Our practice receives a variety of non-binary genital reconstruction requests from patients AMAB (assigned male at birth) seeking to reduce dysphoria related to their genitals.
Some patients believe they will never be able to successfully pass as female in public, so they have genital reconstruction without visible transitioning. They may live as female or non-binary in private but protect themselves from harassment and personal danger by continuing to present publicly as male. Some patients will continue use of testosterone after having vaginoplasty because of their personal preferences in how they look and feel with testosterone rather than estrogen.
Our practice also helps eunuchs who wish to have their testicles surgically removed. These patients may present as male, female or non-binary.
Regardless of the individual’s gender identification, Dr. MacPhee has extensive experience helping patients achieve their goals. She offers a range of non-binary genital reconstruction surgical procedures, including:
Vaginoplasty
A vaginoplasty for a non-binary patient involves creating a vaginal tract of any depth, based on the patient’s desires.
Bilateral orchiectomy
For patients seeking relief from genital dysphoria, we can perform a scrotal skin reduction, also known as a scrotoplasty.
Penectomy
Some patients seek reconstruction to remove their penis and may or may not wish to create the appearance of labia. We have performed surgeries for patients who want only a small amount of the base of the penis to remain and adjustments to their scrotum with possible orchiectomy. There are a variety of options that can be designed while maintaining a functional urethral opening. With years of vaginoplasty experience, Dr. MacPhee consults with each patient to understand their needs and design an appropriate procedure.
Nullification
Nullification is a non-binary genital reconstruction that results in a smooth pelvis with only urethral and anal openings. A simple circular urethral opening is more than likely going to develop into a narrow constriction. Instead of creating a design that is almost guaranteed to harm the patient, we design a new urethral opening that has flexibility of the surrounding tissue/scar and will not become a long-term urinary problem.
