Metoidioplasty

Abstract

Metoidioplasty represents a technique for creating a neophallus from hormonally hypertrophied clitoris, in female-to-male transsexuals. As a one-stage procedure, our approach includes lengthening and straightening of the clitoris to make a neophallus, urethral reconstruction to enable voiding while standing and scrotal reconstruction with insertion of testicular implants. This chapter provides an overview of the indications, possible complications, essential steps of the metoidioplasty procedure and postoperative care, as well as the sample of the operative dictation. © Springer International Publishing Switzerland 2017.