- For both procedures, we recommend that patients wait at least three months before they try to stimulate (orally or manually) their penis, especially if a urethral lengthening is performed. By this time, you can begin exploring your new genitals to see how you can reach an orgasm.
- A metoidioplasty simply releases the natal penis (or clitoris) from its surrounding ligaments. This means there is virtually no risk of sensation loss since the nerves will not be touched during surgery.
- A groin flap phalloplasty gives the penis a regular tactile sensation as opposed to heightened, erotic sensation. With both a forearm and thigh flap phalloplasty, the nerve of the donor site can be hooked up to the clitoral nerves to allow for erotic sensation. Still, there is a greater risk of sensation loss with this procedure patients should consider. That said, even if the clitoris is buried, the skin above it can still be stimulated to help someone reach orgasm.
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