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Metoidioplasty: techniques and outcomes.

Miroslav L Djordjevic1, Borko Stojanovic1, Marta Bizic1

  • 1Belgrade Centre for Genitourinary Reconstructive Surgery, School of Medicine, Belgrade, Serbia.

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Summary
This summary is machine-generated.

Metoidioplasty offers a simpler, single-stage phalloplasty option for transgender individuals, utilizing a hormonally enlarged clitoris to create a neophallus. This technique avoids extensive scarring and complex multi-stage procedures associated with total phalloplasty.

Keywords:
Clitorisfemale transgendergender-affirming surgerymetoidioplastyoutcomes

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Area of Science:

  • Urology
  • Gender Affirmation Surgery
  • Plastic Surgery

Background:

  • Phalloplasty is a key component of female-to-male (FTM) gender affirmation surgery.
  • Current surgical options include total phalloplasty and metoidioplasty, each with distinct complexities and outcomes.
  • Surgeons must thoroughly inform patients about all aspects of these procedures.

Purpose of the Study:

  • To objectively present the surgical techniques for metoidioplasty.
  • To evaluate the value of metoidioplasty based on postoperative results.
  • To provide a comparative overview of metoidioplasty versus total phalloplasty.

Main Methods:

  • Review and objective presentation of metoidioplasty surgical techniques.
  • Analysis of postoperative outcomes and patient satisfaction.
  • Comparison of metoidioplasty with total phalloplasty procedures.

Main Results:

  • Metoidioplasty is a single-stage procedure creating a neophallus from a hormonally enlarged clitoris.
  • This technique avoids the complexity and multi-stage nature of total phalloplasty.
  • Metoidioplasty results in less extragenital scarring, potentially improving patient acceptance.

Conclusions:

  • Metoidioplasty is a promising option for FTM individuals seeking gender affirmation without extensive surgery.
  • The procedure offers a simpler alternative to total phalloplasty, with favorable aesthetic outcomes.
  • Further evaluation of postoperative results is essential to define the full value of metoidioplasty.