SURGERIES

Surgeries include phalloplasty (performed with microsurgeons), metoidioplasty, urethroplasty (urethral lengthening), testicular and penile implants (semi-rigid and inflatable), fistula and stricture repair, glansplasty, phallus/urethral/scrotal/perineal reconstruction, monsplasty, and other associated procedures.

We know that not everyone desires all aspects of transmasculine gender affirming genitourinary surgery, which includes phallo/meta with UL, vaginectomy, scrotoplasty, and perineal reconstruction. As a result we offer the following variations:

Phalloplasty/metoidioplasty [+/--] UL [+/--] vaginectomy [+/--] scrotoplasty and perineal reconstruction.

Examples:

  • Phalloplasty/metoidioplasty [+] UL [+] vaginectomy [--] scrotoplasty and perineal reconstruction.​

  • Phalloplasty/metoidioplasty [+] UL [--] vaginectomy [+] scrotoplasty and perineal reconstruction.

  • Phalloplasty/metoidioplasty [+] UL [+] vaginectomy [--] scrotoplasty and perineal reconstruction.

  • Phalloplasty/metoidioplasty [--] UL [+] vaginectomy [+] scrotoplasty and perineal reconstruction.

  • Phalloplasty/metoidioplasty [--] UL [+] vaginectomy [--] scrotoplasty and perineal reconstruction.

  • Phalloplasty/metoidioplasty [--] UL [--] vaginectomy [+] scrotoplasty and perineal reconstruction.

Other variations may be desired and needed. A consultation with the surgeon will help patients decide what surgery works best for them and better meets their individualized surgical goals.

BEFORE SURGERY SMOKING:

No smoking, nicotine use, or inhalational products (including vaping, marijuana, and 2nd hand smoke) around 3 months before and after surgery (ideally 6 months before and after surgery). This includes chewing tobacco and nicotine free inhalational products. Use of these products can cause about a 5-fold increase in complications. Use within this 3-6 month window before surgery may prompt rescheduling of the surgery to a later time when then the patient has reliably stopped smoking.

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