Metoidioplasty (FTM Bottom Surgery) in Bangkok, Thailand
In this operation, the surrounding skin of the clitoris is removed and released from the pubis to give the appearance of more length. The glans will appear circumcised in most patients. The final result is a normal appearing, but very small, penis.
The surgery usually yields very favorable result. Actual result will depend on various factors as described below. The outcome is largely dependent upon how much enlargement of the clitoris has occurred after using testosterone. Urethral lengthening can also be done at the same time, or later, to allow the patient to stand to urinate. Urethral lengthening requires complete removal of the vaginal mucosa. The best results from the metoidioplasty are in patients who are thin or near their ideal body weight. In most patients, removal of the skin and fat of the mons-pubis and pulling the skin upwards will improve the result. This will leave a curvilinear scar in the pubic hair and is usually done as a second stage when the expanders are replaced with a permanent testicular prosthesis.
The principal advantage of the metoidioplasty is that it is less invasive, maintains the sensitivity of the clitoris, and does not create apparent surgical scars. Furthermore, it does not prevent future genital surgery from being done at a later time should one decide. The penis will not, however, appear adult in size, and it is not large enough for vaginal intercourse. Formation of the scrotum (Scrotoplasty) is done during the metoidioplasty. Should you desire, prostheses
for testicles could be placed at this time or at later date, since there is frequently only limited place for two tissue expanders in the new scrotum. The permanent prosthesis can be placed in the scrotum at the same time. There is probably no harm in placing two testicular prostheses. If urethral lengthening is done, the patient must wait three months to have expanders or prosthesis placed.
There are two options of metoidioplasty procedures
2. Circumcised penis. The length of neo penis is more, due to the clitoris and surrounding skin is more released from the original position.