Earlier this year, an article in the British Columbia newspaper, the Victoria Times Colonist, called for provincial funding for trans male bottom surgery. The article singled out phalloplasty and had no mention of metoidioplasty, a procedure that’s presumably more in-demand by transgender men. But is that presumption correct? To find out, we surveyed trans men interested in bottom surgery and asked: “If money were no object, would you choose to have a metoidioplasty or a phalloplasty?”
Categorized | Polls & Surveys
Metoidioplasty or Phalloplasty?
Posted on March 1, 2009 by Joshua
Like
this post? Subscribe
to the RSS feed to get notified when new
content is published. You can also subscribe
via email.
Translate:
German |
Spanish |
French |
Italian |
Portugese |
Japanese |
Korean |
Russian |
Chinese Traditional
19 Comment(s)
Leave a Comment
-
CATEGORIES
- Contests (3)
- Editorial (1)
- Features (4)
- Music (1)
- Polls & Surveys (3)
- Product Reviews (1)
- Reference (5)
- Research (5)
- Surgeons (2)
- Videos (5)
-
ARCHIVES
- August 2010 (1)
- July 2010 (3)
- June 2010 (5)
- January 2010 (1)
- December 2009 (5)
- November 2009 (5)
- October 2009 (5)
- May 2009 (1)
- March 2009 (2)
- February 2009 (2)
January 19th, 2010 at 9:39 pm
I would totally have phalloplasty!
February 12th, 2010 at 1:29 pm
phalloplasty
March 22nd, 2010 at 1:36 am
phallo
May 19th, 2010 at 1:12 pm
Definitely metoidioplasty, regardless of the money issue. I want things fully working down there.
May 23rd, 2010 at 5:55 pm
meto. hands down.
May 26th, 2010 at 8:24 am
@DreamDungeon Careful, “fully working” is a relative concept. I don’t think guys who’ve had phalloplasty think of themselves as not having “fully working” genitalia.
May 26th, 2010 at 11:11 am
Phalloplasty hands down.
Phalloplasty is fully functional, it just looks a little weird.
May 31st, 2010 at 8:42 am
A recent medical technique for phalloplasty is using the extra bone of your leg (fibula) to replace the old technique which leave mark in your forearm. And best thing is it can be cover with sock. It just impress me… for your courage, your plans, your finance management to take up the surgery. I’m having the thinking of “why i am born as a female” since i’m 10, yeah, that’s the time i discover i have feelings on girl rather than boy. I’m planning to do a complete turn before age 30. I wish you all the best with the new experience of your ‘true’ body
June 3rd, 2010 at 2:56 pm
meta, most definitely
June 23rd, 2010 at 4:54 am
meto because it will grow bigger n bigger if i get T continuously. i want it fully working :]
June 23rd, 2010 at 7:49 am
@adohnes FYI, there’s a limit to how much your cock will grow on T, you know this right? Also, please see my previous comment regarding “fully working.” Thanks!
June 23rd, 2010 at 12:21 pm
@Joshua I’ve been thinking a lot on possible ways to improve bottom surgery and I was wondering if I could ask you some questions simply because I’m sure your more knowledgeable than me. Now to my understanding in the most common phalloplasty skin is donated from the forearm and twirled into a tube and attached to the pubic area then once its reconnected it remains sensitive (when done correctly) although not erotically sensative, due to nerve hook up and blood vessels reattaching. If anything i say is incorrect please correct me. In a medioplasty I believe one of the things done is it is detached from the pubic bone. I’m a little confused on how that works but I always wonder if combining the two surgery’s is perhaps even possible? I’m wondering if a trans man penis can remain sensative if detached and reattached (as the forearm skin does). I don’t know if you’ve heard of a centrium but its currently done by only one surgeon to my knowledge. Its considered a more “advanced” form of medioplasty where ligaments from the labia are inserted into a trans penis to add girth, then testicle implants are inserted into the “pocket like” labia thats left afterwards. So to recap if you made half of the shaft of the penis from forearm with nerve hook up then connect the transmans penis to the top (giving the correct girth to match the other half through ligament insertion) although appearance may be slightly off, could that leave for a penis that is sensitive enough to reach appropriate sexual functions and reach a more desired length? Does this sound probable or is my understanding of bottom surgery off?
June 23rd, 2010 at 1:00 pm
@Dee: Happy to share what I know!
There are several different approaches to phalloplasty, forearm phallo is one. Sensation is one of the reasons this procedure is popular, and erotic sensation is definitely possible. Clitoral nerves are connected to the phallus to achieve this. There are different ways of incorporating the clitoris into a phalloplasty, it depends on the surgeon’s method and patient’s needs. It can be buried at the base or left free on the underside for direct stimulation. For more info, check out the phalloplasty resources on this page.
With metoidioplasty, nothing is detached from the pubic bone. For more details about meta, check out “Metoidioplasty: A Variant of Phalloplasty in female transsexuals” a journal article available here.
Centurion is a variation of meta that can provide more girth. I hesitate to call it more “advanced.” It’s just a different approach. Dr. Raphael in TX, USA performs this. For more about Centurion, see Female-to-Male Urogenital Reconstruction: “The Centurion Procedure” (PDF).
Scrotoplasty (scrotal implants) can be done with either phallo, meta or centurion.
If I understand correctly, what you’re describing sounds like it can already be achieved with a phalloplasty where the trans male penis (clit) is buried at the base. Sensation, girth and appearance are achieved.
Hope this helps!
June 25th, 2010 at 10:02 pm
im east azn so there will be no big difference (with non-trans male) though i got meto
July 4th, 2010 at 2:33 am
I must disagree slightly. There is a standard as to how much your penis will grow on testosterone. However I think there are some guys who may grow above and may grow below the standard. But much like a bio male puberty does stop at some point, and what you have is what you will have, I do believe in mechanical devices to gain length however I am a trans guy who knows many people who have grown over that standard, so keep your hopes up but if in your head your thinking porn star big I would just say skies the limit but be realistic with yourself lol. I mean you probably will be no ron jeremy or mandingo lol but it may satisfy your idea of big.
July 8th, 2010 at 9:54 am
I left BC in 2000. I’m getting ab-flap phallo covered by OHIP in a few months. Meta was never an option in my mind, even before I got approved for funding, I was moving ahead to foot the whole bill for a phallo.
July 10th, 2010 at 11:33 am
Metoidioplasty over failoplasty any day. In my opinion anyway. I’d rather not smack talk the phallo here however. Other guys can have their junk however they want it.
July 19th, 2010 at 12:54 pm
Although I do not want any bottom surgery right now, my decision can change anytime. If I were to do any of these two, I would take the one that would have the least amount of complications in every aspect: aesthetic, medical, psychological, economical and everything else… most importantly, I would do the surgery that will ‘fit’ me the most.
August 29th, 2010 at 9:00 am
meto.