Whether you can have phalloplasty if you have a history of urinary incontinence depends on the severity of your incontinence and the type of phalloplasty you are considering.

In general, people with mild to moderate urinary incontinence can still have phalloplasty. However, people with severe incontinence may not be good candidates for phalloplasty, as the surgery can make incontinence worse.

The type of phalloplasty you are considering can also affect whether you can have phalloplasty if you have a history of urinary incontinence. For example, phalloplasty with urethral lengthening is more likely to cause incontinence than phalloplasty without urethral lengthening.

If you are considering phalloplasty and you have a history of urinary incontinence, it is important to talk to a surgeon about your individual circumstances. The surgeon will be able to assess your eligibility for surgery and help you make the best decision for yourself.

Here are some additional things to consider if you are considering phalloplasty and you have a history of urinary incontinence:

• The type of phalloplasty: As mentioned earlier, the type of phalloplasty you are considering can affect whether you can have phalloplasty if you have a history of urinary incontinence.
• The severity of your incontinence: If your incontinence is mild to moderate, you may still be able to have phalloplasty. However, if your incontinence is severe, you may not be a good candidate for phalloplasty.
• Your expectations: It is important to have realistic expectations about what phalloplasty can achieve. Phalloplasty can help to create a more masculine appearance, but it cannot completely cure incontinence.

Ultimately, the decision of whether or not to have phalloplasty if you have a history of urinary incontinence is a personal one. There is no right or wrong answer, and what is right for one person may not be right for another. It is important to talk to a surgeon and a therapist or counselor to get the information you need to make the best decision for yourself.

Phalloplasty, as a gender-affirming surgical procedure, can impact your eligibility for certain future gender-affirming surgeries. The specific impact will depend on the surgical techniques used, the resulting anatomical changes, and the goals you have for your gender-affirming journey.

Phalloplasty involves the construction of a neo-phallus using various techniques, such as tissue grafts and microsurgery. The neo-phallus created through phalloplasty may affect the feasibility or appropriateness of certain future procedures or alter the surgical approach for other gender-affirming surgeries.

For example, if you have undergone phalloplasty with the creation of a urethral lengthening, it may limit or alter the surgical options for additional procedures such as vaginectomy or metoidioplasty. Additionally, the availability and success of specific procedures may vary depending on the characteristics of the neo-phallus and the individual’s goals.

It is crucial to discuss your long-term goals and desires for future gender-affirming surgeries with your surgical team during the consultation process. They will evaluate your individual case, consider the impact of phalloplasty on your anatomy and surgical options, and provide guidance based on their expertise and experience.

Open and honest communication with your surgical team is key to developing a comprehensive surgical plan that aligns with your desired outcomes. They will discuss the potential impact of phalloplasty on your eligibility for future gender-affirming surgeries, address any concerns or questions you may have, and work with you to create a personalized treatment plan.

It is important to remember that the impact of phalloplasty on future surgeries will vary depending on individual factors. Your surgical team will provide you with the necessary information, guidance, and support to help you make informed decisions and navigate your gender-affirming journey.