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 is taken from the Greek words, meta meaning toward oidion meaning male organs, and plasty to form. A metoidioplasty is based surgical release of a clitoris which has been primed on testosterone. You may reasonably anticipate the outcome based upon the length of the clitoral body and size of your glans clitoris pre-operatively. In other words, anticipate a juvenile sized phallus at best without ability to penetrate.
Metoidioplasty with a stand to void urethra has the advantage of being more economical $12,500 (in our practice). A complete phalloplasty with penile implant providing the wherewithal to penetrate requires several stages and the likelihood that all stages will proceed without any complication or produce a perfect result without an occasional revisions is remote.
Harold M. Reed, M.D. FICS
Senior Member of the American Urological Association
Member Society of Genito-Urinary Reconstructive Surgeons
Founding Member and Treasurer of American Academy of Phalloplasty Surgeons
Founding Member Sexual Society of North America