Metoidioplasty
Metoidioplasty, metaoidioplasty or metaidoioplasty is a surgical technique that enables a micro penis to be created from the clitoris. This organ has a great erogenous sensitivity but does not allow sexual penetration. Our priority is always patient safety, comfort, and satisfaction throughout the entire surgical process.
WHAT IS METOIDIOPLASTY?
Metoidioplasty is a gender affirmation surgery that aims to create a penis with external genitalia that allows urination while standing and satisfactory erogenous stimulation. This surgical technique allows the reconstruction of a microphallus of about 3 to 6 centimetres in length and 1.5 to 2 centimetres in diameter. This neopenis meets most functional requirements but the result does not allow sexual penetration.
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Metoidioplasty results
Knowing the before and after of the metoidioplasty surgery that the IM GENDER team performs can help you gain a clearer picture of the results you may attain. It helps you to see cases similar to yours and gain an idea of the final result.
How to prepare you for metoidioplasty surgery
You will be admitted to the hospital on the same day as the metaoidioplasty operation. During the hours prior to the surgery, the necessary monitoring will be carried out.
In order to achieve a micropenis through the metoidioplasty technique, it is necessary to have previously undergone androgen therapy to considerably increase clitoris size. Your endocrinologist will advise you on how and when to undergo this treatment.
What does metoidioplasty consist of?
Metoidioplasty is a technique that uses the clitoris, previously hypertrophied through hormone treatment, to achieve a micropenis. The result is a small but sensitive, erogenous and erectile penis.
This technique is always performed under general anaesthesia and surgery usually lasts between 5 and 6 hours in the operating theatre. To construct a urethra from the base of the clitoris to the tip, the surgeon will use a flap from the anterior wall of the vagina (with an approximate length of 5 to 7.5 centimetres and a width of 2 to 3 centimetres) and a flap with the skin of the labium minora. With all this, the surgeon achieves a tubular shape to achieve the lengthening of the urethra.
During the same operation, the labia majora are mobilised dorsally and joined at the midline to form a new scrotum. Once the scrotal pouch has been created, silicone testicular implants are inserted. The implantation of the testicular prosthesis can be performed during the same surgical procedure or can be postponed to a second procedure at the discretion of the surgical team performing the operation.
FAQS ABOUT METOIDIOPLASTY SURGERY
Will metoidioplasty surgery allow for sexual penetration?
While metoidioplasty surgery can provide increased genital sensation and a more masculine appearance, it may not be suitable for sexual penetration. It’s important to discuss your specific goals and expectations with your surgeon to determine if metoidioplasty is the right procedure for you.
Who can undergo metoidioplasty?
While for some trans men metoidioplasty is essential, for others it is not. Before undergoing this surgery, it is essential that your medical team assesses your health and the suitability of the procedure. It is important to discuss all possible options with your surgeon.
What are the risks?
The IM GENDER team will explain to the patient how to avoid possible complications and, should they arise, how to proceed. Among the complications that could occur are:
- Infection
- You may experience an episode of bleeding during or after the procedure.
- Extrusion of the testicular prosthesis.
- Urethro-cutaneous fistula – communication of the urethra with the scrotal skin.
- Urethral stricture – decrease in the urethra’s diameter.
- Vesico-vaginal fistula – communication between the bladder and the vagina.
If you experience discomfort or simply have any doubts, you should consult the patient care team or your referring surgeon. In addition, a 24-hour phone number is available to answer any questions you may have.
FAQS ABOUT METOIDIOPLASTY RECOVERY
Will I have to be hospitalised after this surgery?
During surgery, two drains are placed in the perineal area, which are usually removed after 24 hours. On the second post-operative day, the patient is allowed to move around. After metoidioplasty, hospitalisation usually lasts between 5 and 7 days, depending on the patient’s progress. At all times, the IM GENDER team’s aim will be to offer you and your companions a comfortable stay for a speedy recovery. During the first week of the postoperative period, it is essential to follow a residue-free diet.
Will I have postoperative visits in the postoperative period?
During the post-operative period, always follow the IM GENDER medical team’s instructions to ensure a speedy recovery. Once you are discharged from hospital, the patient care team will schedule the follow-up medical visits and check-ups until you are officially discharged from hospital, normally one year after sex reassignment surgery.
When can I go home after my treatment?
Although you will be able to go home in about 5–7 days after the metoidioplasty, you will need to continue to wear the bladder catheter for at least 21 days.
What should I do if I experience pain or discomfort during the postoperative period?
If you experience pain or discomfort during the postoperative period, it’s important to follow your surgeon’s pain management plan. This may include taking prescribed medications, applying ice or heat to the surgical site, and resting as needed.
What is the recovery process like?
The recovery process after metoidioplasty surgery can vary depending on the individual and the extent of the procedure. Patients may experience pain and discomfort, swelling, and limited mobility during the initial recovery period. It is important to follow your surgeon’s postoperative care instructions carefully to promote healing and minimize the risk of complications.
What is the result after a metaoidioplasty?
After recovering, you will have a functional micropenis that is typically 3-6 cm in length, with an aesthetic appearance similar to that of a natural penis. This organ will retain erogenous sensation. However, it is important to note that metoidioplasty results may not allow for penetrative sexual intercourse.
When will I be able to have sexual activity after metoidioplasty surgery?
The timing of when you can resume sexual activity following metaoidioplasty surgery will depend on the individual and the extent of the procedure. It’s important to discuss your specific goals and expectations with your surgeon to determine when it is safe to resume sexual activity.
TIPS AFTER METOIDIOPLASTY
Diet
You will eat a soft diet for the first 7 days after metoidioplasty. Remember to stay hydrated, and gradually reintroduce more solid foods.
URINARY CATHETER
You will have to wear it for approximately 21 days. Follow the advice of the medical team to avoid any discomfort.
POSTOPERATIVE GUIDE
We will give you a comprehensive postoperative guide that will include information for your complete recovery.
DOUBTS
We are happy to help you and answer any questions. After the surgery, you should go home without doubts.
PLAYING SPORT AGAIN
Avoid playing sports until recommended by your surgeon. The medical team will tell you what type of activity you can introduce.
postoperative visits
Do not miss any visits after your surgery. The follow up appointments post surgery are crucial for monitoring your progress and recovery.
Anna La Spisa28 Noviembre 2023Esperienza positiva chirurghi ottimi, infermiere molto preparate e dolcissime, Aida e Rosa super umane, ma la dottoressa Brandalisio ha fatto la differenza su tutti, preparata, umana, dolce, disponibile, un'amore di persona. Una critica costruttiva devo farla tutto lussuoso ma non pensato per stendere pochi indumenti lavati
Tone Vik31 Julio 2023I had GRS in May 2023. Here is a short summary of my experience. When you contact the clinic, you’ll get a personal patient coordinator that will answer and support you through the whole process, both before and after the surgery. The communication is professional, personal and efficient. WhatsApp is the main communication platform, and it works very well. The clinic is beautiful and top notch on all levels. You almost forget that you are in a clinic and might think of it more as a hotel (with surgery services). Please see the attached pictures, and you will understand what I mean. The staff is warm and friendly and really do what they can to make you feel comfortable, from the nurses to the cleaning personnel. It is really nice to be so well looked after, and I have such good memories from my week at the clinic. The surgeons, I was so fortunate to have Dr. Labanca, but they are all world class, which ensures that the results probably will exceed your expectations. Of course this is a very personal opinion, but for me it was like that. It’s hard to describe how happy I am now. You can bring a friend or a family member for no extra cost the week you are at the clinic. My best friend came down on the 5th day, and that was also one important factor when I chose this clinic. The support you get from having a friend or family member present is almost priceless. A short 5 minute walk from the clinic you’ll find apartments you can stay at for an additional week or two while you recover and heal. It was very reassuring and comforting to have the clinic so close the two weeks I stayed after checking out from the clinic. An important part of the healing process is to just move your body, and the beautiful city of Sant Cugat is a nice 20 minute walk from the apartment, where you can enjoy shopping, restaurants and just the nice relaxing atmosphere. The aftercare and regular follow up when you have left the clinic ensures that everything is working as it should, and if not, they will correct at no extra cost. The aftercare period lasts one year after the surgery. To sum up, you are really in the best hands and in the best place at IM Clinic. I highly recommend this clinic for GRS.
Victoria Timoniere24 Abril 2023Due mesi fa ho avuto la grande fortuna di affidarmi al team di IMgender , un esperienza indimenticabile che mi ha cambiata la vita facendomi rinascere finalmente nel corpo giusto . La clinica è super moderna è attrezzata , pulita e tutto lo staff è super gentile e accogliente .
Renn Love14 Abril 2023My experience with IM Clinic from the start to where I am today has been nothing but exceptional. From my initial contact with Aida, to my consultations with my surgeons Dr's Gómez, Herrero and Beltrán, my anaesthetist and care from the nurses. The cleaning staff were extremely discrete and the food for both myself and my wife, who was also looked after during my stay, was good. Myself and my wife were made to feel welcome from the moment we arrived. On the day of my surgeries my surgeons continuously re-assured me as they could see how nervous I was and it felt like nothing was too much trouble. My wife was also informed of my progress during surgery and reassured all was ok. I highly recommend IM Clinic and would not hesitate in returning, should I feel the need.
Sun Belardinelli11 Marzo 2023Ho aspettato qualche mese dopo l'operazione prima di scrivere questa recensione perché volevo essere sicuro dei risultati. La parola che mi viene in mente è PERFETTO, la clinica è perfetta, l'operazione è andata ancora meglio di quanto sognassi, il trattamento che ho ricevuto da TUTTI, medici, infermiere, tutto il personale, è stato impeccabile, caloroso e amichevole; mi hanno fatto sentire meglio che a casa (non solo a me, ma anche alla persona che mi accompagnava), ancora meglio di un hotel di lusso; mi hanno veramente trattato come un re, non solo come un paziente. L'operazione in sé è stata perfetta, il pre- e post- operatorio gestiti benissimo anche a distanza; mi hanno dato istruzioni chiare e medicinali appositi per curare le ferite e il dolore. Grazie a questo sono rimasto tranquillo per tutto il tempo, sapendo di essere nelle migliori mani. Un consiglio che mi sento di dare a chi vorrebbe operarsi da IM è: fate tutte le domande che vi vengono in mente e anche quelle che non vi vengono in mente! Soprattutto per chi viene dall'estero come ho fatto io è importante avere ben chiaro ogni dettaglio, e le persone con cui parlerete saranno felici di chiarire qualsiasi dubbio. Raramente ho trovato persone così pazienti, competenti e alla mano. Se e quando avrò bisogno di fare un'altra operazione la farò sicuramente da IM. Ormai ho trovato il posto dei sogni e non lo lascio più!
Alexa Valianatos10 Agosto 2022Hey, I am Alexa Valianatos and on 14th June i had my vaginoplasty surgery at IM Clinic. Here i found a greate, super friendly and profesional team which whose totally prompt answering to all my needs. Viewing my research before surgery and my experience in the clinic and after that, i can say that IM Clinic I'd the best clinic in Europe at least regarding my surgery tipe and my needs, i can say 100% that i found the 5* clinic . After two months from my surgery i already decide to make the next steps for next surgery in the same clinic . Many worm thank to doctor Ivan Mañero and entire clinic team . You are the best .
Aaron O'Donnell19 Julio 2022Thank you IM Clinic!!! I had FtM Top Surgery (double mastectomy/gender reassignment) at IM clinic in July 2021. As I was travelling from the UK I was weary about the procedure, however their standard of care goes above and beyond to accommodate their patients and ensure maximum comfort. I had surgery with Dr Herrero, who was an absolute pleasure to meet and a brilliant surgeon. The team were a delight and made me feel genuinely safe and as comfortable as possible. The procedure I had is not very common and is somewhat hard to acquire in the UK, but the team at IM Clinic took me in with ease and listened to my worries and requests. The care i received at IM Clinic was impeccable - between the food, the staff, the surgery and everything else - i cannot fault it. I am forever grateful to Dr Mañero, Dr Herrero and the entire care team at the clinic. Thank you so much!! I am now one year post-op and happier than ever.
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