Metoidioplasty

What is metoidioplasty?

Metoidioplasty is a surgical technique that involves making a penis using the hypertrophic clitoris. On the anterior side of the clitoris we will perform a new urethra to reconstruct the male urinary system. To close the vagina, we will first remove the uterus and ovaries and remove the vaginal mucosa, closing after that the vaginal canal. Finally we will place a prosthesis on the labia majora to create the testicles. In this way we will achieve a penis with sensitivity and a totally natural appearance, although generally with a smaller size in relation to that obtained in a phalloplasty.

In some cases, the penis can be made from the hypertrophic clitoris, the vaginal opening closed, and the testicles reconstructed with prostheses placed on the labia majora without rebuilding the urethra. With this process, the urethra is right at the base of the penis, hence this surgical procedure will not allow a standing up urination but a natural male external anatomy, similar to that which would be reconstructed by the urethra. This technique avoids complications derived from urethral reconstruction, that is, fistulas and stenosis. The person who chooses this technique must accept that he will not be able to urinate standing up.