Q I am a genetic male with recurrent questions about my gender identity. Straddling desires to maintain my stature in the professional world, keep my wife at my side, and become who I feel like I am, I have experimented with cross-dressing, chastity, antiandrogens, and, prior to all that, steroids. While the matrimonial veto has been enacted for some feminine expressions, my wife and I have reached a middle ground where I can pursue sexual and aesthetic androgyny. I have started wearing unisex clothes, stepped up cardio to sculpt a more feminine shape, and am getting hair removal done. My question: I want to keep my sex drive and sexual organs intact, but I want to urinate like a woman, with no choice but to sit. There are body-modification communities out there that showcase this type of procedure (urethral reroute/relocation), but I don’t know where to start when it comes to tracking down someone to do it for me. Ideally, a legitimate urologist should do this type of work, but even with my gender-amorphous desires in play, I’m not sure I can put together a justification strong enough. Any advice? Do you know any piercers who have done this kind of work? —Seeking Insights That Take Erotic Rerouting Seriously

And the biggest consequence is a heightened risk of urinary tract infections due to your shortened urethra, SITTERS. The urethra, of course, is the tube that runs from our bladders, where urine is stored, to our pee holes. Women’s are shorter, making it easier for bacteria and other bugs to get up into the bladder and cause infections. But urinary tract infections aren’t your only worry. “Any artificial orifice has a certain incidence of stricture,” said Dr. Newman. “So the opening might need frequent dilations or more surgery if this complication arises.”

“Ejaculation will occur through that new hole in a nondirectable way—which could be fun or not,” said Dr. Newman. In other words, SITTERS, after you have this done, you’ll not only be peeing sitting down, you’ll also be coming all over the back of your sack.

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