Metoidioplasty in Mumbai
What is Metoidioplasty?
Metoidioplasty is a gender-affirming surgical procedure for transgender men and non-binary individuals seeking genital reconstruction. This technique utilizes hormone-induced clitoral growth to create a small phallus while preserving nerve sensation. Depending on the patient’s goals, additional procedures such as urethral lengthening or scrotoplasty may be included.
Why Choose Metoidioplasty?
- Natural Sensation – Since the procedure uses existing genital tissue, it maintains sensation and responsiveness.
- No Large Skin Grafts – Unlike phalloplasty, metoidioplasty does not require extensive skin grafts.
- Shorter Recovery Time – Healing time is generally quicker compared to phalloplasty.
- Urethral Lengthening Option – Some patients can achieve standing urination with additional surgical steps.
Am I Ready for Metoidioplasty?
- Have you been on testosterone therapy long enough to experience significant clitoral growth?
- Are you in good overall health with no conditions that may affect healing?
- Have you discussed options such as urethral lengthening or scrotoplasty with your surgeon?
- Are you comfortable with a smaller phallus rather than a larger reconstruction?
- Do you have realistic expectations about sexual function and urination outcomes?
What Happens During Metoidioplasty?
Your surgeon will assess your goals, anatomy, and whether additional procedures (e.g., urethral lengthening, scrotoplasty) are suitable.
The procedure is performed under general anaesthesia for patient comfort.
- Clitoral Release – The suspensory ligament is cut to allow the hormonally enlarged clitoris to extend outward.
- Urethral Lengthening (Optional) – If desired, tissue grafts are used to extend the urethra, allowing for standing urination.
- Scrotoplasty (Optional) – Labial tissue may be reshaped to create a scrotum, with or without testicular implants.
The procedure typically takes 2 to 6 hours, depending on the surgical additions chosen.
Recovery Timeline
- Swelling and bruising in the surgical area are normal.
- Pain management and rest are essential for healing.
- Catheter use may be required for urethral healing.
- Most swelling subsides, and mobility improves.
- If urethral lengthening was performed, urination should be carefully monitored for complications.
- Patients should avoid strenuous activities and follow-up regularly with their surgeon.
- Full healing can take several months, with final results stabilizing over time.
- Standing urination (if applicable) may require practice and possible minor revisions.
- Sensory nerves are preserved, allowing for continued sexual function.
Benefits of Metoidioplasty
- Provides a natural-looking phallus while maintaining sensation.
- No need for large skin grafts, reducing complications.
- Shorter recovery time compared to phalloplasty.
- Urethral lengthening and scrotoplasty can enhance function and aesthetics.
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Frequently Asked Questions
Can I urinate while standing after metoidioplasty?
Yes, if urethral lengthening is done, but some may need revisions for complications.
Will I retain sensation after surgery?
Yes, most people retain full sensation, including sexual sensitivity.
How long is the recovery period?
Initial recovery is 1-2 weeks, with full healing taking several months.
Can I get testicular implants?
Yes, scrotoplasty with implants can be done during or after surgery.