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Gender-affirming care

Masculinising genital surgery

Dr. Narendra Kaushik, who leads Olmec’s gender-affirming surgical care
Dr. Narendra Kaushik at Olmec. Not a patient result.

Masculinising genital surgery may involve phalloplasty, metoidioplasty or other procedures selected around your goals. The choices differ in size, donor tissue, urinary function and the number of stages. Urethral lengthening, scrotoplasty or implants may be separate decisions rather than automatic components.

What to know

How it is performed

Phalloplasty uses tissue from a selected donor site to construct a phallus. Metoidioplasty uses existing enlarged clitoral tissue. Urinary reconstruction and other stages are planned individually, with an explanation of what each stage is intended to achieve.

Who may consider a consultation?

People seeking genital masculinisation can discuss functional priorities and the trade-offs between techniques. Health, anatomy, donor sites, previous surgery and fertility considerations influence planning.

Recovery & follow-up

Recovery can involve donor-site care, catheter management and more than one operation. Follow-up monitors healing and urinary function where relevant. Arrange adequate support and discuss how later stages fit the plan.

Risks & considerations

Discuss donor-site complications, tissue or graft problems, urethral narrowing or fistula, sensation changes, implant complications where relevant and revision.

Questions to bring to your consultation

Ask about stages, urinary and sexual function, fertility preservation, donor sites, implants where relevant, aftercare and revision risk.

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