University Hospitals Phalloplasty & Metoidioplasty Course

UH LGBTQ+ & Gender Care and University Hospitals Urology Institute are proud to offer, and excited to lead, this educational (non-CME) course on masculinizing genital gender affirmation surgery (bottom surgery) for surgeons interested in offering these services to their gender expansive patients.

A mixed model workshop designed to familiarize participants with masculinizing genitoplasty for gender affirmation and phallic reconstruction after trauma or surgery. The one-and-a-half-day course will consist of presentations, surgical videos, panel discussions and cadaver dissections. Various approaches to staging phalloplasty and common phalloplasty approaches will be discussed – including radial artery phalloplasty, abdominal phalloplasty and anterolateral phalloplasty. Metoidioplasty as an option for patients not electing phalloplasty will be discussed – including the two most common metoidioplasty techniques: Belgrade and ring metoidioplasty. Urethral reconstruction as part of masculinizing genitoplasty (primary and reparative) will be addressed.

Interest in gender affirmation surgery has increased manifold in the last decade due to enhanced demand, insurance coverage, academic involvement and public acceptance. Genital gender affirmation surgery (bottom surgery) geared toward masculinization (masculinizing bottom surgery) is generally considered to be challenging due to the complexity of tissue transfer techniques and potential for complications, thus is offered in very select institutions. This course will acquaint participants with a detailed understating of masculinizing bottom surgery, and equip them with the skills to incorporate offerings into their own practice.

• Define the various types of masculinizing genital surgeries and their indications, advantages, outcomes and complications
• Explain the staging techniques for phalloplasty including single stage, phalloplasty-first and ‘meta’-first staging
• Demonstrate the anatomy and dissection of metoidioplasty, radial artery phalloplasty, abdominal phalloplasty, and anterolateral thigh phalloplasty
• Evaluate the suitability of patients for various masculinizing genital surgeries

Urology & Plastic Surgery Chief Residents, Fellows & Attendings

Leading National Experts in Gender Affirmation Surgery

Day 1 | Lecture & Video Symposium

Friday, September 23, 2022

Noon – 6:00 pm

Topics to be Covered:

• Overview of Masculinizing Genitoplasty
• Metoidioplasty (Technical Variations & Outcomes, Complications & Management)
• Radial Forearm Phalloplasty
• Abdominal Phalloplasty
• Anterolateral Thigh Phalloplasty
• Phalloplasty Complications & Management
• Donor Site Management
• Penile & Testicular Prosthesis Implantation
• Building a Gender Affirmation Surgery Practice

Tour of the symposium venue, happy hour and suggested dinner options will directly follow the symposium.

Day 2 | Cadaver Lab

Saturday, September 24

8:00 am – Noon

Select live dissections will be performed with the opportunity for participants to perform dissections independently. Remaining stations will have pre-dissected cadavers demonstrating techniques of interest.

Live Cadaveric Dissection: Radial Forearm Phalloplasty

Live Cadaveric Dissection: Ring Metoidioplasty

Pre-Dissected Cadavers:

• Station 1: Radial Forearm – Flap Elevation
• Station 2: Recipient Vessels, Nerves
• Station 3: Vaginectomy, Scrotoplasty, Urethral Join-Up & Clitoral Transposition
• Station 4: Metoidioplasty – Ring Type
• Station 5: Abdominal Phalloplasty
• Station 6: ALT Phalloplasty

Panel discussion and boxed lunch will follow the Cadaver Lab.

Registration is limited.

Symposium & Cadaver Lab: $895

Symposium Only: $295

For general course inquiries: [email protected]

For sponsorship opportunities: [email protected]

Our LGBTQ+ & Gender Care services are designed to validate our patients and to shape health care into what it should be. Using well-earned expertise, we collaborate on solutions that address the existing disparities in the LGBTQ+ community, and improve the lives of all.

We work with the skilled specialists across our health system to provide holistic care that tends to the emotional, social and physical health of those we serve. Because we believe every individual has endless potential—and we’re experienced in bringing it to light.

To enhance the physical and emotional well-being of LGBTQ+ individuals by providing a wide range of coordinated services that promote health and wellness; by eliminating the health care disparities experienced by this population; and by participating in research and promoting education related to gender and sexual diversity.

To be a nationally recognized and trusted leader in providing for the physical, mental, social and spiritual well-being of the LGBTQ+ population through our expertise in medicine, social work, research, education and behavioral, mental, public and community health.

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Event Venue & Nearby Stays

Cleveland, United States