LGBTQ+ center

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LGBTQ+ center

BOTTOM SURGERY

FOR TRANSMASCULINE

Gender-Affirming Surgery for the Transmasculine by the LGBTQ+ Center
  • Metoidioplasty (Simple / with or without urethral lengthening)
  • Phallus only
  • Phalloplasty

In most cases, vaginectomy is performed during the first stage of surgery. However, for some transgender men and non-binary patients who do not wish to undergo vaginectomy, the vagina can be preserved.

For phalloplasty or phallus-only procedures, there are several possible donor sites for tissue. Each option has its own advantages and disadvantages, so it is important to have a thorough consultation with the medical team to determine the most suitable surgical method.

Donor sites for phalloplasty

Donor site selection depends on factors such as the patient’s overall health, fat distribution, soft tissue thickness, blood flow to the donor area, and the desired size and shape of the penis.

  • Forearm
  • Thigh
  • Groin
  • Lower
    Abdomen
  • Back
  • Calf
  • Double flap
    phalloplasty

    Tissue is taken from two places. One is used for urethral reconstruction and the other one is used for external reconstruction of the neophallus.

Phalloplasty Timeline

While the exact sequence may vary depending on the chosen surgical method, the general process is as follows:

  • 1
    First stage

    Vaginectomy, penile reconstruction, urethral reconstruction, scrotoplasty

  • 2
    Second stage

    about 6 months after the first stage Glansplasty, insertion of testicular prosthesis

  • 3
    Third stage

    about a year after the first stage Placement of a Penile prosthesis

Fertility preservation

If you wish to preserve your fertility, we can refer you to a specialized facility that offers preservation options.


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