FTM genital surgery

Genital masculinization surgery, also known as bottom surgery or gender affirmation surgery for trans men, includes several procedures aimed at aligning the patient’s genitalia with their gender identity. The main procedures are phalloplasty and metoidioplasty.

Both procedures can be complemented by additional surgeries, such as testicular prosthesis implantation and the removal of female internal reproductive organs (hysterectomy). Other surgeries, like trans mastectomy, can also be performed based on the patient’s needs and desires.

Genital masculinization surgery in Barcelona and Madrid

Genital masculinization surgery, also known as bottom surgery or gender affirmation surgery for trans men, includes several procedures aimed at aligning the patient’s genitalia with their gender identity. The main procedures are phalloplasty and metoidioplasty.

Both procedures can be complemented by additional surgeries, such as testicular prosthesis implantation and the removal of female internal reproductive organs (hysterectomy). Other surgeries, like trans mastectomy, can also be performed based on the patient’s needs and desires.

PHALLOPLASTY

METOIDIOPLASTY

HYSTERECTOMY

Testicular prostheses

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Phalloplasty before and after

Understanding real-life phalloplasty cases can be important when making a decision about such a significant procedure. We provide images to help you visualize the outcomes and understand what to expect following a genital gender-affirming surgery like this.

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BEFORE FTM TESTICULAR IMPLANTS

Who can undergo testicular implant surgery?

Any trans man who wishes to undergo phalloplasty or metoidioplasty may consider testicular prosthesis surgery. In fact, this surgery can be performed at the same time as the phalloplasty or metoidioplasty or in a second operation, depending on the surgeon’s advice and the patient’s circumstances.

Talk to your surgeon, who will advise you on the type and size of the prostheses as well as any other aspect of the surgery. Also discuss all your doubts with the medical team so that you have clear expectations about the results.

TESTICULAR PROSTHESIS SURGERY

Admission

You will be admitted to IM CLINIC on the same day as the operation. Before the operation, the relevant monitoring will be carried out and you will not need to stay in hospital if the operation only consists of inserting the testicular prostheses.

Testicular implant surgery

The testicular prostheses will always be placed in the scrotal pouch recreated from the labia majora during phalloplasty or metoidioplasty through a small incision over the previous scars. The procedure usually lasts 30 minutes to an hour and is performed under general anaesthesia.

THE POSTOPERATIVE PERIOD IN FTM TESTICULAR IMPLANTS

The post-operative period after testicular prosthesis surgery

You will be discharged the same day as the surgery. However, for the first 48 hours you will have to limit your movements as much as possible.

Possible complications

A member of the medical team will tell you how to avoid possible complications and what to do if they should arise. If you have any doubts or anomalies after the operation, you should consult your doctor so that he or she can diagnose and provide a solution. For this purpose, you will have a phone number available 24 hours a day, as well as a follow-up email address.

Complications can include bleeding, infection, extrusion or displacement of the testicular prosthesis.

THE RESULTS OF FTM TESTICULAR IMPLANTS

The results

The results are very satisfactory and the testicular implant achieves a good aesthetic result while trans men report significant satisfaction.

Post-operative visits

It is very important not to skip any post-operative visits with a member of the IM Gender team so that they can assess your progress.

IM GENDER Team

At IM GENDER we have been specialising in the care of transgender people for more than 20 years. Two decades of experience, professionalism, research and training endorse our medical team and staff.