Metoidioplasty is a type of gender affirmation surgery that is performed on transgender men. It is a surgical procedure that uses the tissue from the clitoris to create a neophallus, literally a “new penis.”

Metoidioplasty is different from other procedures in FtM surgery in several ways. First, it is a less invasive procedure than phalloplasty. Phalloplasty is a more complex surgery that uses a skin graft from another part of the body, such as the arm, thigh, or abdomen, to create a penis. Metoidioplasty, on the other hand, uses the person’s existing genital tissue, which means that there is less scarring and a shorter recovery time.

Second, metoidioplasty does not allow for penetrative sexual intercourse. The neophallus that is created is typically too small for this. However, many people who have metoidioplasty are able to achieve orgasm and enjoy other forms of sexual activity.

Third, metoidioplasty does not require the use of a penile prosthesis. A penile prosthesis is a device that is inserted into the penis to allow for penetrative sexual intercourse. However, some people who have metoidioplasty may choose to have a penile prosthesis inserted at a later date.

Finally, metoidioplasty is a less expensive procedure than phalloplasty. The cost of metoidioplasty varies depending on the surgeon and the specific procedure, but it is generally less expensive than phalloplasty.

Here is a table that summarizes the differences between metoidioplasty and phalloplasty:

Characteristic Metoidioplasty Phalloplasty
Invasiveness Less invasive More invasive
Recovery time Shorter Longer
Ability to achieve penetrative sexual intercourse No Yes, with a penile prosthesis
Use of penile prosthesis Not required May be required
Cost Less expensive More expensive

Ultimately, the decision of whether to have metoidioplasty or phalloplasty is a personal one. There is no right or wrong answer, and what is right for one person may not be right for another. It is important to talk to a surgeon and a therapist or counselor to get the information you need to make the best decision for yourself.

Metoidioplasty is one of the surgical options available for individuals assigned female at birth who are seeking gender-affirming surgery to align their physical appearance with their male or non-binary gender identity. It is different from other procedures in female-to-male (FTM) surgery, such as phalloplasty or vaginectomy, in terms of its approach and outcomes. Here are some key differences:

  1. Surgical technique: Metoidioplasty involves releasing and repositioning the clitoral tissue to create a neophallus, whereas phalloplasty typically involves using grafts or implants to construct a larger phallus. The specific techniques and procedures used in metoidioplasty may vary depending on the individual’s goals, but it generally focuses on utilizing existing genital tissues to create a more prominent and functional neophallus.
  2. Size and appearance of the neophallus: The size and appearance of the neophallus after metoidioplasty are determined by the individual’s pre-existing anatomy and hormonal changes. The neophallus in metoidioplasty tends to be smaller than in phalloplasty, as it utilizes the clitoral tissue as a starting point. Phalloplasty, on the other hand, aims to create a larger phallus using grafts or implants, which may offer more options for customization and size.
  3. Scrotoplasty and testicular implants: Metoidioplasty often includes scrotoplasty, which involves creating a scrotum using available tissue. Testicular implants can also be placed within the scrotum to enhance the appearance and provide a more realistic male genitalia. These aspects are less commonly performed in metoidioplasty compared to phalloplasty.
  4. Urethral lengthening: Both metoidioplasty and phalloplasty can involve urethral lengthening to allow for standing urination. However, the specific techniques may vary between the procedures.

It’s important to note that the choice between metoidioplasty and phalloplasty depends on individual preferences, goals, anatomical considerations, and overall health. It’s crucial to consult with a qualified and experienced surgeon who specializes in transgender surgeries to discuss the various options, potential risks, benefits, and expected outcomes based on your specific circumstances and goals.