Phalloplasty

A surgical procedure that constructs a penis. The penis is constructed essentially using skin flaps from the abdomen, groin, or thigh. The scrotoplasty procedure uses labial tissues to construct a scrotum, into which implants can be inserted to simulate testicles. Testicular implants can be placed into the labia majora if a scrotoplasty is not desired. Glansplasty refers to the shaping of the head of the neopenis to simulate a circumcised penis.

Our patients have experienced good results from this surgery, providing realistic looking male genitalia.

Sexual intercourse is possible after phalloplasty. Although a penile prosthesis can be implanted in order to simulate the function of erection, it is associated with a high incidence of extrusion (the implant comes out). Most of our patients use one of the available methods of external support in order to have intercourse. In fact, many couples report that they use only lubrication or lubricated condoms, with no other means of support in order to have intercourse.

Patients can also enjoy sexual/erotic sensation via the clitoris, which can be repositioned upward to the base of the neopenis.

The goals of phalloplasty are:

  • realistic looking male genitalia
  • ability to have sexual intercourse
  • ability to experience an orgasm

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Metoidioplasty 

Some patients opt for metoidioplasty or clitoral release surgery when they don’t want to have a complete phalloplasty. This surgery is less expensive as well. Clitoral release surgery satisfies most legal, driver’s license, birth certificate, and passport requirements for change of gender marker, which need a surgeon’s letter stating that genital reassignment surgery has been completed. 

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We look forward to discussing phalloplasty and alternatives with you to help you become completely comfortable with your decisions.

More details about Phalloplasty and Metoidioplasty

 

Metoidioplasty (clitoral release) & Phalloplasty Results

(Photos taken shortly after surgery so scars are still quite visible. Scaring fades over several months, become much less visible.)

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