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Do phalloplasties actually work?

562 replies

SilverTapz · 11/05/2025 22:38

After wondering about this for a while, I ended up searching phalloplasty online and ended up on a Reddit page where people post their progress. I had never seen one before an was curious, I guess. It was actually quite shocking. People with what looks like no muscle left on their forearms, someone with a necrotic 'scrotum', someone where the stitches were wide open and the tip has turned black and left a gaping hole etc etc. People seem to be commenting saying that they look great, they've made the right decision etc, but honestly they look absolutely butchered. It's scary. And I guess my question is, do they actually function? Some of these people are so young and it's scary what they've done to their bodies. I can't help but think a lot of them will regret the decision. Is it mainly cosmetic? Can they orgasm? Honestly just very shocked by what I've seen!

OP posts:
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peachgreen · 12/05/2025 10:15

borntobequiet · 12/05/2025 10:11

Really. My cardiologist gives me informed answers to my questions about my arrhythmia. As far as I know, he has no such problems himself.

As I said before, a forum for surgeons who carry out phalloplasties would also be a great place for OP to ask these questions. Actually, to be honest, that would probably the best place to do so in order to get factual answers to those specific questions.

MrsOvertonsWindow · 12/05/2025 10:14

peachgreen · 12/05/2025 10:09

I actually am quite horrified by the procedure, and by the complication rate. Again, I am very much not pro-phalloplasty. But I still don't think Mumsnet is the place to get the kinds of questions OP has answered accurately.

FGM slightly different in that there are more likely to be women here who have experienced FGM -- but I'd still say that if one wanted specific medical questions about the experience of FGM answered, it would be better to post on a forum specifically for women who have undergone FGM.

Meh. Many (most?) of us are women and mothers who have an instinctive wish to safeguard children and young people - ours and others.

Mumsnet has been one of the few places where women's voices aren't silenced - where the "go educate yourselves" fools stand out as biased and trying to silence women.

If society had been aware of the brutal experimental nature of this surgery, I suspect far more parents would have stood up to the "if you don't affirm your child they'll kill themselves" bullies and might have been able to protect their children from these grim outcomes.

Gloriia · 12/05/2025 10:14

peachgreen · 12/05/2025 10:13

I think it's extremely unlikely that there are many trans men using Mumsnet...

Women use mn for a whole host of reasons. Not just to discuss gender.

peachgreen · 12/05/2025 10:14

Kucinghitam · 12/05/2025 10:10

I'm wondering why some posters are trying to fill the 1000-post limit with distractions in order to stop discussion Hmm Not a very productive strategy when there's 700+ posts to go Grin

I'm not that thick, thanks. I'm genuinely curious.

Gloriia · 12/05/2025 10:13

borntobequiet · 12/05/2025 10:11

Really. My cardiologist gives me informed answers to my questions about my arrhythmia. As far as I know, he has no such problems himself.

Yes we must all remember to ask out hcps if they've had the procedure/treatment that they are advising us on otherwise their thoughts don't count apparently.

peachgreen · 12/05/2025 10:13

monkeyspaw · 12/05/2025 10:11

Why not? This is a predominantly female forum, yes? Transmen are women, yes?
I think people ask questions here because they will get (often brutal) answers that they many not get eleswhere.

I think it's extremely unlikely that there are many trans men using Mumsnet...

peachgreen · 12/05/2025 10:12

borntobequiet · 12/05/2025 10:10

Discussion is part of arriving at answers to questions.

The questions OP asked could be answered very simply and factually by people who have undergone a phalloplasty. Whether those answers would be positive or negative I have no idea, but they would certainly be more accurate than the answers given by the average Mumsnet users, purely through the benefit of lived experience.

monkeyspaw · 12/05/2025 10:11

peachgreen · 12/05/2025 09:59

It's interesting that you're all assuming I'm pro-phalloplasty. For the record, I'm not. But I still don't think Mumsnet is the place to ask very specific questions about phalloplasties like "do they work" and "can they orgasm". Surely those questions would be better asked to people who have had this surgery?

Why not? This is a predominantly female forum, yes? Transmen are women, yes?
I think people ask questions here because they will get (often brutal) answers that they many not get eleswhere.

borntobequiet · 12/05/2025 10:11

peachgreen · 12/05/2025 10:09

But not from anyone who has actually undergone the procedure.

Really. My cardiologist gives me informed answers to my questions about my arrhythmia. As far as I know, he has no such problems himself.

Gloriia · 12/05/2025 10:10

peachgreen · 12/05/2025 10:07

That's fair enough, but OP wasn't asking for a discussion, she was asking very specific medical questions.

Which many have answered even including links. I'd imagine if you asked on a pro plasty site they'd all be like yayy looks great love it, if you ask on a regret site they'd be noo, disaster hate it. Maybe a bit more balance here with actual experienced hcps contributing

BundleBoogie · 12/05/2025 10:10

peachgreen · 12/05/2025 10:03

I would certainly recommend also asking the question on a forum specifically for people who have detransitioned or have transition regret in order to get a balanced view.

Could you point to the existence of any such forum? Afaik any website or forum dedicated to free speech in relation to women’s rights (which includes FGM, sport etc) gets attacked and harassed into oblivion. It’s happened many times.

There is even an African solely anti FGM campaigner on Twitter who has had HUGE personal abuse from the trans lobby.

But if you’ve seen one where detransitioners are allowed to speak freely do enlighten us.

Kucinghitam · 12/05/2025 10:10

I'm wondering why some posters are trying to fill the 1000-post limit with distractions in order to stop discussion Hmm Not a very productive strategy when there's 700+ posts to go Grin

borntobequiet · 12/05/2025 10:10

peachgreen · 12/05/2025 10:07

That's fair enough, but OP wasn't asking for a discussion, she was asking very specific medical questions.

Discussion is part of arriving at answers to questions.

peachgreen · 12/05/2025 10:09

borntobequiet · 12/05/2025 10:09

And has got some very specific answers, backed up with evidence.

But not from anyone who has actually undergone the procedure.

peachgreen · 12/05/2025 10:09

BundleBoogie · 12/05/2025 10:06

Would you also have an issue with OP asking question about FGM?

Incidentally, some states in America refused to pass anti FGM laws because the powerful trans lobby knew it was likely to interfere with these ‘trans’ surgeries. That’s how close it is.

I guess the real question here is @peachgreen - why are you not as horrified as the rest of us?

I actually am quite horrified by the procedure, and by the complication rate. Again, I am very much not pro-phalloplasty. But I still don't think Mumsnet is the place to get the kinds of questions OP has answered accurately.

FGM slightly different in that there are more likely to be women here who have experienced FGM -- but I'd still say that if one wanted specific medical questions about the experience of FGM answered, it would be better to post on a forum specifically for women who have undergone FGM.

borntobequiet · 12/05/2025 10:09

peachgreen · 12/05/2025 10:06

Did OP really ask for opinions though? She asked some very specific questions:

  • "Do they work?"
  • "Do they actually function?"
  • "Is it mainly cosmetic?"
  • "Can they orgasm?"

All questions that, I would argue, would be better answered by those who have undergone said surgery (or performed it).

And has got some very specific answers, backed up with evidence.

Gloriia · 12/05/2025 10:08

peachgreen · 12/05/2025 10:06

Did OP really ask for opinions though? She asked some very specific questions:

  • "Do they work?"
  • "Do they actually function?"
  • "Is it mainly cosmetic?"
  • "Can they orgasm?"

All questions that, I would argue, would be better answered by those who have undergone said surgery (or performed it).

We don't have to have had the mutilating surgery ourselves to know the answers, as demonstrated by many posts if you read the thread?

peachgreen · 12/05/2025 10:07

borntobequiet · 12/05/2025 10:06

Some of us don’t use X or Tik Tok. We prefer to have our discussions on here.

That's fair enough, but OP wasn't asking for a discussion, she was asking very specific medical questions.

peachgreen · 12/05/2025 10:06

Gloriia · 12/05/2025 10:03

To canvas opinions on a high traffic site?

Did OP really ask for opinions though? She asked some very specific questions:

  • "Do they work?"
  • "Do they actually function?"
  • "Is it mainly cosmetic?"
  • "Can they orgasm?"

All questions that, I would argue, would be better answered by those who have undergone said surgery (or performed it).

borntobequiet · 12/05/2025 10:06

peachgreen · 12/05/2025 10:00

Indeed: so again, why ask on Mumsnet?

Some of us don’t use X or Tik Tok. We prefer to have our discussions on here.

StellaAndCrow · 12/05/2025 10:06

NautilusLionfish · 12/05/2025 09:54

I put a link to two metareviews earlier. The second link talks of voiding while standing (i.e. peeing standing) being most successful outcome at 92% . I have pasted it here again and highlighted it for you @StellaAndCrow Am not sure if the rate of complications is higher than other surgeries but again, hard to compare surgeries (And in this case, hard to say what is lifesaving surgery as some trans people will say such a surgery saved their life (or will save it) and I cannot disprove that)

https://pubmed.ncbi.nlm.nih.gov/29019859/

https://www.sciencedirect.com/science/article/abs/pii/S2050052122000129
database searching generated 39 final articles, with 19 case series, 3 cross-sectional studies, and 17 retrospective cohort studies. A total of 1731 patients underwent phalloplasty, with the most common type of reconstruction performed being the radial forearm free flap (75.1%). Overall complication rate was high at 76.5%, of which urethral complications were high in all reconstructive subgroups (urethral fistula rate of 34.1% and urethral stricture rate of 25.4%). Postoperative functional outcomes were reported in 57.6% of patients, finding that most had tactile sensation (93.9%) and can void while standing (92.2%). Aesthetic outcomes were only reported in 6.3% of patients, with mean length achieved being 12.26 cm (SD = 0.81 cm) and mean circumference being 10.18 cm (SD = 3.69 cm).

I'm confused by you saying that these stats support successful outcomes. The first link compares trans med having phalloplasty with natal men having phalloplasty
https://pubmed.ncbi.nlm.nih.gov/29019859/. I note it's from 2018.

and this is the conclusion.

Conclusions: Cismale patients undergoing phalloplasty had lower urethral and flap complication rates compared with transmale patients. Staged urethroplasty had more flap complications, and worse outcomes and patient satisfaction compared with primary urethroplasty.

The second link
https://www.sciencedirect.com/science/article/abs/pii/S2050052122000129
in your post you have quoted the findings from the study that
"Overall complication rate was high at 76.5%, of which urethral complications were high in all reconstructive subgroups (urethral fistula rate of 34.1% and urethral stricture rate of 25.4%)"

This just seems to confirm my concerns.

Outcomes after Phalloplasty: Do Transgender Patients and Multiple Urethral Procedures Carry a Higher Rate of Complication? - PubMed

Cismale patients undergoing phalloplasty had lower urethral and flap complication rates compared with transmale patients. Staged urethroplasty had more flap complications, and worse outcomes and patient satisfaction compared with primary urethroplasty.

https://pubmed.ncbi.nlm.nih.gov/29019859/

BundleBoogie · 12/05/2025 10:06

peachgreen · 12/05/2025 09:56

I'm not policing it. I'm asking her why.

Would you also have an issue with OP asking question about FGM?

Incidentally, some states in America refused to pass anti FGM laws because the powerful trans lobby knew it was likely to interfere with these ‘trans’ surgeries. That’s how close it is.

I guess the real question here is @peachgreen - why are you not as horrified as the rest of us?

TheKeatingFive · 12/05/2025 10:05

Anyway, ignoring the obvious attempts to derail.

It is blatantly obvious that most people don't have a clue about what these surgeries entail

TheKeatingFive · 12/05/2025 10:04

peachgreen · 12/05/2025 10:01

Indeed: but I can also ask what her motivations were for doing so.

And you have. Up to the OP if she wants to enlighten you.

Gloriia · 12/05/2025 10:03

peachgreen · 12/05/2025 10:01

Indeed: but I can also ask what her motivations were for doing so.

To canvas opinions on a high traffic site?

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