What is Metoidioplasty?
This is a surgical procedure which creates a neo-phallus (small penis) from existing genital tissue. The clitoral tissue is detached from the labia and ligaments cut to form a masculine looking phallus, whilst retaining sensitivity. If you wish to pass urine through your neo-phallus, you can also have a urethroplasty (urethral lengthening plus connection (or hook-up) to the native water passage). The combination of the metoidioplasty and urethroplasty will allow you to urinate standing up. You are able to have the metoidioplasty element on its own, which would give you the neo-phallus, but allow you to keep your existing urethral opening.
What is Laparoscopic Hysterectomy?
We offer laparoscopic surgery (a minimally invasive keyhole approach) for almost all patients having gender-affirming hysterectomy. You’ll have either a robotic-assisted or a laparoscopic hysterectomy or sometimes a vaginal hysterectomy. With the robotic or laparoscopic types of hysterectomies, your surgeon will make several small incisions (surgical cuts) on your abdomen. They’ll put a laparoscope (a long, thin surgical tool with a video camera) through one of the incisions into your abdomen. The laparoscope lets your surgeon see the inside of your abdomen.
Your surgical pathway
We offer patients an individualised consultation with a Clinical Nurse Specialist (CNS) with the aim to collect a detailed holistic history of the patient, and to identify potential matters that require referral to other services (e.g. dietician, endocrinology, physiotherapy, and psychologist). An appointment with one of our lead surgeons is then arranged. This will provide an opportunity for patients to ask any questions they may have regarding their surgery. The surgical case will then be discussed at our multi-disciplinary team (MDT) meeting where the outcome will determine whether the patient is fit for surgery.
Risks and complications
If you are accepted for surgery, your consent form will explain the potential risks and complications of your surgery. Details of this will also be discussed in your surgical consultations.