Many clitoris develop hypertrophy with hormonotherapy, this means a considerable enlargement of the clitoris that will allow us to create a penis from it.
Metoidioplasty is a surgical technique that involves making a penis using the hypertrophic clitoris. On the anterior side of the clitoris we will perform a new urethra to reconstruct the male urinary system. To close the vagina, we will first remove the uterus and ovaries and remove the vaginal mucosa, closing after that the vaginal canal. Finally we will place a prosthesis on the labia majora to create the testicles. In this way we will achieve a penis with sensitivity and a totally natural appearance, although generally with a smaller size in relation to that obtained in a phalloplasty.
In some cases, the penis can be made from the hypertrophic clitoris, the vaginal opening closed, and the testicles reconstructed with prostheses placed on the labia majora without rebuilding the urethra. With this process, the urethra is right at the base of the penis, hence this surgical procedure will not allow a standing up urination but a natural male external anatomy, similar to that which would be reconstructed by the urethra. This technique avoids complications derived from urethral reconstruction, that is, fistulas and stenosis. The person who chooses this technique must accept that he will not be able to urinate standing up.
Type of anesthesia
Type of surgery
Surgical procedure and hospital admission
Blood analysis evaluation
No. Metoidioplasty has the advantage of lower risk compared to phalloplasty. In addition to maintaining glans sensitivity, both in tactile and erogenous sensitivity, the patient can achieve orgasm quite easily. Other points to consider in relation to phalloplasty are that it is a technique with a shorter surgical time, a shorter hospital stay and a faster recovery with fewer complications.
The most common complication is related to the reconstruction of the urethra. Specifically, two complications can occur, the appearance of fistulas, that is, the urine comes out from a place that does not correspond to it, for example at the base of the penis and the other is stenosis, that is, the narrowness in areas of the urethra. Both complications can force new procedures to correct it. Sthenosis and fistula are resolved without difficulty in centers with expertise like ours with a proper follow up.
When the clitoris hypertrophy is marked, the results are good and being able to reach a length in the penis of between 5 and 7 cm with both tactile and erogenous sensitivity, ability to reach orgasm and the possibility of urinating in a standing position.