In November 2004, Lee had his uterus, ovaries and fallopian tubes removed, as well as a Metoidioplasty
- the beginning of surgery to create a penis.
Female to Male--Oophorectomy, (removal of the ovaries) Hysterectomy, (removal of the uterus) Phalloplasty (construction of a penis using skin from other body parts), Metoidioplasty (creating a penis and scrotum from the clitoris) Male to Female--Penectomy (removal of the penis) Orchidectomy (removal of the testicle) Vaginoplasty (construction or reconstruction of the vagina).
PEI did not provide coverage for chest masculinization or genital reconstructive surgeries (phalloplasty, metoidioplasty, or vaginoplasty) until May 9th, 2018 when the Minister of Health announced in the legislature that PEI would increase its coverage for gender affirming surgery.
They cover facial feminization surgery; speech modification; top surgery; combined hysterectomy, oophorectomy, and chest reconstruction; skin-flap and colon vaginoplasty; metoidioplasty
; various techniques for phalloplasty; testicular and erectile implants after phalloplasty; the management of unfavorable urological sequelae and complications after phalloplasty; the medical treatment of adolescent transgender patients; adult hormone therapy; mental health care; sexual health after surgery; and gender expression and image.
For transmen, surgical options include chest reconstruction, hysterectomy/oophorectomy, metoidioplasty
(using the clitoris to surgically approximate a penis), phalloplasty, scrotoplasty, urethroplasty, and vaginectomy.
The principles of this technique, as well as the term "metoidioplasty", were introduced by Lebovic and Laub .
Between March 2008 and January 2013, 97 female transsexuals, aged 18-41 years (mean 29), underwent single stage metoidioplasty, in line with the Standards of Care of the World Professional Association for Transgender Health .
Djordjevic was world-renowned for performing Metoidioplasty
, as well as Phalloplasty, I knew we had to add him to our network of physicians.”
"But I'm leaning more toward a metoidioplasty
. It's a procedure that uses what you already have [the clitoris] which has grown larger from the testosterone,
The "core" surgical procedures outlined for FTM transsexuals include hysterectomy, mastectomy, metoidioplasty
, phalloplasty, salpingo-oophrectomy, scrotoplasty/placement of testicular prostheses, urethroplasty, and vaginectomy (Sutcliffe et al., 2007).
"However, even where a birth certificate has been changed, the absence of a phalloplasty or metoidioplasty
may be enough to successfully challenge the validity of a marriage." Id.
If you want to know the difference between a chest reconstruction and a gender mastectomy, or a metoidioplasty
and a phalloplasty, Transster.com and Loren Cameron's Man Tool (lorencameron.com/mantool) both offer real photos and real surgery information.