Research Explained: Outcomes of Secondary Phalloplasty After Metoidioplasty

Dr. Santucci discusses “The Surgical Techniques and Outcomes of Secondary Phalloplasty After Metoidioplasty in Transgender Men: An International, Multi-Center Case Series”. The Journal of Sexual Medicine selected this as the best paper on gender reassignment surgery for 2019!

Disadvantages of Metoidioplasty are the relatively small neophallus, the inability to have penetrative sex, and often difficulty with voiding while standing. Therefore, some transgender men opt to undergo a secondary Phalloplasty after Metoidioplasty. This is the first study to report on secondary Phalloplasty in collaboration with 8 specialized gender clinics. Transgender men who underwent secondary Phalloplasty after Metoidioplasty indicated reasons to undergo secondary Phalloplasty were to have a larger phallus (n = 32; 38.6%), to be able to have penetrative sexual intercourse (n = 25; 30.1%), have had Metoidioplasty performed as a first step toward Phalloplasty (n = 17; 20.5%), and to void while standing (n = 15; 18.1%). In high-volume centers specialized in gender affirming surgery, a secondary Phalloplasty can be performed after Metoidioplasty with complication rates similar to primary Phalloplasty.

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