asker

Anonymous asked: Will I be able to ejaculate from my penis after phalloplasty?

As current medical science stands the answer is: rarely.
If the skenes gland is kept intact then there is a chance that you will be able to ejaculate after bottom surgery. It would be a clear fluid that dribbles out rather than forcefully ejaculating, but that’s about it.

Let’s work through this so that it’s clear why this isn’t possible right now. It’s helpful when you can logically understand it instead of getting a short “yes” or “no” answer. To ejaculate in the way that a cis male does you’d require functioning testicles and you’d require vas defrens. The testicles would produce semen, the stuff you’d be ejaculating during orgasm, and the vas defrens is the passage way for semen to go from the testicles to the urethra. Once the seminal fluid is in the urethra the body also needs a mechanism for the bladder neck to close off, preventing retrograde seminal movement which would allow the semen to go into the bladder. It’s amazing how complicated an orgasm is and how quickly all of this happens. After that contractions of the pelvic floor force the semen out and that’s where the ejaculation occurs. The prostate, bulbourethral gland, and a few others things are all involved in this but I narrowed it down to what would most likely be the bare minimum for ejaculation (I could be wrong).

So with this in mind let’s consider what is and isn’t possible right now in medical science. With phalloplasty we can create an aesthetically pleasing, fully sensate penis of average size that one can use to urinate from and can achieve orgasm with. It can’t get hard on it’s own and it you can’t ejaculate from it, but otherwise you’ve essentially got all of your basis covered. Creating the urethra itself is difficult enough as is and that’s where 95% of complications from phalloplasty happen, so forming vas defrens and connecting this to the urethra at this time isn’t possible. Neither is the mechanism to close off the bladder or the ability to create functioning testicles. That would require an incredible amount of microsurgery. However, that doesn’t mean it won’t ever be possible. Medical science is advancing by lightyears all the time and there is a team who was recently (last year, I believe) given grants necessary to conduct 5 years of research into medical procedures for veterans, including growing penises. At this time we have the technology to grow full urethras, functioning livers, functioning kidneys, etc. - It won’t be long before this is part of our future. If the research by the medical team I listed just a moment ago goes well it could be as little as 5 years.

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    Maybe in 25 years from now
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