This is a series of updates from
falloutcatboy who is still enduring continued issues around urination.
That video broke me even though it’s
nowhere near as gory as the other stuff Magic Pickle posts. That stream is
so weak. Her urethra extension ruined her ability to piss, let alone piss with force. Which, you know, makes sense. Men naturally have longer urethras, so they have a more robust bulbospongiosus muscle to help get the pee out. Furthermore, this chick is using graft material that lacks sphincters and muscles. It’s basically a slide and gravity is the best they can get.
In actual men, bladder pressure, muscle contractions, and gravity push urine out through the penis. In a phalloplasty, one only has bladder pressure, so the constructed urethra is passive. That is, it doesn’t push back or contract. That’s probably why the stream looks slower, thinner, and lacks projection.
She might be voiding her bladder but
not her urethra. There’s probably residual urine trapped inside. That urine can dribble out later, which is obviously humiliating, but possibly not the worst part. The pH of urine and concomitant moisture can cause skin irritation, especially if there's pooling or prolonged contact.
I did a big of googling on this
“post-void dribbling” - and it’s
very common in FTMs. After voiding, some urine may remain in the pseudo-phallus’s neourethra. The piss can dribble out minutes later, especially when said pooner changes position (e.g., standing up, walking). This is
not the same as failing to empty your bladder. The bladder may be
fully emptied, but the pseudo-phallus tube itself is not.
This is because the neourethra has sags, kinks, or “dead space” where urine pools. We’ve all seen how floppy these things are. No muscles exist in the neophallus to squeeze urine out, so
even with perfect surgical technique, this is often
unavoidable due to
physics and anatomy.
Creating a neourethra during phalloplasty often involves rolling flat tissue into a tube (e.g., from forearm, thigh, or mucosal grafts). To turn that into a functional, watertight urethra, the surgeon has to:
- Roll it into a tube;
- Suture the seam shut along its length; and…
- Connect it to the original urethra and / or other tissue grafts.
It’s very much like rolling a piece of cloth and trying to stitch it into a clean cylinder. If the stitching isn't perfectly even, it can pucker, bunch, or create unevenness. Those puckers or overlaps inside the tube can create "dead spaces", aka little dips or pockets where urine can pool.
Even if the stitching is technically precise, the healing process can cause swelling or scar tissue that alters the shape slightly and introduces irregularities.
That’s where the sewing analogy falls apart. That’s fabric, a predictable, uniform material. Whereas this is living, healing, vascularized tissue. As it heals, scar tissue can form unpredictably, sometimes tightening parts of the tube and leaving others a bit baggy. Plus, the tube doesn’t have natural muscle tone, so there’s no way for the urethra to contract and clear itself. Surgeons can do things in stages and try to be careful about seam placement, but it’s an absolute fucking crapshoot.
So their neourethra is full of piss. This can cause skin irritation or rashes from residual moisture and urine acidity. UTIs can develop if bacteria grow in retained urine or the neourethra. Odor becomes an issue, especially if hygiene is difficult. That’s why so many pooners speak of needing to “milk” their phallus post-piss (like pressing from base to tip) to express residual urine. Constant
wetness, especially in folds or where there's friction, can cause a myriad of problems, including:
- Excoriation (aka skin breakdown);
- Inflammation (aka urethritis); and…
- Fistulas or strictures (especially immediately post-op).
Basically, it’s a fucking nightmare and there’s no way to succeed. Even the best and most well-intentioned surgeons cannot guarantee consistent stitching. Combined with the in-built limitations of graph skin, you have a surgery that only produces bathroom trouble. [Insert Tesla quote here.]
TLDR: Magic Pickle is a 10/10 poster. Your body is a precious gift. Even the smartest humans cannot recreate what nature produces unprompted.
