Metoidioplasty

Metoidioplasty is a surgical procedure that creates a small phallus (neo-phallus) from the hormonally enlarged clitoris. After a minimum of 1-2 years of testosterone therapy, the clitoris enlarges significantly (typically to 4-6cm) — and metoidioplasty releases this tissue from its attachments, straightens it, and positions it as a small but functional phallus.

Metoidioplasty is a highly valued option for many FTM patients because it uses existing, fully sensate tissue — meaning erogenous sensation and the ability to achieve orgasm are preserved. It is a shorter, less complex surgery than phalloplasty, with faster recovery and fewer risks. The primary limitation is phallus size — the neo-phallus is typically 4-7cm when erect and cannot accommodate a penile prosthesis for penetrative intercourse.

Why Choose Dr. Bhavya Sree for Metoidioplasty?

• M.Ch Plastic Surgery — NIMS Hyderabad (India's premier surgical training institution)
• FAM & FAS (Belgium) — Dual international fellowship credentials in reconstructive and aesthetic surgery
• Specialist training in genital reconstructive and gender affirming surgery
• All consultations and procedures performed personally by Dr. Bhavya Sree — never delegated
• Compassionate, non-judgemental approach — your identity, your goals, your timeline
• Visakhapatnam's most qualified plastic surgeon for complex genital reconstructive procedures

What Metoidioplasty Achieves

A natural-appearing small phallus with full erogenous sensation Standing urination — when combined with urethral lengthening A natural erectile mechanism — the neo-phallus becomes erect with arousal Labiaplasty / scrotoplasty — labia majora joined and filled with testicular implants to create a scrotum Vaginectomy — closure of the vaginal opening (optional — not all patients choose this) Metoidioplasty Variants Variant

What It Includes

Simple Metoidioplasty Release and advancement of the clitoral ligament — no urethral lengthening. Phallus positioned, sensation preserved. Fastest recovery. Full Metoidioplasty with Urethral Lengthening Urethral extension using vaginal mucosa or buccal mucosa graft — allows standing urination. Most commonly requested option.

Belgrade Technique A specific metoidioplasty technique that creates a longer phallus with simultaneous urethral lengthening and scrotoplasty in a single stage.

Anaesthesia

General anaesthesia Duration 2-4 hours depending on components

Hospital Stay

3-5 nights Urinary Catheter 2-3 weeks (with urethral lengthening) Return to Work 4-6 weeks Phallus Size 4-7cm — depends on testosterone response and original clitoral size Sensation Fully preserved — uses existing clitoral tissue Penetrative Sex Generally not possible — phallus is not large enough for prosthesis Final Result 6-12 months

Clinical photographs available in private consultation only — in keeping with the highest standards of patient dignity and privacy.

Frequently Asked Questions

How big will my phallus be after metoidioplasty?

Phallus size after metoidioplasty depends primarily on the degree of clitoral enlargement achieved by testosterone therapy — typically 4-7cm. Longer testosterone therapy (2+ years) generally produces greater clitoral enlargement and therefore a larger neo-phallus. The size cannot be predicted with complete accuracy before surgery. Dr. Bhavya Sree will assess your individual anatomy at consultation.

Will metoidioplasty allow me to urinate standing?

Yes — when combined with urethral lengthening. The urethra is extended using vaginal mucosa or a buccal (cheek) mucosa graft to allow voiding from the tip of the neo-phallus. Urethral complications (fistula — a small urine leak — or stricture) are the most common complication of urethral lengthening, occurring in approximately 15-30% of cases and typically treatable with a minor procedure.

Can I have phalloplasty after metoidioplasty if I want a larger phallus later?

Yes — metoidioplasty does not preclude future phalloplasty. Some patients choose metoidioplasty first and later decide they want phalloplasty. Phalloplasty after metoidioplasty is more complex than primary phalloplasty but is achievable. This should be discussed at consultation if it is a possibility you are considering.

What to Expect at Your Consultation

Your consultation with Dr. Bhavya Sree is a private, unhurried, and completely confidential conversation — with absolutely no obligation to proceed. You can expect: A thorough and respectful discussion of your goals, your medical history, and your timeline An honest explanation of what each procedure involves, what it achieves, and what it does not Clear information about the surgical process, recovery, and realistic outcomes A staged surgical plan if multiple procedures are being considered Discussion of any prerequisites — hormonal therapy, letters of support, or prior procedures A fully itemised, transparent cost estimate with no hidden fees No judgement. No pressure. No assumptions. Just an expert, compassionate conversation about your options.

Book your private consultation with Dr. Bhavya Sree — drbhavyaplasticsurgery.com | Visakhapatnam