Metaidoioplasty: an alternative phalloplasty technique in transsexuals.

The various techniques for phalloplasty in female-to-male transsexuals produce results that are more or less acceptable, both aesthetically and functionally. However, all these techniques will lead to extensive scarring of the donor area. Metaidoioplasty uses the clitoris, overdeveloped by hormonal treatment, to construct a microphallus in a way comparable to the correction of chordae and lengthening of urethra in male pseudohermaphrodites and in cases of severe hypospadias. It will not leave any scars outside the genital area. My experience in 32 female-to-male transsexuals is presented. At best, metaidoioplasty will provide a small phallus hardly, if at all, capable of sexual penetration. Still, I consider it to be a method of choice in cases where the clitoris seems large enough to provide a phallus that will satisfy the patient.