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.
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.