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Penis Implant

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

Phalloplasty is a gender-affirming surgical procedure designed to create a neophallus (newly constructed penis) for individuals who seek to align their physical appearance with their gender identity. The surgical techniques used in phalloplasty aim to create a functional neophallus that can enable penetrative sexual intercourse. However, the outcomes and functionality can vary among individuals, and several factors influence an individual’s ability to engage in penetrative sexual intercourse following phalloplasty:

  1. Surgical Technique: The choice of surgical technique can impact the functional outcomes of the neophallus. Some individuals may opt for a full phalloplasty with urethral lengthening, while others may choose a metoidioplasty, which uses the existing clitoral tissue to create a smaller phallus. The specific technique used can affect the level of erectile function and sensation in the neophallus.
  2. Sensory Outcomes: Sensation in the neophallus can vary. Some individuals experience heightened sensitivity, while others may have different sensory experiences. Sensation is an important factor in sexual satisfaction and an individual’s ability to engage in penetrative intercourse.
  3. Erectile Function: Achieving and maintaining an erection is crucial for penetrative sexual intercourse. Some individuals may have sufficient erectile function in the neophallus to engage in penetrative intercourse, while others may require additional interventions or devices to achieve an erection.
  4. Supportive Devices: Individuals who undergo phalloplasty may use erectile devices, such as inflatable penile implants or external prosthetic devices, to achieve and maintain an erection. These devices can enhance the ability to engage in penetrative intercourse.
  5. Individual Preferences: Sexual preferences and desires are highly individual. Some individuals may prioritize penetrative intercourse in their sexual activities, while others may prefer alternative sexual activities or engage in diverse forms of intimacy.
  6. Communication and Consent: Engaging in penetrative sexual intercourse requires open communication, mutual consent, and respect for boundaries between sexual partners.
  7. Post-Operative Care: After phalloplasty, individuals often require post-operative care and follow-up with their surgical team to address any concerns related to sexual function and satisfaction.

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