Dr. MacPhee performs several MTF genital procedures for patients looking for orchiectomy and vaginoplasty alternatives. These surgeries take less time, and patients are able to forego the intensive post-op vaginal dilation process.
Scrotal skin reduction
With this procedure, Dr. MacPhee removes loose and redundant scrotal skin, increasing ease and comfort when tucking the penis. By eliminating the extra stretchy scrotal skin and subcutaneous tissue, there is less volume of tissue between the thighs and buttocks.
Scrotal skin is used in full genital reconstruction for creation of the vaginal lining; therefore, patients who opt for this procedure have ruled out a full vaginoplasty in the future. Read more about Scrotal Skin Reduction.
A limited-depth vaginoplasty is another options for MTF trans patients who do not plan to have intercourse looking for full vaginoplasty alternatives. This reconstruction results in the look and function of a vagina, but without the creation of a deep vaginal track.
Some trans women or non-binary opt for a bilateral orchiectomy (removal of both testicles) and scrotal skin removal, leaving the penis intact. This procedure can be done as an interim step to the MTF transition process or as a final step for patients not planning to have deep vaginal penetration.
An orchiectomy renders the biological male sterile, reducing testosterone levels and eliminating the need for antiandrogens. The hormonal effects of an orchiectomy may include loss of body hair, reduced muscle mass, increased body fat and slight breast growth. Read more about the Orchiectomy procedure.
View MTF genital reconstruction results in our Photo Gallery.