Genital Reconstruction Masculinization Surgeries

Genital reconstruction surgery in transsexual men consists of transforming female-looking external genitalia into male-looking genitalia. The choice of one technique or another will depend on the length that the patient wants and the magnitude of the intervention that he wants to accept.

Genital Reconstruction Surgeries

It will be the surgeon, together with his medical team, who decides the most appropriate technique for each individual patient, analyzing their physical and social characteristics. However, the patient will have all the information to be able to take part in the final decision on the technique to choose.

There are fundamentally two techniques for performing genital reconstruction in transsexual men: metoidioplasty and phalloplasty. Both techniques differ fundamentally in the magnitude of the intervention between one and the other and in the results that the patient wants to obtain. In metoidioplasty a small penis length of between 5 and 7 cm is achieved. To achieve that result it’s mandatory to have a clitoris hypertrophy before the surgery, if not, the result will be unsatisfactory. In phalloplasty the length is longer but the patient has to accept a longer and more laborious surgical procedure, with more risk.

It is not recommended if there is no significant clitoris hypertrophy with the hormonotherapy, in the same way if we are facing an obese person, it is also not recommended since the length result will be very poor.

It is a longer and more complex technique that requires several step procedures to reach a good final result, it’s expensive and also requires of scars at the donor site to perform the phallus.

It depends on the clitoris hypertrophy. If there is a marked hypertrophy and before performing any surgery erections are noted on that clitoris, a metoidioplasty can be performed because although the penis will be small, erections and therefore penetration can occur. They are the least frequent cases since people who want to have penetrative sex must undergo a phalloplasty.

The best professionals for your peace of mind

The Jesus Lago Institute team is made up of highly experienced and qualified doctors and healthcare personnel and has an Outpatient Surgery Support Center with state-of-the-art equipment for monitoring their patients.
IMPORTANT: The information contained in this web is only for guidance and general purposes. In no case is it intend to replace a personal consultation where your particular case is evaluated and where an accurate diagnosis will be obtained. If you wish, you can request a consultation without any commitment to evaluate your case. We are concerned that the provided information is the correct one for you. If you don't understand any word or explanation, please don't hesitate to contact us.
Last update / January 8, 2024
Clínica Fuensanta
Miembro SECE
Centro autorizado por la Comunidad de Madrid
Miembro SECO
Miembro SEEDO
AE Cirujanos
World Professional Association for Transgender Health
Sociedad Española de Directivos de la Salud
International Federation for the Surgery of Obesity
European College of Aesthetic Medicine & Surgery