Metoidioplasty: The Science of Bottom Surgery (with Dr Jamie Raines) | Sci Guys Podcast

Jammidodger returns to the podcast this week as we cover metoidioplasty, a type of lower surgery mostly for transgender men and trasnmasc people! A huge thank you to our patrons for voting on this topic.
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References & Further Reading
www.gendergp.com/wp-content/u...
my.clevelandclinic.org/health...
www.frontiersin.org/articles/...
www.ncbi.nlm.nih.gov/pmc/arti...
onlinelibrary.wiley.com/doi/1...
www.goldjournal.net/article/S...
www.grsmontreal.com/en/freque...
www.ncbi.nlm.nih.gov/books/NB....
www.ncbi.nlm.nih.gov/pmc/arti....
www.bladderandbowel.org/surgi...
Follow the SCI GUYS
@notcorry / @jampkin / @lukecutforth

[@SciGuys]

Have you ever had surgery?

[@cryptidkyle5528]

Facial reconstruction as a kid, waiting for top surgery

[@soggy7732]

i'm saving up for top surgery, but probably won't get bottom surgery

[@soggy7732]

​@Theo AYYY THATS AWESOME CONGRATS

[@Ky_The_Weird]

Only my wisdom teeth.

[@Lisuje16]

Yes! The only surgery I've had is top surgery (double mastectomy, double incision), I'm very happy with it, was nearly 2 years (in September) ago now :)

[@jen_chaos]

Oh my gosh! Since March 23 2022, I’ve had 3 cancer surgeries on my shoulder for DFSP. I’m 15 so it was a long struggle to be taken seriously by doctors!😥 Anyway, as of May 25 (last surgery date) I’ve been cancer free! My journey was relatively short compared to many cancer fighters, I’m so proud of everyone in the cancer and illness community. Thanks for reading!🏳️‍🌈🎗

[@shanaweerakoon6609]

Congratulations on being cancer freeeee

[@Klara_S.]

Congrats!

[@liamfrederic5203]

it’s so frustrating that information about these types of surgeries is so scarce 😑 similarly I don’t remember any of my doctors telling me about bottom growth- that would have been a bit of a shock if it wasn’t for the internet 😅

[@Axolotls677]

On the packet of info planned parenthood gave me 3 weeks ago it mentioned bottom growth - so things are improving! But we still have along way to go

[@calamityjean1525]

Four inches is quite impressive. My late CIS husband was only 4.5 inches erect, and he & I had a lot of fun with it for thirty-five years. I had no idea that transmen's lower endowment could be so large. No wonder the guys in the study were so pleased with it.

[@SouthPark333Gaming]

The average guy is only 5.5 inches when erect, so 4 inches really isn't that bad

[@sunnyquinn3888]

One of my brothers had hypospadias. They operated on it when he was 5, and decided to take a couple teeth he needed out while he was under anesthesia. This was before I was born but I can only imagine what the poor kid thought when he woke up lol!

[@nicomoist5336]

Science and queer is a great combo! Came here from Jammiedodger's channel. Thanks for this video yall!

[@tyrennosaur]

I’m actually scheduled for metoidioplasty in a year! :)

[@danas5846]

hope it goes well!!

[@kuuderepanda4207]

Good luck!

[@stevepalpatine2828]

Why?? Those things are horrific.

[@Ariel_is_a_dreamer]

Did you have it? How did it go??

[@MrsLia-em7nr]

I'd appreciate an episode about DIY HRT and its effects! Thank you 😊

[@StigmataMartyrz]

+

[@fozziebean]

+

[@user-dg3ug7ny5d]

Hey Somnia!

[@fozziebean]

@@user-dg3ug7ny5d Foods and drinks can only increase or decrease oestrogen/testosterone a tiny bit. Lots of trans people have tried.

[@user-dg3ug7ny5d]

@@fozziebean Sure, but it's something, right? I found it to be more of a mental change in how I saw myself, rather than physically. Decreasing my androgen levels also cleared up my cystic acne and reduced other "male" features, so it does work, but you obviously can't expect a full transition just on a weak hormone regime. If someone can't access hrt or puberty blockers, then natural teas at least can do something for them. Again, it's the mental rejuvenation in believing you're doing something. All of these teas are pretty good too, especially chamomile in dealing with anxiety related to being trans and acceptance. Anyway, have a great day/evening/night :)

[@getpsychedreptiles]

So glad you all collaborated again! You have really great discussions. I love listening and learning

[@spookeddiesheep3649]

You're taught that it's either A or B. Then you find out about the rest of the alphabet....then you realise that letters only represent sounds and that there are many sounds you could create with your mouth that are not present in the alphabet....they you realise that sounds don't matter is the meaning they carry when strung together to create words and sentences that actualy count. Man it's a rabbit hole....

[@gabedior1261]

I had top surgery last year and it's changed my life for the better

[@thiel_spencer]

Thus far I've only had a single surgery (double incision top surgery), but I might need to eventually get another chest surgery for my pectus excavatum, it depends on how my evaluations/scans for what damage my stupid sterum is doing to me lmao

[@praalgraf]

def a good topic! i would not be opposed to a phalloplasty episode, but maybe that's a way into the future before this becomes a trans podcast (which is also cool, but maybe not the goal)

[@accingpunk]

There is a UK Channel 4 documentary about phallo, which shows 3 quite different experiences. It's called "The Man With A Penis On His Arm". IMO an interesting and educational watch.

[@Ross-cecil]

4:22 the LOOK Jamie gave Corry. I knew EXACTLY what was going through his head cause I thought it was going there too.

[@jasminema]

*gets a ruler to check how long 10cm* yeah that is quite long.

[@Caparo479]

Only surgery I've ever had was an appendectomy when I was like 20. I do have my orchiectomy scheduled a week from now (getting both balls removed for trans reasons).

[@roobenbhai8443]

good luck! i hope it goes well & you have a speedy recovery

[@Klara_S.]

Can we get an update? I want to hear if it was successful.

[@Caparo479]

@@Klara_S. yeah, it went well, and a bit over a month after, i'm fully healed

[@Klara_S.]

@@Caparo479 That's great!

[@connerdodds]

thanks for this, guys

[@itsame2649]

1 week post-op top surgery, it all went well:) I do want to get metoidioplasty at some point so thank you for making this episode!

[@sisiphas]

Ongoing complications of surgery do not seem to have reduced percentage wise , the more horrendous sequalae are more likely to occur in trans people AFAB, which is worth researching.

[@Anraiboi]

I want this surgery but I can’t find any one in Australia that does it ☹️

[@theowlhouseseason3213]

sad pp:(

[@user-dg3ug7ny5d]

Quick search and I found a website that may be useful. Scroll down to the specific surgery you want and under 'Location' it offers an in-text link to a list of providers that are able to provide trans-related health care. This website is 'https : // www . trans hub . org . au / grs', with no spaces. For metoidioplasties specifically, go to 'https : // aus path . org . au / providers / #'. Again, no spaces. It gives you the option to jump to the information relevant to your state. Personally, I recommend getting it in Thailand. Higher conversion rate money-wise (AUD$1 = ~ THB฿24). If being in a non-English speaking country would be too complicated to work around with needing to pay for an interpreter, etc. getting it in the US is the second best place. However, it's a lower conversion rate, so it's a reduction in money. Anyway, I hope that helps you in any way! Stay safe, mate :)

[@scilines]

Great info but would have been nice to hear more from Jamie.

[@itsame2649]

yea I agree... I find it odd to have a guest on that then barely gets to talk

[@Evan-xk3db]

I was thinking the same thing haha I was like when is Jamie going to chime in??

[@Mariam-670]

great episode, learned so much. off topic question, where is corry’s shirt from? it’s rlly cool.

[@icouldeatthemoons]

I'm a bit put off that nobody on this panel pointed out the fact that "voiding" is not some outdated term. It's still used quite frequently by medical professionals. In fact, fistulas are a common complication of FtM bottom surgery and this pathology is frequently imaged and diagnosed via VCUG which stands for "voiding cystourethrogram". It means the urethra is imaged under fluoroscopy as the patient pees out contrast. Is there not a doctor on this panel? Hopefully just PhD...

[@SciGuys]

Jamie isn't a medical doctor, as explained in the episode he joined us as he's had this particular surgery himself. Apologies for the mistake, we try hard to be accurate but of course there will be things we miss!

[@nubs9895]

I'm curious how many of the people who've had these surgeries may have been non-binary and lumped in with the trans men. I have heard of some using the trans label in order to gain easier access to gender affirming procedures. Although, they may have a separate set of statistics for that. In regards to the requirements though, how does that apply to non-binary people when it comes to living as that gender (or lack thereof) for a year since there is no "standard" for what that means? Also, thank you for mentioning the lack of info. It is very frustrating to see almost nothing but diagrams and mid operation pics.

[@tobyatlas6480]

I had a medical mis-hap when I was seven. And so I had to get surgery on my abdomen to fix that. But since then I've been lucky enough to avoid any more. I am going to get top surgery though!

[@saskiahorton]

So interesting thanks guys

[@sunnyquinn3888]

I had my gallbladder taken out on 12/03/2020. Which weirdly turned out to be exactly one year to the day before my mom died.

[@kuuderepanda4207]

58:55 "If you answer correctly, you win one free metoidioplasty surgery." Me, slaughtering thousands of my brethren trans men and tripping over their bodies to get to the buzzer-

[@DistantLoner]

I haven't had any surgeries before, but I am currently on a wait list for a jaw surgery because my teeth are so crooked that in order to straighten them, I will have to get my jaw broken and realigned first. I will also at one point during my treatment have to have a device where I will have to turn a key once a day to slowly split my palette and widen it over time. I'm a bit scared because that will be A LOT of pain. What if I end up regretting it? But at the same time, my teeth are currently so crooked that they often cause discomfort and even pain. Another concern I have is the fact that I hate cold water and soup, but I will have to live off of both of those while recovering from jaw surgery. I hope that it will be one of those cases where you're so hungry that anything will taste good regardless of taste, temperature, or texture.

[@Dariusissocool]

I had had a kidney transplant a month ago and another surgery 13 days later for the subsequent infection and small bowel obstruction. 7 new scars on my abdomen. Two incision from each surgery and 4 JP drain puncture holes and 1 extra one web. They tries to do the surgery Laparoscopically and it didn’t work because my abdomen was so distended.

[@starfishgurl1984]

It depends, if my wisdom teeth removal counts as surgery then yes, or the stitches I had to reattach my nose that I cut open on a stamp box I was playing with as a toddler when I tripped and fell then yes, otherwise no. I do hope to eventually have post weight loss skin removal surgery though and include a breast reduction as a part of it when I do for sensory reasons as well as dysphoria related reasons (I’m an AFAB demigirl).

[@theflyingkestrel]

As of 4 days ago, yes

[@WolfCrowen]

I find the idea of "closing" the vagina but leaving the uterus somewhat strange. If only because of the complications that arise from hormone therapy (strengthening the uterine wall, for example). On the other hand, compulsory castration for the possibility of sex change in documents (Czechia is one of the last EU states that insist on it) strikes me as disgusting. Especially when these "bottom" surgeries are like "a hundred years behind the apes" as they say here. :/ Like... I know very few people who have gone for it. I know a lot more that will do it, but definitely not in the Czech Republic. Like, there's pretty good health care here, but this health care sector here is so terribly small and bad... So a big blow for savings and bye bye, I'm going to the competition abroad.

[@lilybrooke3554]

Please do an episode about dislekcia

[@Ari_C]

i think you mean *dyslexia, lol. they really had no mercy for dyslexic people when naming the disorder 💀 lmao

[@lilybrooke3554]

@@Ari_C yeah lol 🤣 it's the worst word to spell

[@Luketherat]

I’ve only had my wisdom teeth taken out but I am a big baby and complained about how much it was bothering me for like 6 weeks after haha.

[@artistbervucci1716]

This is comment that also exists.

[@LilCatDude]

I’m so glad you included that gland at the end because I googled what female ejaculate after someone told me it was pee, but I never found an answer!

[@sisiphas]

There is very little information on web-sites that are clear about the common ongoing continence issues, or that the surgeries are simpler and have fewer complications if patients have NOT had blockers or opposite sex hormones before the age of 20 (and the converse is true).

[@vynneve]

yes, bowl resection because crohn's. worst 2 weeks of my life. but then I felt better (than before the surgery) lol

[@fozziebean]

I've had a small cyst removed from my upper chest. And no, it does not count as "top surgery". 😆

[@JennaGetsCreative]

I've only had dental surgery, which medical professionals always say counts when you hum and haw on your history but laugh about when you remember to mention it 🙃

[@rayne333]

i have had surgery! but sadly not any of the transition related surgeries that i would like bc they are incredibly expensive as we all know & very hard to get covered by insurance in much of the US bc our healthcare is a fucking joke. (which i realize is news to no one) hoping that with all the shit going on i will still have enough bodily autonomy to get the hysterectomy i need done next year. but the government is currently poking around in our uteruses so i’m not very optimistic. looking forward to hearing jamie talk more in depth about meta! always love seeing him on the pod & his series on his bottom surgery was so very much appreciated! i know he had a rough go of things but i feel it’s important to see all sides & grateful for all he shares with us 🥹❤️

[@sisiphas]

Look at the association between hysterectomy before age of menopause (around 55) and early onset dementia before proceeding. Using T after (and/or before) hysterectomy is likely to further increase the likelihood of early dementia, but this is uncertain. The very strong link between early dementia and any hysterectomy is the reason why hysterectomy is no longer used as a treatment for a number of diseases (inc cancer) in non-trans women.

[@lilithcrow6675]

I' a trans woman so not sure why I'm watching this but it was really interesting

[@orca3413]

i had a tooth pulled when i was 4 lol and i had top surgery in 2019 < 3

[@theorangedinosaur4098]

no i havebt

[@rockandrollfantasy86]

"Literal free willy." 🤣🤣

[@n3bu_la]

I've had teeth taken out :)

[@janApen]

“Comment”

[@Ashakat42]

Now do an episode on the risks of these surgeries and have people on who have been harmed. They never get heard or get a platform. The forgotten part of the trans community.

[@SciGuys]

We literally spoke about complications and risks in this episode…

[@SongMangosteen]

@@SciGuys Not really. How about giving an equal platform? You could invite someone like Shapeshifter to speak about their experiences.

[@SciGuys]

Given that the satisfaction rate is well over 85% across multiple parameters (with some as high as 100%) why do we need to give an “equal platform”? We mentioned the potential risks & complications for a surgery which has ridiculously high satisfaction rates - where exactly is the issue?

[@CC-USA]

You are in denial.

[@prageruwu69]

​@@SongMangosteenwhy would they bring on a biased emotional grifter who's against people like jamie existing?

[@mississippiatheistette8769]

Vulva Im going to just leave this right here.

[@olympic-gradelurker]

Why does the host sound like Megamind?

[@charleneklaja9355]

Sooooo EVIL 🔥😈🔥😈🔥🥵🔥 Very SATANIC 😈🔥😈🔥🥵🔥

[@jewisley]

Stop saying cis. I don’t care if it’s a Latin word. It’s a dead language. I’m a woman.

[@SciGuys]

Grow up

[@jewisley]

@@SciGuys okay, you little whippersnappers. I’ll grow up when you get some sense, education, and respect for other. Plus maybe change your name to sci-fi?

[@SciGuys]

Very funny! You’re still cis, though

[@user-xx6do4nb4l]

So scientists should stop naming animal and plant species in Greek and Latin because you don't care as they're dead languages? Interesting that you have the audacity of a CISman being a CISwoman

[@prageruwu69]

ok default settings

[@nicomoist5336]

Science and queer is a great combo! Came here from Jammiedodger's channel. Thanks for this video yall!