Eight-year follow-up on postoperative improvement protocol in extensive metoidioplasty transgenders: A case series

Abstract

Background: This study aimed to evaluate the long-term penile size among patients who underwent extensive metoidioplasty. Methods: An evaluation was conducted on 7 out of 14 patients (mean age: 29.71 ​± ​13.76 years) who participated in a 2015 study that introduced a postoperative protocol to improve penile size after extensive metoidioplasty. Five transsexual females (46XX karyotype) and two patients with 5-alpha reductase deficiency were retrospectively followed up in 2023 to assess the long-term efficacy of the protocol at a specialized clinic in a general hospital in Tehran, Iran. All participants were informed about the study and consented to participate. Results: Five patients achieved increased penile size from their 2015 measurements (mean, 29.00 ​± ​13.34 ​mm). Five patients requested a larger sized penile traction device to continue the protocol. Conclusion: The long-term implementation of this protocol can result in increased penile size. We advise highly motivated patients to continue practicing the protocol to achieve better results.

Keywords

• Gender identity disorder
• Metoidioplasty
• Sex reassignment surgeries
• Transsexualism
• Penile extender
• Penile traction device