What is Phalloplasty?
Phalloplasty is a set of surgical procedures aimed at constructing a penis in transgender men.
There is a large variety of techniques used, which vary in complexity and outcome. Our team most frequently performs a thigh flap phalloplasty, which consists of an initial surgery to place the urethra in your thigh, with buccal mucosa and skin. And six months after, the second surgery is performed, to create a penis with your thigh and connect the nerves and urethra. Six months after the second surgery, provided everything is runs smoothly, a prothesis can be placed to produce erections.
During a much shorter third surgery, we create the glans. An ideal penis must have a urethra, the glans, and the sensitivity and ability to achieve a penetration.
The number of surgeries to be performed depends on your desired results. There are very different results which we will talk to you about in the pre-surgery assessment appointment, and there are many options to mitigate complications.
In some occasions it is the patient´s will to have a penis shape without urinating in a stand-up position; what considerably reduces risks and makes surgery easier. During your medical consultation we will set a goal that matches your needs.
Discontinue use 4 weeks before
Length: 12-19 hours
7 days before and 45 days after
Preparing for Surgery
In the pre-surgical assessment appointment, we will analyze jointly the most suitable option for you, and your expected outcomes. Permanent hair removal may be required prior to surgery.
Female hormone therapy supervised by an endocrinologist for at least the last 12 months (certified in writing by your endocrinologist). Stop hormone therapy 4 weeks before surgery (estrogens increase the risk of Deep vein thrombosis). You will experience physical and emotional changes and mood swings during this time. Hormone therapy is resumed 2 weeks after surgery.
You will be provided at discharge with a detailed list of the required specific care measures you must follow. Generally speaking:
Information about surgical procedures and how to plan your trip and stay in Mazatlan.
We will conduct an evaluation during the first, second and third weeks after surgery; in two months, and in six months to a year to monitor permanence of results. If necessary, you could visit us at any time during your recovery.
Our staff will maintain constant communication to inquire how you have been evolving and to detect any potential incident in a promptly manner; in addition to answering your questions and to providing you with follow-up care during your recovery process.
If you’re coming from a different town, you must stay in Mazatlán for at least 21 days after surgery (for the second surgery). We conduct follow up care by teleconference. Ideally, we should see you one year after surgery to refine those little details that may arise and to conduct a deep review of your scars and make sure they are perfectly fine.
What to Expect
Ecchymoses (bruises) are common, although they appear in a discreet manner. Drains are usually removed a week after surgery.
Phalloplasty is one of the most difficult surgical procedures. Only 1 out of 10 patients attains erection urinating standing up, and the ideal penis shape; with no complications.
Most of the times a good penis shape is attained. In 6 out of 10 individuals’ stand-up urination is achieved, and in 4 out of ten, penis sensitivity. The clitoris is left grounded to produce orgasms.
You must be prepared for occasional complications; being the most common one an opening of the urethra.
Our surgeons are the best of the country to perform these kinds of surgeries, and we will be there to support you and solve any complications that could arise.
The process does not end with surgery and it can take years to observe results. We must work with you as a team to achieve a satisfactory outcome.
"What you are is what you have been. What you´ll be is what you do now.”