What is
Metoidioplasty?
Metoidioplasty is a gender-affirming surgery for trans patients and transmasculine individuals that utilizes clitoral growth (previously stimulated by testosterone hormone therapy) to create a small phallus.
Unlike phalloplasty, this technique does not require skin grafts from other parts of the body. The procedure involves releasing the ligament that holds the clitoris, allowing it to project forward and gain length. It is a procedure that respects the previous biological structure, transforming it into a functional and aesthetic masculine anatomy.
The Process: Your Path to Affirmation
Clinical Assessment
We evaluate the growth achieved with testosterone in Zaragoza to determine realistic expectations for length and functionality.
The Procedure
Ligament release (chordee release) is performed and, depending on the personalized plan, urethroplasty and scrotoplasty (creation of the scrotum) may also be carried out.
Hospital Stay
It usually requires a short stay. Our team monitors proper healing and the functioning of the urinary system.
Postoperative Care
After a few weeks of relative rest and local care, you will be able to resume your normal activities with a new perception of your body.
Impact on
Autonomy and Congruence
- Preservation of Sensitivity: By using highly innervated native tissue, erogenous responsiveness and sexual pleasure remain intact.
- Standing Urination: If urethral lengthening is chosen, the procedure allows for urinating while standing, a change that significantly impacts daily comfort.
- Less Invasive Surgery: Since it does not require flaps or complex microsurgery, operating time is shorter and scarring is minimal.
- Natural Appearance: The result is a phallus that responds naturally to stimuli and integrates perfectly with the rest of the genital anatomy.
- Swift Recovery: It allows for a much faster return to daily life than other genital reconstruction procedures.
Frequently Asked Questions
At our Zaragoza clinic, we not only address your medical concerns but also support you emotionally at every stage. Your safety and identity are our priority.”
Is it mandatory to have been on testosterone for a certain period?
Yes. A minimum of 1 to 2 years of hormone treatment is necessary for the tissue to reach its maximum natural development before surgery. This ensures the best possible results in terms of size and projection.
Is it always possible to urinate while standing?
That is the goal of urethroplasty, although it depends on the final length and each patient’s anatomy. During the consultation in Zaragoza, we will analyze your specific case to provide realistic expectations.
Can testicular implants be placed?
Yes, during the same procedure or in a later stage, a scrotoplasty can be performed and silicone implants inserted to complete the masculine appearance of the genital area.
If I have a metoidioplasty, can I have a phalloplasty later?
Yes. Having a metoidioplasty does not rule out a future phalloplasty if you decide at some point that you need more volume.
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