FTM genital surgery

Below are the main genital masculinization surgeries we offer at IM GENDER:

• Phalloplasty:
  Phalloplasty is a surgical procedure that creates a penis that is functional and sensitive for trans men. The surgery uses tissue from other parts of the body, typically skin, fat, and blood vessels from the forearm, though tissue from the thigh or abdomen may also be used. The result is a natural-looking neophallus that allows standing urination and preserves tactile and erotic sensitivity.
  The phalloplasty surgery is often combined with testicular implants and aesthetic refinement procedures to align with the trans man’s expectations. Additionally, a penile prosthesis can be implanted in a separate procedure to enable penetrative sexual intercourse.
• Metoidioplasty:
  Metoidioplasty, or metaioplasty, is a surgical procedure that aims to enlarge the clitoris, which has been augmented through hormone therapy, to create a neophallus. This neophallus allows standing urination and retains full tactile and erotic sensitivity. However, it does not enable penetrative sexual intercourse.
• Hysterectomy:
  This surgery involves the removal of internal female genital organs, such as the uterus and ovaries. This is often one of the first masculinization surgeries requested by trans men.
  
• Testicular-Prosthesis:
  Testicular prosthesis are anatomical structures resembling male testicles. They are typically placed after a phalloplasty or metoidioplasty to achieve a more complete appearance. This is a low-risk surgery that gives the scrotum a very natural look.
• Mastectomy:
  This surgery removes breast tissue while preserving the areola and nipple. It is often one of the first steps in the transformation from female to male.
  As you can see, there are many treatments and options for gender reassignment from female to trans male.

At our gender surgery clinic, our medical professionals and surgeons accompany you throughout the process, listening to your needs and recommending the best treatments for your specific case.

What is genital masculinization surgery?

Genital masculinization surgery, or genital gender affirmation surgery, encompasses a set of surgical procedures designed to modify the external genitalia of someone assigned female at birth to resemble those of a cisgender male. These procedures are sought by some trans men as part of their transition.

What are the main masculinization surgeries?

Masculinization or gender affirmation surgery includes genital surgery, body contouring, facial surgery, and voice surgery. Among genital surgeries, the primary techniques are phalloplasty, metoidioplasty, hysterectomy, testicular prosthesis placement, and mastectomy. Body contouring surgeries most commonly requested include masculinizing liposuction, abdominoplasty, and pectoral enhancement.

These surgeries are part of a complex and personalized process of physical transition to align the physical appearance with the trans man’s gender identity. It is essential that these surgeries be performed by specialists in gender-affirming surgeries to ensure aesthetic and functional results and the patient’s overall well-being.

Can trans men have sexual intercourse after genital gender-affirming surgery?

Following masculinizing genital surgeries, such as phalloplasty or metoidioplasty, it is possible to have satisfying sexual relations once sensitivity has been regained. However, penetrative intercourse is only possible with phalloplasty, provided a penile prosthesis is inserted in a secondary procedure to provide the necessary rigidity for penetration.

How long does it take to recover from genital surgery for trans men?

Recovery time depends on the type of surgery and individual characteristics. For both metoidioplasty and phalloplasty, a urinary catheter is typically used for the first 21 days post-surgery. Returning to normal life generally takes a minimum of 4 to 8 weeks, provided no strenuous or physically demanding activities are undertaken. It is crucial to follow the medical team’s instructions for optimal recovery.