Earlier this year, an article in the British Columbia newspaper, the Victoria Times Colonist, called for provincial funding for trans male bottom surgery. The article singled out phalloplasty and had no mention of metoidioplasty, a procedure that’s presumably more in-demand by transgender men. But is that presumption correct? To find out, we surveyed trans men interested in bottom surgery and asked: “If money were no object, would you choose to have a metoidioplasty or a phalloplasty?”
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January 19th, 2010 at 9:39 pm
I would totally have phalloplasty!
February 12th, 2010 at 1:29 pm
phalloplasty
March 22nd, 2010 at 1:36 am
phallo
May 19th, 2010 at 1:12 pm
Definitely metoidioplasty, regardless of the money issue. I want things fully working down there.
May 23rd, 2010 at 5:55 pm
meto. hands down.
May 26th, 2010 at 8:24 am
@DreamDungeon Careful, “fully working” is a relative concept. I don’t think guys who’ve had phalloplasty think of themselves as not having “fully working” genitalia.
May 26th, 2010 at 11:11 am
Phalloplasty hands down.
Phalloplasty is fully functional, it just looks a little weird.
May 31st, 2010 at 8:42 am
A recent medical technique for phalloplasty is using the extra bone of your leg (fibula) to replace the old technique which leave mark in your forearm. And best thing is it can be cover with sock. It just impress me… for your courage, your plans, your finance management to take up the surgery. I’m having the thinking of “why i am born as a female” since i’m 10, yeah, that’s the time i discover i have feelings on girl rather than boy. I’m planning to do a complete turn before age 30. I wish you all the best with the new experience of your ‘true’ body
June 3rd, 2010 at 2:56 pm
meta, most definitely
June 23rd, 2010 at 4:54 am
meto because it will grow bigger n bigger if i get T continuously. i want it fully working :]
June 23rd, 2010 at 7:49 am
@adohnes FYI, there’s a limit to how much your cock will grow on T, you know this right? Also, please see my previous comment regarding “fully working.” Thanks!
June 23rd, 2010 at 12:21 pm
@Joshua I’ve been thinking a lot on possible ways to improve bottom surgery and I was wondering if I could ask you some questions simply because I’m sure your more knowledgeable than me. Now to my understanding in the most common phalloplasty skin is donated from the forearm and twirled into a tube and attached to the pubic area then once its reconnected it remains sensitive (when done correctly) although not erotically sensative, due to nerve hook up and blood vessels reattaching. If anything i say is incorrect please correct me. In a medioplasty I believe one of the things done is it is detached from the pubic bone. I’m a little confused on how that works but I always wonder if combining the two surgery’s is perhaps even possible? I’m wondering if a trans man penis can remain sensative if detached and reattached (as the forearm skin does). I don’t know if you’ve heard of a centrium but its currently done by only one surgeon to my knowledge. Its considered a more “advanced” form of medioplasty where ligaments from the labia are inserted into a trans penis to add girth, then testicle implants are inserted into the “pocket like” labia thats left afterwards. So to recap if you made half of the shaft of the penis from forearm with nerve hook up then connect the transmans penis to the top (giving the correct girth to match the other half through ligament insertion) although appearance may be slightly off, could that leave for a penis that is sensitive enough to reach appropriate sexual functions and reach a more desired length? Does this sound probable or is my understanding of bottom surgery off?
June 23rd, 2010 at 1:00 pm
@Dee: Happy to share what I know!
There are several different approaches to phalloplasty, forearm phallo is one. Sensation is one of the reasons this procedure is popular, and erotic sensation is definitely possible. Clitoral nerves are connected to the phallus to achieve this. There are different ways of incorporating the clitoris into a phalloplasty, it depends on the surgeon’s method and patient’s needs. It can be buried at the base or left free on the underside for direct stimulation. For more info, check out the phalloplasty resources on this page.
With metoidioplasty, nothing is detached from the pubic bone. For more details about meta, check out “Metoidioplasty: A Variant of Phalloplasty in female transsexuals” a journal article available here.
Centurion is a variation of meta that can provide more girth. I hesitate to call it more “advanced.” It’s just a different approach. Dr. Raphael in TX, USA performs this. For more about Centurion, see Female-to-Male Urogenital Reconstruction: “The Centurion Procedure” (PDF).
Scrotoplasty (scrotal implants) can be done with either phallo, meta or centurion.
If I understand correctly, what you’re describing sounds like it can already be achieved with a phalloplasty where the trans male penis (clit) is buried at the base. Sensation, girth and appearance are achieved.
Hope this helps!
June 25th, 2010 at 10:02 pm
im east azn so there will be no big difference (with non-trans male) though i got meto
July 4th, 2010 at 2:33 am
I must disagree slightly. There is a standard as to how much your penis will grow on testosterone. However I think there are some guys who may grow above and may grow below the standard. But much like a bio male puberty does stop at some point, and what you have is what you will have, I do believe in mechanical devices to gain length however I am a trans guy who knows many people who have grown over that standard, so keep your hopes up but if in your head your thinking porn star big I would just say skies the limit but be realistic with yourself lol. I mean you probably will be no ron jeremy or mandingo lol but it may satisfy your idea of big.
July 8th, 2010 at 9:54 am
I left BC in 2000. I’m getting ab-flap phallo covered by OHIP in a few months. Meta was never an option in my mind, even before I got approved for funding, I was moving ahead to foot the whole bill for a phallo.
July 10th, 2010 at 11:33 am
Metoidioplasty over failoplasty any day. In my opinion anyway. I’d rather not smack talk the phallo here however. Other guys can have their junk however they want it.
July 19th, 2010 at 12:54 pm
Although I do not want any bottom surgery right now, my decision can change anytime. If I were to do any of these two, I would take the one that would have the least amount of complications in every aspect: aesthetic, medical, psychological, economical and everything else… most importantly, I would do the surgery that will ‘fit’ me the most.
August 29th, 2010 at 9:00 am
meto.
November 18th, 2010 at 10:31 am
If I were to opt for bottom surgery one day, I originally want the meto procedure simply because of its increased functionality, and lets face it…it would be nice to get a decent hard on
But lately I’ve found myself leaning more towards the phallo procedure. Sexual sensation, though a concern for me, doesn’t outweigh the general appearance, urination and penetration you can achieve with a bio-equivalent.
Luckily I feel I have a few years to make my mind up!
November 29th, 2010 at 9:26 am
Meto. Not that big not testicular implants. Clitoral release, urethral extension.
December 13th, 2010 at 3:40 pm
See im sure on this one, cuz i want the actual feeling and sensation of being able to get a natural hard on, but i do want a real size penis so probably meto first, then phallo to finish it off
December 20th, 2010 at 2:17 pm
Such a hard decision. I would still want to learn more and more about both, if possible.
December 23rd, 2010 at 10:42 pm
Honestly, I don’t know. There’s days when I think without hesitation I’d do it, there’s other days where I’m thinking ‘does it really matter?’. At the moment? I’m fine as is, as long as people see me as I am, it doesn’t really matter what’s in my pants. That, and I feel like I need to do a hell of a lot more research on both procedures.
January 19th, 2011 at 4:12 am
Am not sure on this either. I’ve tried looking up things on both and if am honest my head’s startin to get a bit frazzled, leaving me slightly confused. What I would like to see is if you guys did an article here on the pros and cons of both phallo and meta, comparing the two. Maybe including accounts from people who have been through them procedures. Also include more links for further reading. Am sure I am not the only person who like to see this and would benefit from such an article.
January 20th, 2011 at 12:57 pm
@Benjamin I probably won’t write an article comparing different bottom surgery procedures because the pros/cons are relative to what one’s goal is. It’s kind of an apples and oranges thing. FTMGuide has a very good info page on FTM GRS Procedures. The surgery mailing lists are also incredible sources—search the archives and you’ll find lots of info that will help you refine what you’re looking for.
February 20th, 2011 at 5:55 am
Ideally, phalloplasty.
However, I have an intense phobia of surgery. As is my breast removal is the only thing I’m set for without a bit of doubt, mostly because they’re huge and awkward. At least my genitals I can hide sufficiently. =/
March 17th, 2011 at 4:56 am
meta just dont wana mess to much with what i got and i like being able to get errect naturally if in the future advances got a lot better i may change my mind testicles nah wouldnt matter ither way
April 4th, 2011 at 7:10 am
Metoidioplasty. IMO, it’s not the size of the shovel, it’s where you dig.
April 28th, 2011 at 9:56 am
My question is that I have heard that there are complications with the urerthral extension and that if often requires follow-up surgeries. I plan on having a scrtoum/metoid/pelvic lift done by Dr. Medalie at the Cleveland Clinic for $8200. Has anyone used him? He did my top surgery and I am so pleased. Thanks guys, sj
May 18th, 2011 at 10:14 am
i myself am transgender, and personally, size and feeling matters to me (i also got aspergers/autism) which i think makes me want to be the exact same as a natural man, cuz when i watch tv and theres a couple in love, or say there s that odd moment and they have sex and i hear them making them noises, it just makes me angry, jealous and irratated(cant spell). so id go for metoidioplasty, but im finding it hard to believe a penis that small could fit in a vagina, exactly what pleasure does metoid bring? and how does it erect? i might find out, if i go for it, (havent had the operation yet) but yeah metoidioplasty. they say feeling beats size.. cant u just get metoid and then have it enlarged? yeah 1 or 2 years after getting metoidioplasty, you then get penis enlargment surgery so u can get size and feeling??? lol
May 19th, 2011 at 6:52 am
another question? say a ftm got phallo? i know he may not feel sensation when he penetrates, but will his partner feel sensation?
May 23rd, 2011 at 9:34 pm
@Jimmy: Yes, (some) guys with meta can penetrate a vagina. The Centurion procedure is similar to metoidioplasty, but adds more girth. There isn’t a “meta enlargement procedure” per se, though one can have a phalloplasty after a meta. Partners of men who are post-phalloplasty absolutely feel sensation from their man’s phallo.
June 8th, 2011 at 10:20 pm
metoidioplasty
June 27th, 2011 at 3:42 pm
I’m really not sure which one I would choose- Meta gives the benefit of getting a natural erection and remaining fully sensate, but phalloplasty gives a larger size and looks better. Both allow you to stp, which is good. I don’t know if you can combine the surgeries so you get some of both, but I don’t like the idea of needing to use an implant to get a hard-on. But the meta might be too small for penetrative sex, on the other hand. It’s a tough decision as to which one would be more satisfying for me to have.
September 13th, 2011 at 3:36 pm
For me it will be phallo or nothing at all. If I am going to spend the money on lower surgery, I want something that is similar in size to a bio-man’s penis, and capable of penetrative intercourse. But this will be several years down the road as I have not even had top surgery yet.
October 9th, 2011 at 1:46 pm
If i did ever get bottome surgery i think i’d go meto first because sensation is important for me. i’d then consider phallo down the line…
it’s constantly being updated and improved… so may as well get the meto then wait till i can afford the more “realistic” deal that can actually penetrate
December 16th, 2011 at 8:55 am
I originally wanted phallo but now I am leaning towards a meta. I am aware that penetration is rare afterwards, but it is not impossible and I wish to take that chance. If meta is not on my side, then I may well desire a phallo at a later date.
December 23rd, 2011 at 3:06 am
hey guys, I have discovered a new technique but im hoping I can have it done where I am too but if I have to travel for it then I would.
The Centurion procedure, just a few questions?
1. What is the largest possible length it can result to (inches wise)
2. For those who can pee standing up after a centurion and uhreral lengthing etc can they hold the penis with both hands when standing to pee?
3. Is the resulting penis, well if it is a decent length and can be used in sex will it please both the male and his partner?
All of these things matter to me im sorry, i guess you could say I am a selfish guy.
December 26th, 2011 at 6:59 am
To Brett: you dont need a phallo to be capable of penetrative sex, not all but some guys with a meta or a centurion are capable of it, im not trying to influence you but I just think it would be better to try having sex witha meta or cent first and if u cant then get a phallo but of course if u want a normal size dick then a phallo is best or a prosthetic, probably phallo. Now honestly, size would not bother me as long as I can pee standing up (using both hands) and being able to have pentrative sex its justs so important to me, im sorry.
lol
December 29th, 2011 at 8:07 pm
Meta, as I’m already kind of big down there and I don’t really feel like I need anything else… I don’t really like phalloplasties, although I understand why people want them.
January 20th, 2012 at 6:56 am
Good for you Jackson, I hope you will be very happy with what you already have but yh of course the meta is there if you want it, i myself understand why people may wish to choose the phallo, however i am not one of them, and in fact i admit that i am kinda jealous after you saying that your already kinda big down there, i havent started testo yet im still scared ill end up with not just a small(micro penis) but a super micro penis, i hope i will soon be joining the same boat as yourself lol tc(take care)