However, it is still very common for transsexuals to experience symptoms from excess unresected erectile tissue postoperatively. Usually the problem is caused by residual corpus spongiosum.
Symptoms typically arise during sexual arousal, when the excess tissue becomes engorged with blood.
This may result in narrowing or obstruction of the vaginal opening, or protrusion of the urethral meatus. These unusual photographs document this phenomenon. They also demonstrate the appearance during sexual arousal of a clitoris created using the sensate pedicled technique. The patient whose photos are shown below had SRS with Dr. Toby Meltzer in early 1996. She experienced protrusion of her urethral meatus with arousal, along with some vaginal narrowing.