5 months post-op and I still can't STP
I am currently almost 5 months post op stage 1 which included nerve hookup, UL, scrotoplasty, and vaginectomy. Overall, I am 1000% satisfied with how everything looks and has healed, except for the fact that I can't stand to pee.
In my previous posts I have mentioned that the ability to stand to pee was my main motivation (despite bottom dysphoria in general) for getting phalloplasty. I have also mentioned that I pee out of a fistula located behind my scrotum with not even a drip coming from my penis. The fistula is getting smaller as time passes and I'm 75% sure I will eventually have to have an SP catheter placed before my next stage.
I reached out to a urologist that is somewhat local to me and he agreed to see me. He recommended a cystoscopy, RUG (retrograde urethrogram), and possible dilation to try and "pop" it open. I had that procedure done roughly 3 weeks ago and it showed a complete blockage at the base of my penis. He stated he couldn't even get a guide wire through it, it was so tight. He also mentioned that I would probably have to get a 2-stage urethroplasty done in order to fix it however, because I still have two more stages to go, he doesn't feel comfortable doing it because he doesn't want to disrupt any of my upcoming stages. This sucks because my surgeon is 15 hours from me and I was hoping I could get this fixed closer to home.
Knowing that there's no chance this complication will resolve itself has really been weighing on my mental health. Again, being able to stp was my #1 reason for phallo. I know eventually (hopefully) I'll be able to pee from my penis, but it still sucks and I envy you all that are able to.