Surgical interventions for gender affirmation in transgender men include two primary options: metoidioplasty and phalloplasty. These procedures aim to construct or enhance a neophallus, enabling individuals to achieve greater bodily congruence with their gender identity. Metoidioplasty utilizes the enlarged clitoris, hormonally stimulated by testosterone therapy, to create the neophallus. Phalloplasty, conversely, constructs a phallus using grafted skin and tissue, typically from the forearm, thigh, or abdomen. Each approach offers distinct advantages and disadvantages concerning surgical complexity, sensation, functionality, and aesthetic outcomes.
The decision between these two procedures carries profound implications for an individual’s well-being, affecting sexual function, urinary function, and overall body image. Understanding the potential outcomes of each method is essential for informed decision-making. Factors influencing this decision include individual anatomy, surgical expertise, potential complications, and personal preferences regarding aesthetics and desired functionality. As surgical techniques evolve, and with increasing access to gender-affirming care, it’s crucial to provide accurate and comprehensive information to support individuals on their journey.
