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SURGERIES

Surgeries we perform include phalloplasty, metoidioplasty, urethroplasty (urethral lengthening), insertion of testicular and penile implants, fistula and stricture repair, glansplasty, phallus/urethral/scrotal/perineal reconstruction, monsplasty, and other associated procedures. Phalloplasty is the only surgery listed that requires working with other surgeons--spefically microsurgeons.

We know that not everyone desires or needs all aspects of transmasculine gender affirming genitourinary surgery, which frequently includes phalloplasty/metoidioplasty 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 

  • Phalloplasty/metoidioplasty [+] UL [--] vaginectomy [+] scrotoplasty 

  • Phalloplasty/metoidioplasty [+] UL [+] vaginectomy [--] scrotoplasty 

  • Phalloplasty/metoidioplasty [--] UL [+] vaginectomy [+] scrotoplasty 

  • Phalloplasty/metoidioplasty [--] UL [--] vaginectomy [--] scrotoplasty 

  • Phalloplasty/metoidioplasty [--] UL [--] vaginectomy [+] scrotoplasty 

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:

We strongly advise against smoking, nicotine use, or inhalational products (including vaping, marijuana, and second 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 3-6 months before surgery may prompt rescheduling of the surgery to a later time to minimize surgical risk.

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