SRS FTM - Metoidioplasty

Metoidioplasty Procedures

Metoidioplasty (Main Procedure)

Release and lengthening of the clitoris (enlarged through hormone therapy) to create a small neophallus with natural erectile function and sensation.

Urethral Lengthening

Extension of the urethra through the neophallus, allowing the patient to urinate while standing.

Vaginectomy

Removal of the vaginal canal. Often performed in combination with metoidioplasty for complete masculinization.

Scrotoplasty

Creation of a scrotum using the labia majora. Testicular implants can be added at a later stage.

Benefits of Metoidioplasty

• Preserves natural erogenous sensation
• Natural erectile function without implants
• Less complex surgery compared to phalloplasty
• Shorter recovery time
• Lower risk of complications
• Can urinate standing (with urethral lengthening)
• Option to add testicular implants later

Important Information

The final surgical plan will be discussed and confirmed with your surgeon during your consultation, based on your anatomy, hormone therapy results, and personal goals.

Hysterectomy and oophorectomy (removal of uterus and ovaries) may be recommended before or during metoidioplasty if not already performed. These can be discussed during consultation.