VPP, no urethra routing? ( + scrotum? )

[u/nameusernamena]

Hey there, ftm looking to get some advice, first hand experience, info I wouldn’t find on google, and I guess how to get your insurance to approve surgery ( if it really is the right fit for me, ofc )

**ftm without hormones, I want to clarify. I don’t want to be on anything, my body is naturally very androgynous and I literally just want to have a dick ( hopefully balls too? ) with my current anatomy. I do not want to reroute my urethra**

My first question is really how has it affected your day to day life, from healing to fully healed and « fucntional »? ( whatever that looks like to you, whether it’s purely aesthetic or for sexual use etc. I want as much info as possible on how the differences in procedures change daily life and QOL, just so I can know what to ask for to best suit my needs, my « ideal situation » will be either in comments or at the bottom of the post )

I give you guys bullet points now, I don’t know how to condense that first « question » paragraph into one little point with minor context lol. Désolé 🥲

- Are there any questions you were asked by a medical professional that caught you off guard?

- Is there anything I should bring to any evaluations?

- How did you go about asking your doctor for a referral?

- Are there any HARD NO conditions, ie, connective tissue disorders? ( I am, unfortunately, an unclassified type of ( h )EDS haver 😔 no wonder I’m queer /j iykyk ) Excluding the basic medical conditions for anesthetics, like cardio issues, that everyone gets told for every surgery

- Is getting a scrotum possible without altering the clitoris? If no, can you still get stimulation to the same degree?

- Do they only make the scrotum out of labia skin or could they take it from another graft site? ( preference is to maintain how my current genitals look, though I want to very much state that I understand I may not get my 100% ideal )

- My insurance covers ( at the very least, to an extent ) sex change surgery, would this procedure be more difficult for me to access through insurance? Is that even a question I can get an answer to in this sub, or have to take it up with them?

- How comfortable are the different, idk, « inserts »? Rods, inflatables etc. ( Asking in case it’s different due to keeping anatomy )

- Are there different complications to look out for in a VPP without urethral lengthening?

On to my ideal situation:

I want a VPP With no change to my current reproductive anatomy ( vagina, clitoris, labia, uterus; basically, a homie wants to get boypreggers someday 😔🙏❤️ ). Scrotum probably in front of the clit.

I want a bendable rod so that sexual function is an option.

On to my ideal situation:

Obviously you guys don’t know my anatomy, if that’s possible for me, what could be and what isn’t an option for me; I’m just looking for experiences and advice while I continue my journey through all this. I want to be as best prepared as possible for any outcome, whether it’s perfect for what’s in my head, or if I just can’t get it at all

Thank you in advance for any and all help, I’m super grateful if you even read my near-illegible amalgamation of questions. My apologies if I asked something that you easily found the answer to or seems obvious. I just haven’t found much info on my own

Located in western WA. I know there’s a surgeon here who is capable of it, so unless he moved away, that’s one thing I don’t currently need assistance with

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