

Thank you! It is looking like I have several months before I am likely going to have surgery. My doctor is going to confer with a colleague and see what options there are.

Good luck, and possibly be open to the possibility of looking for a different doc if the current one doesn't seem able to do what you want.... I am totally not looking at the typical penectomy + reroute option as it wouldn't work with me being in a chair (and not at all sure I would consider it if I weren't for other reasons) so haven't looked at the options in depth, but I recall a fairly large number doing some variation on preserving sensation, and mostly being happy with the outcome. Unfortunately for you, I suspect many would have been in that area which has gone missing...

WheelyFixed

[Caged Werewolf (imported)]

Thank you! You're really helpful and informative!

[Hash (imported)]

I'm a complete nullo but I have sensate penile tissue left that still gets erect, I use a "tens unit" Transcutaneous Electrical Nerve Stimulation (TENS) to reach orgasm. They're cheap and work well. My total penectomy removed 95% of my penis but I still have approximately 2 1/2 inches left which include the root crura and bulb. My urologist cut my penis off right at the pubic bone. I have a urethrostomy (reroute) so I pee sitting down. Ask your urologist if he can leave most of the penis dorsal nerve intact. That's really what you need to have sexual sensation. Good luck to you.

https://www.google.com/search?sca_esv=5 ... MGRa6CUeDM

[Losethem (imported)]

I'm not sure what it is with 2023 and everyone wanting to know about sensitivity preservation when getting a penectomy. It just seems like it's one more thing everyone wants to be wound up about.

Let me give a reality check here. When I had my dick taken off, no efforts were discussed or made to ensure preservation of sensation or of nerve endings, etc. I can enjoy my body and have orgasms just fine, thank you very much.

While nothing is guaranteed, it's incredibly unlikely any of you contemplating having your dicks taken off are going to have any issue with this at all. Seriously, all this handwringing over this subject is just that. You're going to be fine, any discussion with your doctor about this is personal choice, because unless you're the one case out of a thousand (or more), you're not going to have a problem getting off after your penectomy.

[Caged Werewolf (imported)]

Thank you so much for this information! It is really helpful! I am very grateful for all this help!

[Caged Werewolf (imported)]

Thank you very much! I'm trying to gather as much information as possible so I can make the most informed decision about what my options are. I want to be able to go into my next meeting with the doctor with enough information to be able to ask the right questions. Your perspective is very helpful! I'm sure you're right that I'm over thinking this. It is just that, after thinking about this for so long, it is now going to finally be a reality. I am really grateful you took the time to write a response for me!

[blackblack (imported)]

Don't be misled, nerve preservation allows you to experience most orgasms, other than prostatic orgasm can not do, ask your doctor to fix this problem, or get another one

[Wannabe_Uneck (imported)]

I had my surgery 6 months ago with nerve preservation, the orgasm intensity feels almost exactly the same if not stronger.

It's always better to go with more than less. Worst case scenario you'll remove it later.

[Caged Werewolf (imported)]

Thank you!

[Losethem (imported)]

Don't be misled, nerve preservation allows you to experience most orgasms, other than prostatic orgasm can not do, ask your doctor to fix this problem, or get another one

Blackblack,

If I'm to believe what you've written in your profile, at this point you don't have the experience those of us are nullos/penectomized, have.

If you've not had a penectomy, you may wish to sit this one out, as you have no basis for which to form a real life opinion on the matter.