Metoidioplasty - Revision history

Ondo at 16:20, 24 December 2024

2024-12-24T16:20:16Z

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	{{Content warning\|genitals (with diagrams), reproductive organs, surgery (with photos of it in process)}}		{{Content warning\|genitals (with diagrams), reproductive organs, surgery (with photos of it in process)}}

	{{disclaimer\|~~The Nonbinary Wiki is written by volunteers who are not necessarily experts on~~ medical topics. This wiki and its editors make no representations or warranties of any kind. This wiki and its editors shall not be liable for any physical, psychological, emotional, financial, or commercial damages, prosecutions, or proceedings instituted against any person or entity as a result of the use of information from this file, or any loss, injury, or damage caused thereby. You claim full responsibility for your own health decisions. This wiki will not be held responsible for your actions. Any information here does not constitute legal, financial, medical, business, or other advice. This wiki should not be used to recommend a path for diagnosing or treating any medical condition. For that, you must consult your physician.}}		{{disclaimer\|medical}}
	{{Template:Surgeries}}		{{Template:Surgeries}}
	'''Metoidioplasty''' or '''metaoidioplasty''' (informally called a '''meta''') is a kind of surgery that some transgender and transsexual people seek.<ref>[https://archive.today/20121017065438/http://www3.interscience.wiley.com/journal/118853935/abstract Metoidioplasty: a variant of phalloplasty in female transsexuals] by S.V. Perovic and M.L. Djordjevic (BJU International, Volume 92 Issue 9, December 2003)</ref> It is sought by some transgender men, some trans-masculine people, some nonbinary people, and some intersex people. A meta surgery increases the exposed length of a person's phallus.<ref name="trans bodies 280">Laura Erickson-Schroth, ed. ''Trans Bodies, Trans Selves: A Resource for the Transgender Community.'' Oxford University Press, 2014. P. 280-281.</ref> For people who have certain kinds of phallus (called either a large clitoris or small penis), a meta surgery frees the phallus from the tissues that hold it close to the body,<ref name="trans bodies 280" /><ref name="hudson">Hudson. "FTM Genital Reconstruction Surgery (GRS)." ''Hudson's FTM Resource Guide.'' 2004. https://www.ftmguide.org/grs.html#meta [https://web.archive.org/web/20230522173248/https://www.ftmguide.org/grs.html Archived] on 17 July 2023</ref> and pulls it outward, making its external size larger, so that it can be easier to use for penetrative sex. A patient has a range of different options for other details of this surgery, or procedures that can be done at the same time as this surgery, which are described below.		'''Metoidioplasty''' or '''metaoidioplasty''' (informally called a '''meta''') is a kind of surgery that some transgender and transsexual people seek.<ref>[https://archive.today/20121017065438/http://www3.interscience.wiley.com/journal/118853935/abstract Metoidioplasty: a variant of phalloplasty in female transsexuals] by S.V. Perovic and M.L. Djordjevic (BJU International, Volume 92 Issue 9, December 2003)</ref> It is sought by some transgender men, some trans-masculine people, some nonbinary people, and some intersex people. A meta surgery increases the exposed length of a person's phallus.<ref name="trans bodies 280">Laura Erickson-Schroth, ed. ''Trans Bodies, Trans Selves: A Resource for the Transgender Community.'' Oxford University Press, 2014. P. 280-281.</ref> For people who have certain kinds of phallus (called either a large clitoris or small penis), a meta surgery frees the phallus from the tissues that hold it close to the body,<ref name="trans bodies 280" /><ref name="hudson">Hudson. "FTM Genital Reconstruction Surgery (GRS)." ''Hudson's FTM Resource Guide.'' 2004. https://www.ftmguide.org/grs.html#meta [https://web.archive.org/web/20230522173248/https://www.ftmguide.org/grs.html Archived] on 17 July 2023</ref> and pulls it outward, making its external size larger, so that it can be easier to use for penetrative sex. A patient has a range of different options for other details of this surgery, or procedures that can be done at the same time as this surgery, which are described below.

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	{{disclaimer\|The Nonbinary Wiki is written by volunteers who are not necessarily experts on medical topics. This wiki and its editors make no representations or warranties of any kind. This wiki and its editors shall not be liable for any physical, psychological, emotional, financial, or commercial damages, prosecutions, or proceedings instituted against any person or entity as a result of the use of information from this file, or any loss, injury, or damage caused thereby. You claim full responsibility for your own health decisions. This wiki will not be held responsible for your actions. Any information here does not constitute legal, financial, medical, business, or other advice. This wiki should not be used to recommend a path for diagnosing or treating any medical condition. For that, you must consult your physician.}}		{{disclaimer\|The Nonbinary Wiki is written by volunteers who are not necessarily experts on medical topics. This wiki and its editors make no representations or warranties of any kind. This wiki and its editors shall not be liable for any physical, psychological, emotional, financial, or commercial damages, prosecutions, or proceedings instituted against any person or entity as a result of the use of information from this file, or any loss, injury, or damage caused thereby. You claim full responsibility for your own health decisions. This wiki will not be held responsible for your actions. Any information here does not constitute legal, financial, medical, business, or other advice. This wiki should not be used to recommend a path for diagnosing or treating any medical condition. For that, you must consult your physician.}}
	{{Template:Surgeries}}		{{Template:Surgeries}}
	'''Metoidioplasty''' or '''metaoidioplasty''' (informally called a '''meta''') is a kind of surgery that some transgender and transsexual people seek.<ref>[https://archive.today/20121017065438/http://www3.interscience.wiley.com/journal/118853935/abstract Metoidioplasty: a variant of phalloplasty in female transsexuals] by S.V. Perovic and M.L. Djordjevic (BJU International, Volume 92 Issue 9, December 2003)</ref> It is sought by some transgender men, some trans-masculine people, some nonbinary people, and some intersex people. A meta surgery increases the exposed length of a person's phallus.<ref name="trans bodies 280">Laura Erickson-Schroth, ed. ''Trans Bodies, Trans Selves: A Resource for the Transgender Community.'' Oxford University Press, 2014. P. 280-281.</ref> For people who have certain kinds of phallus (called either a large clitoris or small penis), a meta surgery frees the phallus from the tissues that hold it close to the body,<ref name="trans bodies 280" /><ref name="hudson">Hudson. "FTM Genital Reconstruction Surgery (GRS)." ''Hudson's FTM Resource Guide.'' 2004. https://www.ftmguide.org/grs.html#meta</ref> and pulls it outward, making its external size larger, so that it can be easier to use for penetrative sex. A patient has a range of different options for other details of this surgery, or procedures that can be done at the same time as this surgery, which are described below.		'''Metoidioplasty''' or '''metaoidioplasty''' (informally called a '''meta''') is a kind of surgery that some transgender and transsexual people seek.<ref>[https://archive.today/20121017065438/http://www3.interscience.wiley.com/journal/118853935/abstract Metoidioplasty: a variant of phalloplasty in female transsexuals] by S.V. Perovic and M.L. Djordjevic (BJU International, Volume 92 Issue 9, December 2003)</ref> It is sought by some transgender men, some trans-masculine people, some nonbinary people, and some intersex people. A meta surgery increases the exposed length of a person's phallus.<ref name="trans bodies 280">Laura Erickson-Schroth, ed. ''Trans Bodies, Trans Selves: A Resource for the Transgender Community.'' Oxford University Press, 2014. P. 280-281.</ref> For people who have certain kinds of phallus (called either a large clitoris or small penis), a meta surgery frees the phallus from the tissues that hold it close to the body,<ref name="trans bodies 280" /><ref name="hudson">Hudson. "FTM Genital Reconstruction Surgery (GRS)." ''Hudson's FTM Resource Guide.'' 2004. https://www.ftmguide.org/grs.html#meta [https://web.archive.org/web/20230522173248/https://www.ftmguide.org/grs.html Archived] on 17 July 2023</ref> and pulls it outward, making its external size larger, so that it can be easier to use for penetrative sex. A patient has a range of different options for other details of this surgery, or procedures that can be done at the same time as this surgery, which are described below.

	==History==		==History==

imported>Sekhet at 08:46, 9 July 2020

2020-07-09T08:46:48Z

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	==History==		==History==

	Metoidioplasty surgeries were developed in the 1970s.<ref name="hudson" />		Metoidioplasty surgeries were developed in the 1970s. Since then, a variety of different methods for it have been developed by different surgeons.<ref name="hudson" />

	==Process==		==Process==
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	[[File:Clitoris inner anatomy.png\|thumb\|200px\|Diagram of the inner anatomy of the clitoris. As seen in an adult who was assigned female at birth, and who has not had hormone therapy or surgery.]]		[[File:Clitoris inner anatomy.png\|thumb\|200px\|Diagram of the inner anatomy of the clitoris. As seen in an adult who was assigned female at birth, and who has not had hormone therapy or surgery.]]

	In order to prepare for a meta, doctors prefer for the patient to first be on an appropriate [[hormone therapy]] ([[testosterone]]). When someone has been on [[testosterone]] [[hormone therapy]] for several years, this gradually enlarges the clitoris to a mean maximum size of 4.6 centimeters<ref>[https://doi.org/10.1007%2FBF01542220 Physical and hormonal evaluation of transsexual patients: A longitudinal study] by Meyer W, et al. (Archives of Sexual Behavior, Volume 15, Number 2, April 1986)</ref>. How much growth happens on hormones varies from one person to the next, and depends on their genes. Even without any kind of surgery or procedure, hormone therapy alone is enough to make a person's clitoris grow to be up to about the length of a thumb.<ref name="hudson" /> Without surgery, the clitoris is still tied down with skin, and partly buried in the body, so some people still find it difficult to use it to penetrate a sexual partner. Hormone therapy also doesn't make it easier for someone to pee standing up. Having the largest size of clitoris that a person is able to have through hormone therapy makes it easier to do a meta. The surgeon usually advises the patient to prepare for a meta by using clitoral [[pumping]] on a regular basis in order to make the phallus bigger. However, there is no research yet as to whether pumping helps do that, and pumping does have a risk of causing injury.<ref name="trans bodies 280" />		In order to prepare for a meta, doctors prefer for the patient to first be on an appropriate [[hormone therapy]] ([[testosterone]]). When someone has been on [[testosterone]] [[hormone therapy]] for several years, this gradually enlarges the clitoris to a mean maximum size of 4.6 centimeters<ref>[https://doi.org/10.1007%2FBF01542220 Physical and hormonal evaluation of transsexual patients: A longitudinal study] by Meyer W, et al. (Archives of Sexual Behavior, Volume 15, Number 2, April 1986)</ref>. How much growth happens on hormones varies from one person to the next, and depends on their genes. Even without any kind of surgery or procedure, hormone therapy alone is enough to make a person's clitoris grow to be up to about the length of a thumb.<ref name="hudson" /> Without surgery, the clitoris is still tied down with skin, and partly buried in the body, so some people still find it difficult to use it to penetrate a sexual partner. Hormone therapy also doesn't make it easier for someone to pee standing up. Most surgeons recommend that patients should be on testosterone for at least six months to two years before getting a meta,<ref name="hudson" /> but it takes longer than that to have the most growth possible from testosterone. Having the largest size of clitoris that a person is able to have through hormone therapy makes it easier to do a meta. The surgeon usually advises the patient to prepare for a meta by using clitoral [[pumping]] on a regular basis in order to make the phallus bigger. However, there is no research yet as to whether pumping helps do that, and pumping does have a risk of causing injury.<ref name="trans bodies 280" />

	In the metoidioplasty surgery itself, the surgeon cuts some tissues that had held the clitoris down. They cut a ligament that holds the clitoris under the pubic bone. They also separate the clitoris from skin connected to it, such as the labia minora.		In the metoidioplasty surgery itself, the surgeon cuts some tissues that had held the clitoris down. They cut a ligament that holds the clitoris under the pubic bone. They also separate the clitoris from skin connected to it, such as the labia minora. The surgeon may take away some fat from the pubic mound, and pull the skin upward, in order to bring the phallus forward.<ref name="hudson" />

	In addition to the metoidioplasty surgery itself, the patient has many options for other procedures that they may want to be done along with it. If the patient wants to be able to pee through their phallus after metoidioplasty, then they can ask to have their urethra extended through it, during the metoidioplasty surgery. If the patient prefers not to have their urethra extended, then the urethra stays where it was before, which is likely not on the phallus. The patient has the options to create a scrotum (a [[scrotoplasty]]) or not.<ref name="trans bodies 280" /> If the patient has a vagina (the orifice), then this also stays where it was. If the patient has already had their uterus taken out (a [[hysterectomy]]), then the patient has the option to close or get rid of the vagina (a [[vaginectomy]]) during the metoidioplasty, or to leave their vagina as it is.<ref name="trans bodies 280" /> The patient has the option to have a complete hysterectomy (taking away the uterus, cervix, and ovaries) at the same time as a meta, but only if they choose to do so.<ref name="trans bodies 280" />		In addition to the metoidioplasty surgery itself, the patient has many options for other procedures that they may want to be done along with it. If the patient wants to be able to pee through their phallus after metoidioplasty, then they can ask to have their urethra extended through it, during the metoidioplasty surgery. If the patient prefers not to have their urethra extended, then the urethra stays where it was before, which is likely not on the phallus. The patient has the options to create a scrotum (a [[scrotoplasty]]) or not.<ref name="trans bodies 280" /> If the patient has a vagina (the orifice), then this also stays where it was. If the patient has already had their uterus taken out (a [[hysterectomy]]), then the patient has the option to close or get rid of the vagina (a [[vaginectomy]]) during the metoidioplasty, or to leave their vagina as it is.<ref name="trans bodies 280" /> The patient has the option to have a complete hysterectomy (taking away the uterus, cervix, and ovaries) at the same time as a meta, but only if they choose to do so.<ref name="trans bodies 280" /> The amount of time that a metoidioplasty surgery takes depends on how many other procedures the patient wanted done at the same time. It can take about three to five hours.<ref name="hudson" />

	Recovering from a metoidioplasty surgery may take up to two weeks. During recovery, the patient may temporarily have a plastic catheter tube in their urethra that they need to pee through. Usually, this catheter will be taken out one or two days after surgery.<ref name="trans bodies 280" /> If the patient chose to have urethral lengthening, then the catheter may have to stay in for two to three weeks.<ref name="hudson" />		Recovering from a metoidioplasty surgery may take up to two to four weeks,<ref name="trans bodies 280" /><ref name="hudson" /> in which the patient should limit their activity. During recovery, the patient may temporarily have a plastic catheter tube in their urethra that they need to pee through. Usually, this catheter will be taken out one or two days after surgery.<ref name="trans bodies 280" /> If the patient chose to have urethral lengthening, then the catheter may have to stay in for two to three weeks.<ref name="hudson" />

	After a metoidioplasty surgery, most people have a phallus that has a flaccid length between 3 and 8 centimeters.<ref name="trans bodies 280" /> A phallus created by a meta usually has full sensation, an ability to become erect naturally, ~~and~~ an ability to orgasm.<ref name="trans bodies 280" />		After a metoidioplasty surgery, most people have a phallus that has a flaccid length between 3 and 8 centimeters.<ref name="trans bodies 280" /> A phallus created by a meta usually has full sensation, an ability to become erect naturally, an ability to orgasm,<ref name="trans bodies 280" /> and a look very much like a relatively small but natural and normal penis of a person who was assigned male at birth.<ref name="hudson" /> A meta doesn't leave any visible scars on other parts of the body.<ref name="hudson" /> For some people, a phallus from a meta is still not large enough for them to use to penetrate a sex partner.<ref name="hudson" />

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	In a phalloplasty, the surgeon creates a penis by grafting tissue from a donor site, such as from the patient's own back, arm, or leg, whereas a meta does not require any tissue grafts.<ref name="trans bodies 280" /> A phalloplasty takes about 8–10 hours to complete (the first stage), and is generally followed by multiple (up to 3) additional surgical procedures including glansplasty, scrotoplasty, testicular prosthesis, and/or penile implant. A meta takes less time, and typically requires 2–3 hours to complete. Because the clitoris's erectile tissue still works normally in a meta, a meta does not need a prosthesis implanted for erection, although the phallus might not become as rigid as the erection of a cisgender man. In nearly all cases, meta patients can continue to have clitoral orgasms after surgery.{{Citation needed}}		In a phalloplasty, the surgeon creates a penis by grafting tissue from a donor site, such as from the patient's own back, arm, or leg, whereas a meta does not require any tissue grafts.<ref name="trans bodies 280" /> A phalloplasty takes about 8–10 hours to complete (the first stage), and is generally followed by multiple (up to 3) additional surgical procedures including glansplasty, scrotoplasty, testicular prosthesis, and/or penile implant. A meta takes less time, and typically requires 2–3 hours to complete. Because the clitoris's erectile tissue still works normally in a meta, a meta does not need a prosthesis implanted for erection, although the phallus might not become as rigid as the erection of a cisgender man. In nearly all cases, meta patients can continue to have clitoral orgasms after surgery.{{Citation needed}}

	If someone has had a metoidioplasty, then they will still be able to get a phalloplasty later, if they choose to do so.<ref name="trans bodies 280" />		Neither metoidioplasty nor phalloplasty make it so that a person can produce semen or get others pregnant. A procedure that gives someone those abilities does not yet exist.

			If someone has had a metoidioplasty, then they will still be able to get a phalloplasty later, if they choose to do so.<ref name="trans bodies 280" /> If a patient who is planning to get a meta thinks that they might convert it to a phalloplasty later, they should talk about it with their meta surgeon, to find out which methods for a meta would give them the best options for a phalloplasty later.<ref name="hudson" />

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	==Cost==		==Cost==
	Patients have many different options for what surgeries they want to include in their metaoidioplasty surgery, such as whether they also want a urethral lengthening, or not. The price range varies according to these options. A clitoral release without urethral lengthening can cost about USD$5,000. A metaoidioplasty that includes urethral lengthening can cost about USD$15,000.<ref name="trans bodies 280" />		Patients have many different options for what surgeries they want to include in their metaoidioplasty surgery, such as whether they also want a urethral lengthening, or not. The price range varies according to these options, and also varies from one surgeon to the next. A clitoral release without urethral lengthening can cost about USD$2,000 to USD$5,000.<ref name="hudson" /><ref name="trans bodies 280" /> A metaoidioplasty that includes urethral lengthening can cost about USD$15,000.<ref name="trans bodies 280" /> A meta with urethral lengthening and testicular implants can cost about USD$20,000.<ref name="hudson" />

	{{Clear}}		{{Clear}}
	==Complications==		==Complications==
	Complications occur in up to 50% of surgeries, varying in severity between those requiring only minor supportive care to those requiring surgical correction. Complications include bacterial infections, ileus, wound dehiscence, tissue death, urinary fistula (pee ~~coming~~ out of an extra hole), narrowing of the urethra (urethral stricture), loss of sensation ~~(uncommon),~~ loss of ability to have an orgasm, scarring of varying degrees~~, and~~ bleeding from the surgical site that may require surgery. <ref~~>http:/~~/~~www.gendersurgeryamsterdam.com/operation-female-male/metaidoioplasty/complications/</ref~~>		Complications occur in up to 50% of surgeries, varying in severity between those requiring only minor supportive care to those requiring surgical correction. Complications include:
	~~In a study~~ of ~~post-operative trans men~~, ~~28% of patients who had the urethra extended had temporary swelling resulting in dribbling and spraying of urine~~, ~~and no medical intervention was needed. There was only a small chance of urethral strictures~~, ~~and less than 10% had instance of a fistula requiring minor revision. The average neophallic length after was 5.7 centimeters~~ (~~with a range 4–10 centimeters~~). All patients reported ability to achieve an erection and normal sensation. In patients who had scrotoplasty, some have reported rejection or complications related to the testicular prostheses.{{Citation needed}}		* bacterial infections
			* ileus
			* wound dehiscence
			* tissue death. This is rarer in metoidioplasty than in phalloplasty.<ref name="hudson" />
			* urinary fistula (pee leaking out of an extra hole).<ref name="hudson" />
			* narrowing or blockage of the urethra (urethral stricture).<ref name="hudson" />
			* loss of sensation. Uncommon.
			* loss of ability to have an orgasm. Uncommon.
			* scarring of varying degrees.
			* bleeding from the surgical site that may require surgery.
			* if the patient chose to have a scrotum created, and get testicular implants, one risk of complication from that is that the body may reject these implants.<ref name="hudson" />
			* "One must also consider the usual risks of any surgery, including bleeding, infection, problems from anesthesia, blood clots, or death (rare)."<ref name="hudson" />

	==Notes==		==Notes==

imported>Sekhet at 08:22, 9 July 2020

2020-07-09T08:22:20Z

Show changes

imported>Sekhet: Sekhet moved page Metaoidoplasty to Metoidioplasty: Title was misspelled. The correct names for this surgery are metoidioplasty or metaoidioplasty

2020-07-09T06:01:41Z

Sekhet moved page Metaoidoplasty to Metoidioplasty: Title was misspelled. The correct names for this surgery are metoidioplasty or metaoidioplasty

← Older revision	Revision as of 06:01, 9 July 2020
(No difference)

imported>Sekhet: Added legal disclaimer and other names for this surgery.

2020-07-09T05:09:21Z

Added legal disclaimer and other names for this surgery.

← Older revision		Revision as of 05:09, 9 July 2020
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			{{Content warning\|genitals, reproductive organs, and surgery}}

			{{disclaimer\|The Nonbinary Wiki is written by volunteers who are not necessarily experts on medical topics. This wiki and its editors make no representations or warranties of any kind. This wiki and its editors shall not be liable for any physical, psychological, emotional, financial, or commercial damages, prosecutions, or proceedings instituted against any person or entity as a result of the use of information from this file, or any loss, injury, or damage caused thereby. You claim full responsibility for your own health decisions. This wiki will not be held responsible for your actions. Any information here does not constitute legal, financial, medical, business, or other advice. This wiki should not be used to recommend a path for diagnosing or treating any medical condition. For that, you must consult your physician.}}
	{{Template:Surgeries}}		{{Template:Surgeries}}
	'''Metaoidoplasty''' is a kind of [[surgery]] that some [[transgender]] and [[transsexual]] people seek~~, including~~ some [[transgender men]], some [[nonbinary]] people ~~on the transmasculine spectrum~~, ~~as well as~~ some [[intersex]] people. For people with certain kinds of phallus (called either a large clitoris or small penis), this surgery frees the phallus and pulls it outward, making its external size larger, so that it can be easier to use for penetrative sex. If this surgery doesn't involve urethral lengthening, the urethra stays where it was before, which might not be on the phallus. If the patient has a vagina (the orifice), this also stays where it was. In order to prepare for a ~~mataoidoplasty~~, the doctor may ask the patient to first be on an appropriate [[hormone therapy]] and to use [[pumping]] on a regular basis in order to expand the phallus.		'''Metaoidoplasty''', also spelled '''metoidoplasty,''' and called '''meta surgery''' in the [[transgender]] community, is a kind of [[surgery]] that some [[transgender]] and [[transsexual]] people seek. It is sought by some [[transgender men]], some trans-masculine people, some [[nonbinary]] people, and some [[intersex]] people. For people with certain kinds of phallus (called either a large clitoris or small penis), this surgery frees the phallus and pulls it outward, making its external size larger, so that it can be easier to use for penetrative sex. If this surgery doesn't involve urethral lengthening, the urethra stays where it was before, which might not be on the phallus. If the patient has a vagina (the orifice), this also stays where it was. In order to prepare for a meta, the doctor may ask the patient to first be on an appropriate [[hormone therapy]] and to use [[pumping]] on a regular basis in order to expand the phallus.

	== See also ==		== See also ==

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	[[Category:Transition]]		[[Category:Transition]]

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			{{Template:Surgeries}}
	'''Metaoidoplasty''' is a kind of [[surgery]] that some [[transgender]] and [[transsexual]] people seek, including some [[transgender men]], some [[nonbinary]] people on the transmasculine spectrum, as well as some [[intersex]] people. For people with certain kinds of phallus (called either a large clitoris or small penis), this surgery frees the phallus and pulls it outward, making its external size larger, so that it can be easier to use for penetrative sex. If this surgery doesn't involve urethral lengthening, the urethra stays where it was before, which might not be on the phallus. If the patient has a vagina (the orifice), this also stays where it was. In order to prepare for a mataoidoplasty, the doctor may ask the patient to first be on an appropriate [[hormone therapy]] and to use [[pumping]] on a regular basis in order to expand the phallus.		'''Metaoidoplasty''' is a kind of [[surgery]] that some [[transgender]] and [[transsexual]] people seek, including some [[transgender men]], some [[nonbinary]] people on the transmasculine spectrum, as well as some [[intersex]] people. For people with certain kinds of phallus (called either a large clitoris or small penis), this surgery frees the phallus and pulls it outward, making its external size larger, so that it can be easier to use for penetrative sex. If this surgery doesn't involve urethral lengthening, the urethra stays where it was before, which might not be on the phallus. If the patient has a vagina (the orifice), this also stays where it was. In order to prepare for a mataoidoplasty, the doctor may ask the patient to first be on an appropriate [[hormone therapy]] and to use [[pumping]] on a regular basis in order to expand the phallus.

imported>NbwikiUploadBot: /* See also */removing import tag

2019-02-07T11:48:19Z

Ondo: 1 revision imported: import from nonbinary.wiki

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	[[Category:Transition]]		[[Category:Transition]]
	~~{{imported from nonbinary.wiki\| type = page\|It is part of nonbinary.wiki's import of the original Nonbinary Wiki and is licensed under [https://creativecommons.org/licenses/by/3.0/ CC BY 3.0].}}~~