Can phalloplasty be combined with other procedures, such as scrotoplasty or metoidioplasty?

Yes, phalloplasty can be combined with other procedures, such as scrotoplasty or metoidioplasty. This is often done to create a more complete and natural-looking male anatomy.

• Phalloplasty and scrotoplasty: Phalloplasty can be combined with scrotoplasty to create a penis and scrotum. Scrotoplasty is a procedure to create a scrotum, the sac that holds the testicles.
• Phalloplasty and metoidioplasty: Phalloplasty can also be combined with metoidioplasty. Metoidioplasty is a procedure to enlarge the clitoris to create a penis-like structure.

The decision of whether or not to combine phalloplasty with other procedures is a personal one. Some people may prefer to have all of the procedures done at once, while others may prefer to have them done over time. It is important to talk to your doctor about the best options for you.

Here are some of the factors to consider when deciding whether or not to combine phalloplasty with other procedures:

• Your individual goals and needs: What are your goals for phalloplasty? Do you want to have a penis that can be used for urination, sexual intercourse, or both?
• Your medical history: Do you have any health conditions that could affect your ability to have surgery?
• Your lifestyle: How active are you? Do you have a job that requires a lot of physical activity?
• Your finances: How much can you afford to spend on surgery?

Yes, phalloplasty can be combined with other procedures as part of gender-affirming surgery to create a comprehensive genital reconstruction that aligns with an individual’s gender identity and goals. The combination of procedures depends on the patient’s preferences, anatomy, and surgical plan. Here are some of the procedures that can be combined with phalloplasty:

1. Scrotoplasty: Scrotoplasty involves the creation of a scrotum, which can house testicular implants if desired. The scrotoplasty procedure can be combined with phalloplasty to provide a more complete male genital appearance.
2. Testicular Implants: Some individuals choose to have testicular implants placed within the scrotum during or after scrotoplasty. Testicular implants can provide a more natural and realistic appearance of male genitalia.
3. Urethral Lengthening (Urethroplasty): Phalloplasty typically includes the construction of a urethra for urination through the neophallus. Urethral lengthening may be performed as part of phalloplasty or as a separate procedure to ensure that the neophallus can be used for both urination and sexual function.
4. Vaginectomy: For individuals who wish to undergo a complete genital reconstruction, vaginectomy (removal of the vaginal canal) can be performed in conjunction with phalloplasty to eliminate the presence of female genitalia.
5. Metoidioplasty: Some individuals may have previously undergone metoidioplasty (a procedure that releases the clitoral hood and allows the clitoris to extend) and later choose to undergo phalloplasty for additional length and size. This combination of procedures is known as metaoidioplasty-phalloplasty or meto-phalloplasty.
6. Hysterectomy and Oophorectomy: The removal of the uterus (hysterectomy) and ovaries (oophorectomy) may be performed separately or in conjunction with phalloplasty to address reproductive organs. Removal of these organs is often recommended for individuals on hormone therapy to prevent potential health risks associated with female reproductive organs.