One of the surgeries being Metoidioplasty(meta) which is where they use the growth of the clitoris from taking Testosterone, to create a neophallus(mirco penis). Urethral lengthening can also be done so you can stand to urinate, and scrotal reconstruction with testicle prostheses.
Some people choose this operation who only wish to void standing but are not interested in phallus size or having penetrative sexual intercourse. Its normally done in two stages.
The first procedure
The first stage is essentially a join-up urethroplasty but the urethral opening is brought up to the tip of the clitoris rather than the side and the clitoris is formed into a pseudo-glans. The remaining non-hairy labial folds are excised and the hairy labial skin is dropped down to make the mini-phallus stick out more.
The second procedure
Small testicular prostheses are inserted at a second operation if required.
Best results are obtained when there is significant clitoral enlargement from long-term testosterone treatment. If the clitoris is small then this is not a recommended procedure. One of the problems is that the urethral width is quite narrow for technical reasons and voiding difficulties and strictures are not uncommon.
But the difficult choice is choosing which procedure would be best for you and what it is you want from it.
- Do you want a penis that falls within the male range or will you settle for a micro penis(less than 2 inches)
- Do you want to be able to stand to urinate
- Do you want to be able to have penetrative sex with your penis, and also have sexual sensation
- Will you be happy with having visible scars
- How many operations can you cope with
- Are you willing to accept the risks
- Do you have any health related problems that may restrict what options you have
- If you are funding it yourself, what can you afford to do
All these are things to consider when making a huge decision like this, no one can make this decision for you. Everyone is different, so what surgery someone else had doesn’t mean that it will be suitable for you.
Two referrals or signatures are usually required before a surgeon will undertake lower surgery. They do recommend that you have a Hysterectomy before having lower surgery.
Choosing a Surgeon
If you are having the surgery done in the UK you maybe referred onto Mr Christopher at the St Peter’s Andrology Centre in London. Once you have been referred onto a surgeon, you will have an in-depth consultation with them to help you decide what you want. It may also be possible to have your surgery abroad which can be funded by the NHS if the quality of treatment and the cost are comparable or better than that available in the UK.
Photos and Websites
Hung Jury – Is a selection of FTM’s documenting their experiences of having lower surgery.