Can phalloplasty result in the ability to achieve erections?

Yes, it is possible to achieve erections after phalloplasty. There are two main types of phalloplasty:

• Routine phalloplasty: This type of phalloplasty uses tissue from the arm, leg, or abdomen to create a penis. Erections can be achieved with the help of a pump or a rod that is inserted into the penis.
• Neourethral lengthening and metoidioplasty: This type of phalloplasty uses the patient’s own tissue to create a penis. Erections can be achieved by enlarging the clitoris and using a pump or a rod.

The type of phalloplasty that is best for you will depend on your individual circumstances and goals. Talk to your doctor to learn more about the different options and which one is right for you.

Here are some additional things to keep in mind about phalloplasty and erections:

• The ability to achieve erections after phalloplasty can vary from person to person.
• It may take some time and practice to learn how to achieve and maintain erections after phalloplasty.
• There is a risk of complications, such as infection or nerve damage, that can affect the ability to achieve erections.

Phalloplasty alone does not typically result in the ability to achieve natural erections in the same way a cisgender male would. While phalloplasty creates a neophallus (new penis) that has a natural appearance, it does not include the structures responsible for natural erectile function, such as the corpora cavernosa, which are the erectile tissue chambers found in a cisgender penis.

However, there are options to achieve erections after phalloplasty, and these typically involve additional procedures, such as the insertion of a penile implant. Here are some considerations regarding achieving erections after phalloplasty:

1. Penile Implants: Many individuals who desire the ability to achieve erections after phalloplasty opt for penile implant surgery. Penile implants are prosthetic devices surgically implanted into the neophallus. They can be inflated to create rigidity, allowing for penetration during sexual activity. There are different types of penile implants, including inflatable and semi-rigid models, which offer various levels of control and rigidity.
2. Additional Surgeries: Penile implant surgery is typically performed as an additional stage after the initial phalloplasty. Patients must meet specific criteria and be in good overall health to be considered for penile implant surgery.
3. Consultation with Surgeons: Individuals interested in penile implants should consult with experienced surgeons who specialize in gender-affirming surgeries and penile implant procedures. The surgical team can provide guidance on the most suitable implant option based on individual needs and goals.
4. Patient Education: Patients considering penile implants should receive thorough education on the surgical process, recovery, and post-operative care.