Metoidioplasty and phalloplasty are two options for masculinizing surgery. Both are offered by our specialists.

What is metoidioplasty?

Metoidioplasty is one option for masculinizing surgery, which involves surgical reconstruction of the clitoris to form a small penis (neophallus).

Leading up to metoidioplasty, individuals are provided testosterone medication to take before surgery. This increases the size of the clitoris, thus facilitating its reconstruction during surgery.

Many individuals may already be receiving testosterone treatments to aid with their transition, thus they would continue taking these medications.

Why would I choose to undergo metoidioplasty instead of phalloplasty?

The decision between metoidioplasty and phalloplasty is highly dependent on the goals of each individual.

Metoidioplasty is typically a less complex procedure than phalloplasty, which can be achieved with one operation which lasts about 3-4 hours. Phalloplasty typically requires three stages.

In most cases, patients retain full sensation and the ability to have an erection after metoidioplasty. Usually, patients are also able to urinate in a standing position after metoidioplasty. However, if penetrative intercourse is important to you, then phalloplasty may be a better option due to the size and functional differences of the neophallus in the two procedures. The smaller size of the neophallus constructed during metoidioplasty will likely not allow for penetrative intercourse.

If you opt for metoidioplasty, you can also decide to have a phalloplasty at a later time.

What are the risks for metoidioplasty?

Usually, metoidioplasty results in a simpler recovery, with a decreased risk of complications, than phalloplasty. Risks may include:

  • Leaking or spraying of urine
  • Urethral stricture
  • Pain, discomfort, or sensitivity in genitalia
  • Urinary tract infections
  • Mucus discharge due to cyst formation
  • Wound healing complications
  • Inflammation/infection

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