Share on Pinterest A person may have to stay in the hospital for a couple of days following surgery. In a scrotoplasty, a surgeon hollows out and repositions the labia majora to form a scrotum and inserts silicone testicular implants. ScrotoplastyĪ person may decide to have a scrotoplasty - the creation of a scrotum - alongside a metoidioplasty or phalloplasty. This can allow them to get and maintain erections and have penetrative sex.ĭuring a phalloplasty, the surgeon performs a vaginectomy and lengthens the urethra to allow for urination through the penis.ĭisadvantages of a phalloplasty include the number of surgical visits and revisions that may be necessary, as well as the cost, which is typically higher than that of a metoidioplasty. However, this neopenis cannot become erect on its own.Īfter a period of recovery, a person can have a penile implant.
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Doctors consider taking skin from the forearm to be the best option in penile construction.Ĭompared with a metoidioplasty, a phalloplasty results in a larger penis. PhalloplastyĪ phalloplasty uses grafted skin - usually from the arm, thigh, back, or abdomen - to form a neopenis. However, a neopenis resulting from a metoidioplasty is often too small for penetrative sex. After the initial surgery, additional procedures may be necessary.Ī Centurion procedure takes approximately 2.5 hours, and removing the female reproductive organs will add to this time.Īn advantage of a metoidioplasty is that the neopenis may become erect, due to the erectile abilities of clitoral tissue. The aim of this is to allow the person to urinate while standing.Īnother option is a Centurion procedure, which involves repositioning round ligaments under the clitoris to increase the girth of the penis.Ī metoidioplasty typically takes 2–5 hours. To achieve the lengthening, the surgeon uses tissues from the cheek, labia minora, or other parts of the vagina. In addition, they lengthen the urethra and position it through the neopenis. A person will receive hormone therapy before the surgery to enlarge the clitoris for this purpose.ĭuring the procedure, the surgeon also removes the vagina, in a vaginectomy. It involves changing the clitoris into a penis. MetoidioplastyĪ metoidioplasty is a method of constructing a new penis, or neopenis. In a total hysterectomy, they will also remove the cervix.Ī bilateral salpingo-oophorectomy, or BSO, involves the removal of the right and left fallopian tubes and ovaries. In a partial hysterectomy, a surgeon will remove only the uterus. Removal of the uterus, ovaries, and fallopian tubesĪ person may wish to undergo this type of surgery if they are uncomfortable having a uterus, ovaries, or fallopian tubes, or if hormone therapy does not stop menstruation. Meanwhile, testosterone therapy will stimulate the growth of chest hair. The surgeon will also make alterations to the appearance and position of the nipples. Chest restructuringĪ person undergoing surgery to transition from female to male typically has a subcutaneous mastectomy to remove breast tissue. They may then undergo one or more of the following types of procedure. Before having female-to-male gender-affirming surgery, a person will receive testosterone replacement therapy.
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