Metoidioplasty or metaoidioplasty (informally called meto or meta ) is a female genital change operation -to-man.
Testosterone replacement therapy gradually enlarges the clitoris to an average size of 4-5 cm (1.6-2 inches) (such as the clitoris and penis are progressively homologous). In metoidioplasty, the surgeon separates the enlarged clitoris from the labia minora, and cuts the suspensory ligament to lower it to the approximate position of the penis.
Video Metoidioplasty
Comparison with phalloplasty
Methotcooplasty is technically simpler than phalloplasty, costs less, and has fewer potential complications. However, phalloplasty patients are much more likely to be able to perform sexual penetration after they recover from surgery.
In phalloplasty, the surgeon makes the neopenine by grafting the tissue from the donor site (such as from the patient's arm or leg). A phalloplasty takes about 8-10 hours to complete, and can be followed by a second operation to implant an erection prosthesis.
Metoidioplasty usually takes 2-3 hours to complete. Due to the normal clitoral erectile tissue function, the prosthesis is not necessary for an erection (although the clitoris may not become stiff like a penile erection). In almost all cases, patients with metoidioplasty may continue to have clitoral orgasms after surgery.
Maps Metoidioplasty
Operation
- After the patient's preparation, the skin around the enlarged clitoris is sliced ​​at the bottom and the lateral crura, which holds the tissue in place, is cut, freeing the clitoral tissue from the pubic bone.
- If the urethra is to be extended, the process begins now using the mucosal tissue from the vaginal area or from the inside of the mouth/cheek. The experimental choice is a graft of the intestine. Labia minora can be used to protect the graft, as well as provide greater thickness. The catheter is placed in the extension to facilitate healing for two to three weeks.
- Neopenis is then given the skin by cutting the minora labia and wrapping the tissue and secured with stitches. Scrotoplasty is usually performed in conjunction with metoidioplasty surgery. Vaginectomy, hysterectomy and/or oophorectomy may also be performed at this time if not already performed.
Alternate techniques
If metoidioplasty is done without extending the urethra and/or scrotoplasty, this is sometimes called clitoral release . It's cheaper than a complete meta-oxioplasty but it is not possible to urinate through neopenis while standing. However it also offers operations with less risk because the urinary system remains unchanged without urethral extension, and still gives some visual effects of complete meta-autoplasty along with the ability to use neopenis for sexual penetration. Vaginectomy is an option with this surgery.
Complications
In a post-operative man trans study, 28% of patients with extended urethra experienced swelling while causing herding and spraying of urine; no medical intervention is required. There is very little probability of urethral stricture (urethral narrowing) and less than 10% have a fistula (hole in the urethra) that requires slight revision. The average length of neophallic after 5.7 cm (with a range of 4-10 cm). All patients reported ability to achieve an erection and normal sensation. In patients who have scrotoplasty, some have reported rejection or complications associated with testicular prostheses.
See also
- List of transgender related topics
Note
- Metoidioplasty as Surgical Single Skin Rejuvenation Surgery on Transsexual Women: Beograd Experience by Miroslav L. Djordjevic, Dusan Stanojevic (Journal of Sexual Medicine, Volume 6, 5th Edition, Oct 2008)
- Metaidoioplasty: Alternative Phalloplasty Techniques in Transsexual by Hage, J. Joris (Plastic Journal & Reconstructive Surgery, Volume 97 Edition 1, January 1996)
- Reassigment Gender by Dan Greenwald and Wayne Stadelmann (Journal of eMedicine, Volume 2 No. 7, July 6, 2001)
External links
- Metoidioplasty.net - Metychoroplasty Surgery Guide
- FemaletoMale.org | Information on Metoidioplasty
Source of the article : Wikipedia
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