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Metoidioplasty.

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  • 1G.U. Recon Clinic, 45 Castro Street Suite 111, San Francisco, CA 94114, USA.

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|October 15, 2025
PubMed
Summary
This summary is machine-generated.

Metoidioplasty aims to create masculine genitalia, often involving tissue rearrangement and urethral lengthening for standing urination. Careful surgical planning and patient-surgeon discussion are crucial due to common complications.

Keywords:
DysphoriaGenderMetoidioplastyScrotoplastyTransmasculineUrethral lengtheningVaginectomy

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Area of Science:

  • Genital reconstructive surgery
  • Urology
  • Gender affirmation surgery

Background:

  • Metoidioplasty is a surgical procedure for gender affirmation.
  • Patients seek masculine-appearing and functioning genitalia post-surgery.
  • Key surgical goals include anterior tissue transfer and urethral lengthening for standing micturition.

Purpose of the Study:

  • To outline the surgical considerations and common procedures associated with metoidioplasty.
  • To highlight the importance of shared decision-making in achieving patient-specific surgical outcomes.
  • To acknowledge the frequent occurrence of aesthetic and urinary complications.

Main Methods:

  • Review of common surgical techniques in metoidioplasty.
  • Discussion of adjunct procedures such as vaginectomy, scrotoplasty, and perineal reconstruction.
  • Emphasis on patient anatomy and surgeon expertise in surgical planning.

Main Results:

  • Metoidioplasty often requires anterior tissue mobilization and urethral lengthening.
  • Adjunct procedures are frequently necessary for comprehensive masculinization.
  • Aesthetic and urinary complications are common challenges.

Conclusions:

  • Successful metoidioplasty necessitates a thorough understanding of surgical techniques and patient anatomy.
  • Shared decision-making is vital for aligning patient desires with surgical feasibility.
  • Managing patient expectations regarding potential complications is essential.