Phalloplasty vs metoidioplasty: how to choose
Compare FTM bottom surgery options in Europe: goals, recovery, urethral length, and when metoidioplasty or phalloplasty may be appropriate.
Choosing between metoidioplasty and phalloplasty is one of the most important decisions in trans-masculine genital surgery. Goals often include standing voiding, sensation, aesthetics, number of stages, and recovery time.
Metoidioplasty uses testosterone-enlarged clitoral tissue to create a neophallus, often in one stage with urethral lengthening and scrotoplasty. Phalloplasty typically uses a flap (such as MLD or abdominal flap) for greater length and girth, with additional stages possible for erectile devices.
At Belgrade Center for Urogenital Reconstructive Surgery, MD Miroslav Djordjevic and the team provide individualized consultation to align technique with anatomy and expectations. International patients from across Europe regularly travel to Belgrade for assessment and surgery.