Metoidioplasty, sometimes referred to as a meto or meta or spelled "metaoidioplasty", is an alternative to phalloplasty for trans men. With the effects of testosterone treatment, the clitoris enlarges, over time, to an average of 4-5 cm (due to the clitoris and penis being developmentally homologous organs).
In a metoidioplasty the enlarged clitoral tissue is released from its position and moved forward to more closely approximate the position of a penis.
Metoidioplasty is technically simpler than a phalloplasty, and has fewer complications. The surgery itself is also considerably shorter (2-3 hours vs. 8-10 hours overall) and it is much less expensive. Unlike a phalloplasty, an erectile prosthesis is not needed to achieve erection, although the erection is usually less hard compared to the penis of a cisgender man. Because metoidioplasty can not achieve penile dimensions comparable to a cisgender penis, the neopenis is usually not capable of penetrative sexual intercourse. Genital orgasm is almost always retained after surgery (unlike phalloplasty which carries significant risk of loss of erogenous sensation).
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