Composite metoidioplasty



Urethroplasty-urethral lengthening.



Short description

Clitoris is lengthened maximally by the dissection of suspensory and fundiform ligaments. Urethral reconstruction is performed by vaginal flap rotation combined with urethral plate in bulbar part of urethra. Further is used the labia minoras flap by the tubularisation and deepithelized labia minoras tissues for covering neourethra with/or using free flap of vaginal mucosa for urethral lengthening if the labia minoras tissue is not enough. The tissue of the labia minora is used to cover the body of the neophallus. Drainage is placed in the neourethra.

The scrotum is created with rotational flaps tailored from the labia majora. Vaginectomy can only be performed if the hysterectomy has been done no later than 3 months before or even earlier. 

Full time of surgery: 3.5-4 hrs. General or sacral anaesthesia. 

One night at the stationary after surgery is needed. 

The patient should be under surgeon’s outpatient supervision up to 3 weeks after the surgery. If there no signs of inflammation or infection the patient is may come back home.

Among the general recommendations for the patient are to refrain from exercise and swimming, as well as any water spa up to 3 months after surgery and from cycling for at least 3 months. 

FAQ about metoidioplasty

My experience in SRS more then 100 patients for last 15 years. 

It is one stage for Composite Metoidioplasty, incl. urethral Urethroplasty-urethral lengthening, Scrotoplasty and Vaginectomy.

Approximately 25% of my patients faced with neourethra complications (fistulas and strictures), usually 1-2 additional surgeries require for the correction of neourethra.

Scrotoplasty is performed with metoidioplasty at the same stage, but testicular implants are placed later. I have never performed scrotoplasty and testicular implantation at the same time. These surgeries require at least two separate steps spaced 3 months or more apart.

Usually for testicular implantation I take the EUROSILICONE (France) or POLYTECH (Germany) silicone implants.

2-3 weeks is average term for patients after meto.

All tests and any other preop examination will provide in clinic.

Doctor’s Letter about your current status and anything that has happened to your health in the past.

At least for 3 weeks no driving and no sitting long time at all (more than 15-20 min continuously) after the surgery.

The prices are vary and depends on types of the surgery.

For more information about the costs, photos and any other further information, please contact us.

Metoidioplasty Photos

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