Transmasculine individuals, who are assigned female at birth but identify as male, may undergo genital reconstruction surgery as part of their gender-affirming transition.
The specific procedure for genital reconstruction in trans men is known as phalloplasty or metoidioplasty.
Phalloplasty: Phalloplasty is a surgical procedure in which a neophallus (a surgically constructed penis) is created using tissue grafts from various donor sites, such as the forearm, thigh, or abdominal area. The procedure involves several stages and may require multiple surgeries. The neophallus can be customized to meet the individual’s desired size, appearance, and functionality. Additional procedures, such as urethral lengthening and placement of erectile implants, may be performed to enhance urinary function and sexual satisfaction.
Metoidioplasty: Metoidioplasty, also known as meta, is a surgical procedure that involves enhancing the existing clitoral tissue, which has naturally undergone some degree of testosterone-induced growth in trans men. The clitoris is released from surrounding tissues and repositioned to create a more phallic appearance. Additional procedures, such as urethral lengthening and scrotoplasty (creation of a scrotum), can be performed to enhance the overall aesthetic and functionality.
It’s important to note that both phalloplasty and metoidioplasty have advantages, limitations, and potential risks. The choice between the two procedures depends on individual preferences, anatomical considerations, and desired outcomes. It’s crucial for individuals to consult with experienced gender-affirming surgeons who can provide detailed information about the procedures, discuss potential risks and complications, and guide them in making informed decisions about their surgical options.