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Penis EnlargementPenis Implant

Can penile reconstruction affect the individual’s ability to have penetrative sexual intercourse?

Penile reconstruction surgeries, such as phalloplasty and metoidioplasty, can have varying effects on an individual’s ability to have penetrative sexual intercourse. The extent of impact depends on several factors, including the surgical technique used, individual anatomy, and postoperative outcomes. Here are some considerations:

  1. Phalloplasty: The impact on penetrative sexual intercourse after phalloplasty can vary based on the specific type of phalloplasty (e.g., radial forearm, anterolateral thigh), the type of urethral reconstruction, and whether erectile prosthetic devices are implanted. Some individuals may experience changes in sexual function, while others may retain or regain the ability to have penetrative intercourse.
  2. Metoidioplasty: Metoidioplasty uses the hormonally enlarged clitoris to create a neophallus. The size and configuration of the neophallus can impact penetrative intercourse. Some individuals who undergo metoidioplasty may have a naturally small neophallus and may choose to use prosthetic devices to enhance their sexual experiences.
  3. Sensation: Changes in sensation can occur after penile reconstruction surgeries. Some individuals may experience altered or reduced sensation in the neophallus, which can affect sexual experiences. However, the degree of sensation varies among individuals.
  4. Erectile Function: Erectile function can be influenced by the surgical technique used and whether erectile prosthetic devices, such as penile implants, are implanted during surgery. Some individuals may regain erectile function, while others may rely on prosthetic devices for erections.
  5. Lubrication and Vaginal Health: For individuals who retain a vaginal canal after surgery, maintaining vaginal health and lubrication may be important for comfortable and enjoyable intercourse. This may involve addressing vaginal atrophy and using appropriate lubrication.

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