Sex Change MTF FTM SRS

For construction of a penis, there are 2 approaches: metoidioplasty and (full-scale) phalloplasty.   Metoidioplasty is the simpler and least expensive of the two.  Metoidioplasty taken from the Greek words, meta meaning toward oidion meaning male organs, and plasty to form.

Metoidioplasty with stands to voidurethra has the advantage of being more economical $12,500 (in our practice) vs. $75,000 to $100,000 in the United States for complete phalloplasty.

In Europe a phalloplasty can be obtained for $15,000 to $30,000.  A completed phalloplasty requires several stages and the likelihood that all stages will proceed without any complication or produce a perfect result without revisions is quite remote. Anticipate revisions and discuss with your intended surgeon what you may reasonably expect as related to his/her technique.  Please confer if you wish with Dr. Stanley Monstrey in Gent, Belgium or Dr. Sava Perovic or Dr. Miroslav Djordjevic in Belgrade, Serbia, all excellent surgeons.

Dr. Monstrey does an excellent forearm flap.

I have personally seen each do this surgery several times.

An ideal phalloplasty will produce a phallus that looks upon close inspection to be a penis with good glans (head) formation and a corona (rim).  The phallus must be completely sensate and beyond that orgasmically sensate.  Within the phallus shall be a urinary channel of decent caliber so the patient can void urinating from the glans as with normal males.

Additionally there needs to be a mechanism for producing a penetrable erection.  Alternatives include: an inflatable penile prosthesis carrying a 50% complication rate and in genetic males having an average survival of 6 to 8 years (less in transgendered patients); or a semi-rigid prosthesis (possibility of extrusion from continued pressure); or a bacculum (silicone rod) which is inserted into a special channel just for sex.

Many dance steps to go through.  Also there will be a noticeable deforming harvesting scar which represents the donor site, could be in the forearm, back, lower abdomen, or thigh.

We do not perform primary phalloplasty but will do revisions.

If you are considering metoidioplasty, you should be on testosterone for 2 years to maximize growth before surgery.

Our metoidioplasty fees are the best around (we believe) at $12,500 to include anesthesia, surgery, use of the facility, and my aftercare.

During this procedure if you desire one stage urethral extension, a buccal graft, small mucosal strip from the inside of your cheek, will also be performed to assist in tubularization of the additional urethral length. Most patients are able to eat the next day and are fairly comfortable with an ice pack for 24 hours.

Soft testicular implants can be inserted at the same time and our fee inclusive of the implants and anesthesia time is $4000. “Add-ons” are less expensive. Augmentation with testicular implants and scrotalplasty as an independent procedure is $5,500.

Filed under:
metoidioplasty, phalloplasty by Dr_Reed