Metoidioplasty is a surgical procedure performed for female-to-male (FTM) transgender individuals seeking genital reconstruction. It involves utilizing the existing genital tissue to create a more masculine appearance.
During metoidioplasty, the surgeon releases the ligaments that restrict the growth of the clitoris, which has typically been enlarged through hormone therapy. This allows the clitoris to assume a more penile position. The surgeon may also perform procedures to enhance the appearance and functionality of the genitalia, such as scrotoplasty to create a scrotum using labial tissue or tissue grafts.

Metoidioplasty may also involve urethral lengthening, which allows for urination through the reconstructed penis. However, it’s important to note that the size and functionality of the neophallus created through metoidioplasty may not be equivalent to that of a cisgender male’s penis. Additionally, metoidioplasty does not typically involve implanting erectile devices.

The decision to undergo metoidioplasty is highly personal and depends on individual preferences, goals, and anatomical considerations. It is recommended to consult with experienced plastic surgeons who specialize in transgender healthcare to discuss the available options, potential risks and complications, expected outcomes, and post-operative care.

Recovery from metoidioplasty can take several weeks to months, and it’s important to follow the post-operative instructions provided by your surgeon. Complications and risks associated with metoidioplasty can include bleeding, infection, scarring, loss of sensation, and urinary complications. Discussing these potential risks and understanding the recovery process is crucial before making a decision.