Re: Have had a procedure in the US and urinary stream goes forward
Hi Gladys,
Thank you for joining our group MTF-SRS-FTM Yahoo adult group.
Despite a very close placement of the urinary opening to where it should be, just under the pubic bone, post operative tension on the skin surrounding that opening, the vulvar plate, can cause the tissue to rise upwards being pulled upwards by the pubic skin, if that makes any sense.
We have seen 3 such cases this past month, including one from Europe and one from Thailand.
The remedy is really simply as it is better to have more urethra, which can be opened or excised than not enough. That extreme would result in an intra-vaginal urethra and voiding into the vagina.
A natal female’s stream goes pretty much downward, perhaps slightly forward. So if you are hitting the rim of the toilet seat or have to lean forwards to shift the trajectory of the stream behind you, then most likely the opening needs to be re-sited. A plus of doing this is the urethra distal to the opening can be laid open or filleted to create a pink vulva. The urethral opening needs to be flared outwards so it does not contract because even if the opening is in the correct position, a tight opening is not desirable either.
Urinating on a fresh incision is not a good idea. Anticipate that you will have a catheter in for one week to help form the new opening and keep urine away from your vulva for a while.
All the best,
Harold M. Reed, M.D.