Female-to-male (FTM) genital transformation, also known as gender-affirming bottom surgery, involves surgical procedures to create male genitalia for transgender men.
There are different surgical options available for FTM individuals seeking genital transformation:
⦁ Metoidioplasty: Metoidioplasty is a procedure that involves releasing and enhancing the clitoral tissue that has been hormonally enlarged through testosterone therapy. The surgeon may also perform a urethral lengthening to allow for urination through the neophallus. While metoidioplasty may result in a smaller-sized phallus, it can offer natural erectile function.
⦁ Phalloplasty: Phalloplasty is a more complex procedure that involves constructing a phallus using various techniques and tissue sources. The tissue for phalloplasty can be harvested from different areas of the body, such as the forearm (radial forearm flap), thigh (anterolateral thigh flap), or abdomen (abdominal flap). Phalloplasty can provide a larger-sized phallus but is typically a multi-stage surgery that may require additional procedures for urethral lengthening, scrotoplasty (creation of a scrotum), and erectile device implantation.
It’s important to note that these procedures are complex and require careful consideration, consultation with experienced surgeons, and thorough discussion of risks, benefits, and potential outcomes. The specific surgical technique and approach will depend on individual factors such as anatomical considerations, surgical goals, and patient preferences.
Each person’s journey and decision regarding FTM genital transformation is unique. It is recommended to consult with a qualified gender-affirming surgeon who specializes in FTM bottom surgery. They can provide detailed information about the surgical options available, discuss the suitability of each procedure based on your individual circumstances, and guide you through the decision-making process.