Transmasculine Procedures

What is Metoidioplasty?

Metoidioplasty is a transmasculine gender confirmation surgery designed to construct a penis. Metoidioplasty uses testosterone replacement therapy to enlarge the clitoris about 4-5cm to create a neophallus. The testosterone-induced growth of the clitoris lengthens and straightens the neophallus; metoidioplasty is possible because the clitoris and penis are developmentally homologous.

How is Metoidioplasty Performed?

Dr. Schechter performs metoidioplasty ranging from simple release to urethral lengthening. The surgeon separates the enlarged clitoris from the labia minora, and releases the suspensory ligament in order to lower it to the position of the penis. If performed with urethral lengthening, the goal of metoidioplasty is the ability to urinate while standing. Generally, metoidioplasty does not allow penetrative intercourse, but can be combined with a vaginectomy and scrotoplasty. Typically, testicular implants (scrotal reconstruction) are placed at a second stage. A catheter will be placed in the urethra and typically remains in place for approximately 2 weeks. On occasion, a suprapubic catheter may be utilized.

What are the Advantages of Metoidioplasty?

Metoidioplasty is less complicated than phalloplasty (requires shorter operating and recovery time) and are usually more affordable. Other advantages include a more natural, natal-appearing penis as well as erotic sensation, unassisted erections, and very little scarring.

What are the Disadvantages of Metoidioplasty?

Metoidioplasty patients are far less likely to be capable of sexual penetration after they recover from surgery. Additionally, metoidioplasty results in a small sized penis, while phalloplasty yields more enlargement.

Where is the Gender Surgery Performed?

Gender confirmation surgery is performed at Weiss Memorial Hospital, located at 4646 North Marine Dr., Chicago, Illinois. The hospitals staff is courteous, friendly, competent, and uniquely suited to the needs of our patients.

Are there any Prerequisites for Metoidioplasty Surgery?

Prior to surgery patients must obtain two mental health evaluations which specifically recommend gender confirmation. These evaluations must be performed by psychiatrists, psychologists, or therapists. In addition, a letter is required from your physician outlining the history and duration of your hormone therapy.

Prior to surgery, Dr. Schechter will review your medical history and coordinate lab work. At the time of your evaluation, you will be interviewed, undergo a history and physical examination, sign consent forms, have your photographs taken, and receive instructions.

To learn more about this procedure and schedule a consultation at Loren S. Schechter Plastic Surgery, located in Chicago, contact us today at (847) 967-5122.