Megathread SRS and GRS surgeons and associated horrors - the medical community of experimental surgeons, the secret community of home butchers

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u/TheCatInGrey, a TiF I've posted about ages ago, has made an update post detailing her last stages of phallo.
Unlike the other Cetrulo victims who switched surgeons when they realized he was a butcher; this patient never dropped him.
link | archive
Stage 6 phallo ~1 month post op - abdo w/o UL with Cetrulo (no implants)
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I'd post my favorite parts but every sentence she writes is astounding in some way.
And of course she begins by telling everyone she has no regrets.
Just wanted to share the last stage of this! It was a little more than 2 years start to finish, and it was more fucking exhausting than I could have known. But, no regrets.

I got abdo with Cetrulo, with a full v-ectomy. I didn't opt for UL for two reasons: 1) How I peed didn't much impact my dysphoria, and 2) I'm already prone to UTIs, and UL could make that worse.

I did get the full scrotoplasty, which Cetrulo filled with fat. I haven't gotten any testicular implants and may not bother; it looks pretty good as-is. If I wind up feeling weird about it, I'll revisit the question later.

I got my nerve hookup done in Stage 5, and am expecting to see results in the next 15-ish months. It takes time for the nerves to connect, even with his method. I don't mind, I can wait - especially since I got my T-dick buried in my scrotum, where it's still accessible. As I learned just three days ago, it's still plenty good for orgasming.

One note on the burial - I got the version where my T-dick wasn't de-epithelialated, which apparently winds up painful for about half of guys but preserves sensation a lot more reliably. I gambled and seem to have won (being able to cum was important to me), but it wasn't guaranteed.

I don't have any erectile implants and I'm planning not to get any, if at all possible. I don't want to need surgery down the line or deal with possible complications from them; even the semi-firm rod can develop issues or need adjustment/replacement, and I would prefer to not need any more surgeries around my dick.

So I'm trying to go the external route! There aren't many external erectile devices available, but there are a couple. I looked into the Elator, but they don't make one large enough for my girth (~7"). Luckily, my spouse found another option in RX Sleeves, a company that's willing to make (granted, very expensive) custom sleeves of any size. I'm waiting until I've had my surgical tattooing done so it can look as close to my dick as possible.

I can penetrate my spouse even now, kind of. A combination of ace bandages and Q-tips + a condom. I highly recommend ONE, since they make a much wider range of condom sizes in both girth and length. I didn't feel like I was losing circulation when wearing one of theirs, whereas drug store condoms were just uncomfortable - including Magnums. Turns out Magnums are more about longer length than wider girth, and I'm a lot thicker than I am long.

Last reflection: I alluded to it in the beginning, but this process was a lot harder (emotionally and physically) than I could have imagined at the outset, for both me and my spouse. If you're going to go the slow and steady route and don't already have a regular therapist, I'd get in touch with one (and maybe your partner(s) should too, if applicable).

There were times when I felt like Frankenstein's monster or my insurance made me want to misery-die, and the pure burnout from all my vacation days (and then some) going to surgical recovery rather than, y'know, vacation has been intense. Plus, my body has basically been in a constant cycle of "surgery --> recover just enough for next surgery --> surgery again" for two years. It's taken a toll.

And on my spouse's side, ze struggled with both caregiver fatigue and not feeling justified in feeling caregiver fatigue, since it wasn't constant. It was just constantly going to be needed again soon. Plus, it was difficult watching me go through something hard that ze couldn't really resolve - ze could (and did!) provide a lot of reassurance, but it just took a lot of waiting for things to finish.

That actually brings me to the last point. We both felt like our lives were on hold while I was going through the process, and in a lot of ways, they were. I'm lucky I'm that my instance covered it (after some fighting), but I still had to hit my deductible each year - it was about 30k all told (10k deductible each year). That, plus the pacing, means we haven't gone on vacation or moved forward with some of the things we want for our home. Not to mention the financial stress it caused.

So. It was long, exhausting, expensive, and, for me, 1,000% worth it. I'd do it again in a heartbeat, because not feeling dysphoric and weird about my body is amazing. Weirdly, it was the scrotoplasty that made the biggest difference there. Not having the folds I used to is just... Amazing. Go figure!

This has already been a tome, but if any of y'all have questions, I'm happy to answer them in comments or DMs.
She made a comment detailing all her stages.
Cetrulo's abdominal phalloplasty process can be lengthy, with 4-5 stages being common. Some of it was also a little bad luck, since the number of stages partly depends on how elastic your skin is.

I'll try to break down the stages!

Pre-phallo: V-ectomy. This took 10 weeks to recover from.

Stage 0: Cetrulo prepared the "flap" on my abdomen, encouraging blood vessel growth where it would need to be once it was a proper phallus. Nothing looked different at this stage, really.

Stage 1: Cetrulo formed the flap into a rough phallus shape on my lower stomach. It kind of looked like a waffle cone sticking to the right. Pants were VERY HARD TO WEAR during this and the next few stages.

Stage 2: Cetrulo moved the phallus down and centered it on my body. It was still high.

Stage 3/4: These were both about moving it down, centering it, getting rid of some lumpy scaring, and doing the glansplasty (which kind of freaked me out, since skin grafts are wild). But after stage 4, pants were finally a lot easier!

Stage 5: Scrotoplasty pt. 1, plus lowering the phallus into its final location! He couldn't finish the scrotoplasty and T-dick burial because he wanted a urologist in the room; apparently my urethra was very close.

Stage 6: Final scrotoplasty and T-dick burial!

I worked full time throughout this process. Since it's much slower, each stage "only" took a little more than a week to recover from, and then I could go back to work. It was tiring, though.

The v-ectomy was the sole exception; I needed to take the full 10 weeks, but work was understanding. If you're in school and thinking about getting one, plan to recover over the full summer.

Keep in mind, a lot of processes are shorter than mine - but they often require longer recovery periods, too. It's all about figuring out what'll work best for you, your goals, and your life. For me, this was a good way to protect my employment and get a good shot at what I wanted - a dick I could use for mutually pleasurable sex (results on that TBD over time), without needing a big skin graft (as needed above, they freak me out).
This entire post is littered with evidence that Cetrulo is a sadistic butcher who couldn't care less about his victims.
 
I can penetrate my spouse even now, kind of. A combination of ace bandages and Q-tips + a condom.
Imagine getting 'fucked' by this abomination.
Plus, my body has basically been in a constant cycle of "surgery --> recover just enough for next surgery --> surgery again" for two years. It's taken a toll.
A sliver of self realization that this is impossible and that chasing the dragon will never make you happy. Two years. If she did therapy for that long she would be better off by now.
 
He strikes me as a CSA survivor. We have plenty examples of girls here who are dead set on eradicating their genitals due to CSA so we're bound to find examples of the male equivalent eventually.

He seems very different to most of the TiMs that's for sure.
That would make sense. It’s interesting that he’s on HRT (or at least used to be) but wants breast reduction/removal. Between his surgical goals (complete genital removal and no breasts) and the way he writes about puberty, it seems to me that his goal is to revert to a pre-pubertal, pre-sexual state. That and the dissociation from his body that he describes screams CSA. Very sad.

re the speculation that the abomination was done by a trainee surgeon, made me wonder if there is actually any training for this butchery? given there's no standardiation i can't see how it would work. i read that surgeons use all sorts of things to practise different techniques before doing it to humans, including accurate models of their patients organs. given the low standard of their work it makes sense that they skip all the steps required.
It seems like there’s a few surgeons training protégés, but the majority just know either plastic or urological surgery.

Site’s not letting me quote this post (I know the thing about highlighting a section, it just isn’t doing it rn), but in this paper surveying GRS surgeons some of them specifically mentioned their concerns with the lack of quality training in this field.
https://kiwifarms.pl/threads/srs-and-grs-surgeons-and-associated-horrors.76786/post-16596995

I suspect we would hear more about the residents fucking up if the surgeons were more honest about it. I can easily believe that the likes of Kamol would tell their patients that they’ll be doing the surgery and then let some student take over once the test subjects are unconscious. I guess that comes with taking the blame for the mistakes but that’s probably better than admitting they lied about who would do the surgery. Anyways, the troons that go to the Thai butchers have practically no legal recourse so these surgeons can do whatever the fuck they want and not face any repercussions.
 
I suspect we would hear more about the residents fucking up if the surgeons were more honest about it. I can easily believe that the likes of Kamol would tell their patients that they’ll be doing the surgery and then let some student take over once the test subjects are unconscious

oh yeah for sure, there was a scandal about ghost surgeons in south korea, wouldn't surprise me if thee thai butchers were doing the same. here's a failing new york times article about it: https://www.nytimes.com/2022/05/13/...es of ghost,of Plastic Surgeons has estimated.
 
I can penetrate my spouse even now, kind of. A combination of ace bandages and Q-tips + a condom.

:stress:

I mean, who wouldn't want to have a retarded arts and crafts session as a foreplay. Nothing gets you quite into the mood like some Elmer's glue and popsicle sticks.

Take note, kiwi fellas, the next time your lady complains about the lack of foreplay, just bring in the q-tips. Women love crafting.

I... I've read many retarded things over the years but I think this was the one that finally broke me. I feel shell shocked and like my brain refuses to comprehend what it just read. I think I need to go lay down for a bit and think about my life.
 
maybe they get a few rounds in on dead bodies...?
yet another reason not to donate yours 'for science'
Fuck imagine if the Egyptians are right and the poor bastards they practise that shit on wake up in the afterlife with an amhole
:story:
Thats just disrespectful as fuck imo. People who leave their bodies to science are expecting it can be used to advance the species, not for Joseph Mengele 2.0 to practise flaying and inverting the penises of insane men.

I took my name off the organ donor thing when I found out my skin could be used to line a rotten fucking stinkditch for someone like amhole Kev.
Turns out Magnums are more about longer length than wider girth, and I'm a lot thicker than I am long.
Nice chode bro
:story:
ze struggled with both caregiver fatigue and not feeling justified in feeling caregiver fatigue, since it wasn't constant. It was just constantly going to be needed again soon. Plus, it was difficult watching me go through something hard that ze couldn't really resolve - ze could (and did!) provide a lot of reassurance, but it just took a lot of waiting for things to finish.

Oh come on
:story:
 
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I mean, who wouldn't want to have a retarded arts and crafts session as a foreplay. Nothing gets you quite into the mood like some Elmer's glue and popsicle sticks.
I mean, her partner is literally ze/zer, sure ze plays enthusiastic part in build-your-dick game.
 
I mean, her partner is literally ze/zer, sure ze plays enthusiastic part in build-your-dick game.
That does probably explain it. I've been processing this for the past three hours and the only thing I can say is that if I was in her partner's shoes I think I would genuinely shoot myself. I'm not even joking, once you've been fucked with a rotting skin tube propped up with q-tips there isn't any other option, is there. Murder-suicide perhaps, but at the end of the day you would have to kill yourself.

Jesus fucking christ these degenerates.
 
That does probably explain it. I've been processing this for the past three hours and the only thing I can say is that if I was in her partner's shoes I think I would genuinely shoot myself. I'm not even joking, once you've been fucked with a rotting skin tube propped up with q-tips there isn't any other option, is there. Murder-suicide perhaps, but at the end of the day you would have to kill yourself.

Jesus fucking christ these degenerates.
Yeah I was trying to picture it, like she just surrounds the chode with q-tips, wraps it up with surgical tape, and then puts a chode sized condom on over the top, and hopes the thing does just rip right off and become detatched mid way?
Absolutely Haram.
 
Fuck imagine if the Egyptians are right and the poor bastards they practise that shit on wake up in the afterlife with an amhole
:story:
Thats just disrespectful as fuck imo. People who leave their bodies to science are expecting it can be used to advance the species, not for Joseph Mengele 2.0 to practise flaying and inverting the penises of insane men.

I took my name off the organ donor thing when I found out my skin could be used to line a rotten fucking stinkditch for someone like amhole Kev.

Nice chode bro
:story:

View attachment 5281288
Oh come on
:story:
Imagine them getting Alzheimer's and waking up everyday wondering what the fuck happened to their dick.
 
Imagine them getting Alzheimer's and waking up everyday wondering what the fuck happened to their dick.
Supposedly this has happened before to a tranny that got early onset dementia, I remember reading a post where the troon would freak the fuck out everytime he went for a piss because he forgot he was an AGP coomer and had his dick cut off in the early 80's.
Dementia reverts people to an almost childlike state at one stage, but far more confused.
I don't know wether it was a troll but if it was legit fucking sucks for troon Biden from the story, imagining finding your dick has been replaced with an amhole multiple times a day :story: truly a hell of his own making.
 
Supposedly this has happened before to a tranny that got early onset dementia, I remember reading a post where the troon would freak the fuck out everytime he went for a piss because he forgot he was an AGP coomer and had his dick cut off in the early 80's.
Dementia reverts people to an almost childlike state at one stage, but far more confused.
I don't know wether it was a troll but if it was legit fucking sucks for troon Biden from the story, imagining finding your dick has been replaced with an amhole multiple times a day :story: truly a hell of his own making.
It can happen I knew a nurse and she told that she use to work at a nursing home with a poor Vietnam Vet who was a double leg amputee with Dementia and at least twice a day she'd hear from his room "Thump Help" he'd go to get up forgetting he had no legs. I can only imagine the horror of finding your dick gone over and over again daily.
 
imagining finding your dick has been replaced with an amhole multiple times a day :story: truly a hell of his own making.
This is accurate to how people with dementia experience things. It's why they recommend "therapeutic fibbing" when the patient asks where x person is and they are really dead. If you told the truth, you would put them through the emotional trauma of losing that person multiple times a day.
IDK what you would even tell a troon who keeps forgetting he has an amhole though to comfort him. Lie that he was born that way? Try to explain the surgery and why he got it doesn't sound helpful if they don't remember they're trans anymore. It will be "interesting" seeing the young trans of today age.
Maybe you could do the old lie of "they're just out on errands but will be back soon" but instead it's "your dick is just taking a break but it will be coming back soon".
 
I was looking up state-of-art methods on phalloplasty (as one does...) and I came across this particular publication. I remembered someone asking if it's possible to simply get tissue expanders for RFFF to avoid the gnarly arm, some dozen pages ago. I don't remember if it was answered in the end, but here it is anyway if people are curious:

TLDR: No. Well, kinda. They just keep fucking it up.

Preexpansion in Phalloplasty Patients: Is It Effective? (2019) - (Link)

Background: Phalloplasty is performed as genital gender-affirming surgery in transmasculine persons. It requires the harvest of sizeable autologous fasciocutaneous flaps, which is associated with donor-site morbidity and extensive scarring. Flap preexpansion has been used to facilitate wound closure and reduce scarring, but the efficacy of flap preexpansion in phalloplasty is unclear. The objective of this study was to assess the safety and effectiveness of preexpansion before phalloplasty.

Methods: Transmasculine persons who underwent phalloplasty between December 2006 and July 2014 at our institution were identified and invited to participate. A chart review was performed to obtain patient demographics and expander-related complications. Outcomes regarding the donor-site scar (Patient Observer Scar Assessment Scale, scar size, patient satisfaction) were measured at the outpatient clinic and compared between transmasculine persons treated with and transmasculine persons treated without preexpansion.

Results: Of 33 transmasculine persons who underwent phalloplasty, 17 underwent preexpansion. Phalloplasty techniques included the use of the radial forearm free flap, the anterolateral thigh flap, or a combination of both. In total, 34 tissue expanders were placed in the forearm (n = 12) and/or thigh (n = 22). Complications occurred in 18 (52.9%) of 34 tissue expanders and in 13 (76.5%) of 17 transmasculine persons. Seven reoperations were performed because of extrusion (n = 2), infection (n = 2), port failure (n = 2), or leakage (n = 1). Sixteen transmasculine persons visited our clinic for scar assessment (8 with and 8 without preexpansion). Primary closure was achieved in 4 (31%) of 13 expanded donor sites. Relative scar size was reduced when the wound could be closed primarily, but overall scar size, quality, and satisfaction did not differ significantly between groups.

Conclusion: Donor-site expansion before phalloplasty was associated with high rates of expander-related complications and expander failure. Primary closure of the donor site was achieved in less than a third of the cases. Primary closure may potentially lead to smaller scars and greater satisfaction; however, we concluded that the potential advantages of preexpansion do not outweigh the high risk of complications and lack of success.

Images below - sorry if I'm supposed to do them in a specific way, I'm still retarded about posting images. Warning for medical gore, no flayed sausages though.

Expansion method. Imagine walking around like this.
IMG_20230819_193425.jpg

Follow-up and scar analysis. I gotta say, the left column looks pretty damn good healed after 4 years. Top right could plausibly be passed off as a non-rotdong scar.
IMG_20230819_193056.jpg

So let's review our takeaway here:
- Complications occurred in 18 (52.9%) of 34 tissue expanders and in 13 (76.5%) of 17 transmasculine persons. Thirteen out of seventeen.
- Seven reoperations were performed because of extrusion (n = 2), infection (n = 2), port failure (n = 2), or leakage (n = 1). Knowing this, they're still putting eroding erectile devices on rotdongs :story:
- Closure of the expanded donor sites was achieved in 4 (31%) of thirteen sites. Scar size was reduced when the wound could be closed, but SATISFACTION WAS NOT SIGNIFICANTLY DIFFERENT BETWEEN EXPANDED AND NON-EXPANDED ROTDOGS. LOL, FUCKING LMFAO, EVEN

And the reddest, juiciest cherry on top that I still can't fathom is the fact that the butchers were able to up and perform what is literally human experimentation (had the OK from some sort of commission - but honestly that's even worse), and when it catastrophically failed they just shrugged and said "whoops". Keep in mind that this study began at 2006 and ended in 2014, where I would assume surgery would have made significant progress - literal proof that rotdogs are experimental at best and experimenting on humans at worst.

That being said, they did the scar follow-ups about 4 years later, and the study was submitted for review in 2018 - commendable in the Mengele-esque domain for its longevity, and the absolute bare minimum in research. Even more stupefying is the people who actually signed up to be guinea pigs even though it's literally  surgery that will change the course of their life. I know, I know, it's really just the arm/thigh and not the actual phalloplasty technique itself... but still.

ETA: I just clicked on one of the researchers and saw their publications - holy shit, rabbit hole galore. Stay tuned for a study on herpes in a rotpocket. Literal field day.
 
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