Archive for the ‘ Weekly Progress Reports ’ Category

8 Weeks Post-Op

Today marks eight weeks since I had the metoidioplasty, scrotoplasty with implants, vaginal closure, and urethral lengthening. All things considered, I think I’m healing very well. I’ve been back at work 5 days now and I’m doing alright with occasional mild discomfort (I drive a truck about ten hours a day so the discomfort isn’t exactly surprising).

I will continue to give updates here if something changes but for summarized reports I’ll be transitioning to monthly reports rather than weekly reports. I’ll be making a two month report in a few days and I’ll get all the details down with that post.

Until then I hope you all are enjoying the holidays and I wish you well.

7 Weeks Post-op (Detailed Summary)

My progress at 7 weeks:

 

General Healing

  • The swelling in the left side of my scrotum continued for several days. The tissue felt as if there were scar tissue or something semi-solid in there (I could feel the implant as well as other semi-solid matter). Three days ago the swelling decreased and I had more yellow-colored discharge coming from the hole at the vaginal closure. This morning, after my shower, I took photos of the area around the hole to get a better look and found that there were very small “chunks” or flecks of yellow stuff – as if the pus had partially solidified before it came out. (I contacted my doctor a few days ago when I found the new discharge and am staying on antibiotics an additional week. The last time I had this pus issue the discharge stopped after about 5 days. However, the last time I didn’t have semi-solid fluid so I have also emailed Miro. I am concerned by the thought that infection is sitting in my scrotum long enough for the pus to become semi-solid).
  • No itch attacks this week.
  • I no longer use a strip of gauze around my penis to protect that sensitive flesh. The flesh of my penis is still slightly sensitive but no more than it should be.
  • There are still visible stitches where the testicular implants were inserted though there are only a few. Occasionally I will notice a long end of a suture and I will cut it off.
  • The inside of my cheek feels pretty normal and I don’t even think about that donor site unless I’m brushing my teeth. It is still slightly sensitive (but not painful) to being brushed or bumped. It is less sensitive than it was last week, almost not sensitive at all, and only feels slightly uneven when I touch it with my tongue.

 

Positioning and Movement

  • I am still being careful while walking, sitting, and driving but I’m getting closer to normal movement. When my scrotum is swollen, however, all bets are off.
       

    • I am able to sit upright, especially on firm chairs, as long as I am careful. I am more comfortable than last week as long as I have no swelling.
    • I still walk with my legs apart slightly though I am able to walk with them together. If I have swelling in my scrotum I feel pressure and even discomfort when I walk normally. When I have no swelling I can walk normally with only a feeling of a bit of pressure.
    • When I need to do so I drive my personal vehicle without thinking about it. In a couple of days I’ll try driving at work (a truck with a clutch).
  • I’m still able to sleep on my side part of the night. I stack pillows beside me so I can place one knee/leg on them and keep pressure off my genitals. In some positions I do feel slight pressure but it is no longer uncomfortable and I’m able to fall asleep. (I still wake to move into and out of this position but there is much less discomfort than a week ago).
  • Again, I am able to do more and for longer than I could a week ago.

 

Pain

  • I had to take Norco a couple of times several days ago. I had swelling in my scrotum and that is painful if I do anything but stay on the sofa.

 

Voiding

  • I still get a little bit of burning at the tip of my penis when I urinate but it’s very, very little.
  • I still sit to pee. I have too much extra flesh around my penis and the urine sometimes comes out in a fan for a moment. Maybe in time I’ll be able to drop trou and urinate standing. Urinating through my fly won’t happen before the mons resection.

6 Weeks Post-op (Detailed Summary)

My progress at 6 weeks:

 

General Healing

  • I don’t often use the strip of gauze I had been wrapping around my penis to protect that sensitive flesh. I used a strip of gauze for a couple of hours one day this week (until I urinated, which necessitates replacement). I didn’t bother to replace it.
  • The flesh of my penis is still sensitive but it’s better than it was a week ago. My underwear rubbing on the head doesn’t bother me the way it did previously.
  • I have had swelling in the left side of my scrotum for a few days and yesterday it was a bit painful. I’m pretty sure it was due to the activity level of the previous day.
  • No itch attacks this week.
  • All visible stitches on and around my penis are gone. There are still visible stitches where the testicular implants were inserted though there are fewer than last week. Occasionally I will notice a long end of a suture and I will cut it off.
  • I can still easily see the stitches along the lower part (back toward the anus) of the mid-line of my scrotum (this is also the vaginal closure). There is still a tiny hole at the back/dorsal end and I still have a very small amount of yellow-colored fluid coming out. This began 5 days ago. I no longer get blood draining from that hole but I do occasionally pick up a small dot of fresh blood from the area. I believe this is from those loose stitches and their knots. Miro (my surgeon) said it’s alright to cut those visible stitches. (I’ve made an appointment with my doctor. I’ll post an update about that when I have one.)
  • The inside of my cheek is feeling almost normal and I don’t even think about that donor site unless I’m brushing my teeth. It is still slightly sensitive (but not painful) to being brushed or bumped.

 

Positioning and Movement

  • I am still being careful while walking, sitting, and driving and have actually been limiting my activity to some degree just to be cautious.
       

    • I am able to sit upright, especially on firm chairs, as long as I am careful. A few days ago I spent a few hours playing cards while sitting on a wooden chair and I was perfectly comfortable. (I don’t think this would be the case if the swelling in my scrotum were greater).
    • I still walk with my legs apart slightly though I am able to walk with them together. I feel pressure if I try to walk normally but no pain.
    • So far I have been limiting my driving and only drive my personal vehicle a couple of times per week.
  • The last couple of nights I have been able to sleep on my side part of the night. Last night was even better. I stack pillows beside me so I can place one knee/leg on them and keep pressure off my genitals. I do feel slight pressure but it is no longer uncomfortable and I’m able to fall asleep. (I wake to move into and out of this position).
  • I am not back at work and won’t go back until 18 December. If I worked at a desk I could have gone back already.
  • Again, I am able to do more and for longer than I could a week ago. Having said that, I’m still taking it easy.

 

Pain

  • My overall pain level has continued to decrease and I have not used any pain medicine this week (neither prescription nor over the counter medication).
  • Yesterday I had some twinges of pain and an increase in discomfort in the evening. I did not take any pain medicine.

 

Voiding

  • I still get a little bit of burning at the tip of my penis when I urinate but it’s very little.
  • The last couple of days before the supra-pubic catheter was removed I began to get a bit of an infection around the entry point. I continued to take antibiotics after the removal and will take my last pill tomorrow. I am going to see my general doctor later today to have some stitches removed and to have this fluid checked.
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