Archive for the ‘ Driving ’ Category

Wandering Implant and A Lop-sided Scrotum

Below is my response to that which someone wrote in one of the FTM support groups about one side if his scrotum:
“When I massage the thing, it feels more fibrous than fluid-filled. I can see no signs of this thing deflating any time soon.”

The left side of my scrotum still feels this way (on the 27th I’ll be 3 months post-op). It is not painful or sensitive and the implant seems to be in a good place. It does not cause any issues with my penis. If anything, the “swelling” makes the scrotum look more natural. It hasn’t really changed much in a number of weeks now.

The right side, on the other hand, is “deflated” much of the time. The right implant is much deeper than the left. Sometimes the implant is where it belongs (lower) and the scrotum looks more full but not as full as the left side. Other times the right implant is high (up beside my penis) and the right scrotum looks deflated or shriveled. This can also cause discomfort, especially when my legs are closer together such as lying down or in certain seated positions, due to the implant pressing against the side of my penis.

I plan to have a mons resection this year and hope this “wandering implant” situation can be resolved at the same time.

2 Months Post-op (Detailed Summary)

My progress at 2
months:

General Healing
In general I am pretty comfortable most of the time. I am, however, aware of occasional discomfort. I don’t know if this is from the tissue around my penis pressing on it, or from swelling issues I’ve had with my scrotum. I have been working on losing some weight (a few pounds already) and will get back in
the gym next week. I hope that (a) weight loss will help; and (b) there won’t be any more infection issues in my scrotum.

  • The swelling in the left side of my scrotum is either gone or very little. The left side still feels as if there is scar tissue or something semi-solid in there (I can feel the implant as well as other matter). That side is still larger than the right but it is not painful to touch. I can’t tell whether the left side is swollen or just larger because the implant is closer to the surface of the skin (which it is – the right implant is certainly deeper).
  • Over the last week or so I have had no more discharge (neither pus nor blood) from the hole left from the vaginal closure (see posts here and here
    for more about past discharge issues).
  • I finished the antibiotics three days ago. I hope I will not have a
    recurrence of the infections I’ve had in my scrotum.
  • The midline of my scrotum appears to be healing nicely. There haven’t been visible stitches along the midline since my primary care physician removed some stragglers 19 days ago.
  • I can no longer see stitches where the
    testicular implants were inserted though the suture lines are still a little lumpy. These lines are also slightly tender when pressed firmly.
  • The spot where the suprapubic
    catheter was inserted continues to heal well. I have a slight depression at the site which is purple
    in color and about .25 inches across. It is not sensitive.
  • The inside of my
    cheek feels pretty normal and I don’t even think about that donor site unless I touch it with my
    tongue.

Positioning and Movement

  • At this point I’m more comfortable if I walk normally (when my scrotum is swollen, however, all bets are off). I am still careful while sitting or
    driving but that’s mostly about the crotch of my pants. When they pull tight I am uncomfortable. Long hours sitting (while driving in particular) can be uncomfortable so I wear jeans which are as loose-fitting as possible.

  • I’m able to sleep on my side with little trouble. I place pillow(s) beside me so I can place one knee/leg on them but I did this even before surgery. Now it’s as much about
    comfort in my back as keeping pressure off my genitals. In some
    positions I do feel slight pressure but it is no longer really uncomfortable and I’m able to fall asleep – I just have to take care not to “pinch” my penis between my legs.

Pain

  • I started back to work on the 18th (9 days ago) and I drive a truck for a living. Most days, near the end of a long day driving, I have taken a couple of RRET Tylenol. I don’t have pain, really, just quite a bit of discomfort. The discomfort is due to my jeans and underwear rubbing my crotch but I haven’t decided whether my scrotum or my penis is what’s really bugging me. Regardless, by the end of the day I’m ready to get my pants off!

Voiding

  • I still sit to pee. I have too much extra flesh around my penis (fat mons)
    to allow me to grip it to urinate. Also, the urine sometimes comes out in a fan or some other weird formation. Maybe in time I’ll be able to drop trou and urinate standing. Urinating through my fly won’t happen before the mons resection.

Third Day Back at Work

My job is driving a truck. For once I sort of wish I worked behind a desk. At least for the next few weeks anyway, haha. Well, maybe not. I’ve been there and I don’t care for it. I’d much rather be alone in a truck.

Work:
Three quarters of the day isn’t bad. No pain just a little odd now and then. The last few hours become more and more uncomfortable. The difficult part is that I can’t stay in a comfortable position. If I’m driving longer distances on the highway it’s easier but shorter distances with a lot of turning and stopping wear me down because my jeans keep riding up.

Even then, I don’t end up in pain. Just really uncomfortable by the end of the day. I’m a little uncomfortable starting out this morning which is unusual. I hope it’s a fluke. Otherwise my discomfort might grow as the work days accumulate and that would suck, lol. I’d hate to spend my three days off in bed recovering from six days at work.

I’m still taking antibiotics and should finish Thursday or Friday. I haven’t seen any discharge for a few days but the left side of my scrotum is still larger than the right. A lot larger (and the right side is deflated with the implant very deep). The left isn’t sensitive, really, but it feels like there’s either scar tissue or caked up gunk in there. After the infections I’ve had I really don’t know which is the case. Naturally I hope it’s scar tissue from where Miro took tissue for the urethra.

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