A narrative review of outcomes following metoidioplasty: complications and satisfaction

Abstract Metoidioplasty consists of lengthening and straightening the hormonally hypertrophied clitoris. The goals procedure include masculinizing external genitalia enabling standing micturition. may be performed as a stand-alone or an interval prior to phalloplasty. While most often with urethral lengthening, metoidioplasty also “simple release” (i.e., without lengthening). Secondary procedures typically scrotoplasty placement testicular implants. satisfaction this is high, complications can occur. Complications are commonly categorized either urologic strictures fistula) wound healing disruption, infection, bleeding, etc.). This narrative review discusses postoperative outcomes, including both complications. Published data on fistula stricture rates from 0%-50% 0%-63%, respectively. Overall appearance ranges 48%-100%, patient ability void while 67%-100%. safe effective for transgender men. Further research regarding surgical techniques outcomes will help reduce improve overall satisfaction.