What are Metoidioplasty Results? Read on!
One of the most common lower surgeries that are performed on trans and nonbinary people is metoidioplasty. Metoidioplasty uses a testosterone-enlarged clitoris to form a penis. The surgery can be done with or without lengthening the urethra. Read on to find out more about metoidioplasty.
WHAT IS METOIDOOPLASTY?
Metoidioplasty, also known as meta, is a surgical procedure that used the tissue from your clitoris to create a neophallus (new penis). The procedure is performed after the clitoris has been enlarged through the use of testosterone therapy.
Metoidiopladty is a type of gender afirmation surgery that some transgender and gender diverse people use to identify with their inner gender. It is done to help people who were assigned females at birth, to align their physical bodies with who they really are. Metoidioplasty treats gender dysphoria.
TYPES OF METOIDIOPLASTY
There are 4 basic types of metoidioplasty surgery that will influence the type of metoidioplasty results a person will get.
1. SIMPLE RELEASE: The focus of this procedure is to free the clitoris from its surrounding tissues without causing an alteration in the urethra or vagina. The benefit of this is that the length and exposure of your new penis increase. Simple release is also known as “simple meta”.
2. FULL METOIDIOPLASTY: As the name implies, it is a complete change in your lower anatomy. Surgeons who perform this procedure free the clitoris then use a tissue grafted from your cheek to link your urethra with your new penis.
At your request, they can also perform vaginectomy (removal of the vagina) and insert scrotal implants.
3. RING METOIDIOPLASTY: The only difference between this type of metoidioplasty and the full metoidioplasty is that the surgeon does not graft tissues from your cheek, instead, he grafts from the inside of your vaginal wall and that of your labia majors to connect your urethra to your new penis.
4. CENTURION METOIDIOPLASTY: For this type of metoidioplasty, the surgeon releases the round ligaments that run up your labia from the labia major and then used them to surround the new penis.
This procedure does not require skin or tissue grafting, hence, it is less painful and with the least surgical side effects.
The clitoris and penis both have different functions, but are both derived from the same tissue. Metoidioplasty takes advantage of this, by creating a penis from the clitoris after it has been enlarged by testosterone therapy.
At least a year before the surgery, you are put on hormonal substitution therapy so that by the time of the surgery, your testosterone will be high enough to cause an enlargement of your clitoris. During the procedure, the surgeon uses tissue from the enlarged clitoris to form a micropenis, about 2.57 inches long.
Now, depending on the type of metoidioplasty you want, you may be kept awake but unconscious, or not.
But your surgeon will:
1. Release the clitoris by cutting off ligaments that connect it to the pubic bone.
If it is a simple metoidioplasty you want, the major step ends here, if not, your surgeon will advance to the next step.
2. Your surgeon will then insert a catheter into your bladder. This will be threaded through the new penis to keep the urethral space open.
3. Depending on the type of metoidioplasty again, either your vaginal or cheek tissue will be used to make the urethra longer.
You can have other surgeries done along with the metoidioplasty. Surgeries like vaginectomy, testicular prostheses, scrotoplasty, hysterectomy, and so on.
After a metoidioplasty, you will need to heal and this can take a duration of 6 weeks before you can resume your normal routine. This carries from person to person and also depends on what type of surgery was done.
For patients who had urethral lengthening, a catheter is left in the new penis. Usually, this is removed 2-3 weeks post-surgery, but during the time it’s still in your bladder, your surgeon will give you instructions on how to care for the catheter and check for signs of infection at the surgery site.
The new penis will be wrapped in a compressive dressing to prevent it from swelling. Metoidioplasty has a long healing process that can take 12-18 months. After healing, as studies suggest, you will be able to urinate while standing and might achieve penetration during sex However, more research is being done to back this up further.
RISKS AND COMPLICATIONS
Every surgical operation is likely to have a risk of complications caused. With metoidioplasty, the possible risks and complications that may occur are:
– Urethral narrowing due to scarring
– Urinary tract infections (UTIs)
– Urethral fistula
– Difficulties with sexual functions
DIFFERENCE BETWEEN METOIDIOPLASTY AND PHALLOPLASTY
Some people have had a metoidioplasty and later go for a phalloplasty. Some people confuse one for the other, and to some, the idea of both metoidioplasty and phalloplasty is the same -to create a penis.
However, while metoidioplasty used already existing genitalia, your clitoris, and vaginal tissues to create a penis, phalloplasty users large flaps of skin and muscle from other parts of your body like your thighs, back or forearm to create a penis. Also, with just metoidioplasty, you can have an erection during sex, but after a phalloplasty, you will need additional procedures before you can have an erection.
Metoidioplasty is a surgical procedure that is done to create a penis out of already existing genital tissues. If you have decided to have this procedure, hopefully, this article was of great help. Nevertheless, discuss with your doctor on what to expect from it and what type of metoidioplasty will be best for you.