{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T23:05:29Z","timestamp":1777071929523,"version":"3.51.4"},"reference-count":0,"publisher":"Index Copernicus","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2025,10,22]]},"abstract":"<ns3:p>Introduction: Metoidioplasty and phalloplasty are one of the most common surgeries among transgender patients, yet still they do not have any specific guidelines, how to perform each method. The aim of this study is to elucidate the critical factors influencing the choice of surgical method, with a particular focus on the prevalence of common postoperative complications and their impact on sexual satisfaction.Material and Methods: a total of 22 articles (nine metoidioplasty and 13 phalloplasty) were collected for the review and analyzed for postoperative urinary tract complications, life satisfaction and sexual function of the patients. Nine metoidioplasty articles presented a total of 2718 patients, while 13 articles resolved about phalloplasty and provided 1300 cases. Results: It may seem that although phalloplasty results in more male-like looking genitalia, there is no significant difference in general satisfaction with the appearance of the neopenis between phalloplasty and metoidioplasty. Both methods however present postoperative complications connected to the urinary tract such as fistulas and strictures.Conclusions: This review has provided a comparative analysis of metoidioplasty and phalloplasty as two principal gender-affirming surgical options for transgender men. While each procedure offers unique benefits and drawbacks, the selection between them should be individualized.Significance of the study for the development of the field: This study provides valuable insights into the outcomes and complications of metoidioplasty and phalloplasty, helping to refine surgical techniques and guide patient-centered decision-making. By highlighting key factors influencing satisfaction and function, it contributes to the ongoing advancement of gender-affirming surgery.<\/ns3:p>","DOI":"10.5604\/01.3001.0055.4401","type":"journal-article","created":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:09:27Z","timestamp":1766045367000},"source":"Crossref","is-referenced-by-count":1,"title":["Metoidioplasty vs Phalloplasty: a choice dilemma."],"prefix":"10.5604","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7952-9255","authenticated-orcid":false,"given":"Adela","family":"Sobolewska","sequence":"first","affiliation":[{"name":"SKN przy II Katedrze i Klinice Chirurgii Og\u00f3lnej, Gastroenterologicznej i Nowotwor\u00f3w Uk\u0142adu Pokarmowego"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9661-0396","authenticated-orcid":false,"given":"Kamila","family":"Mozga","sequence":"additional","affiliation":[{"name":"SKN przy II Katedrze i Klinice Chirurgii Og\u00f3lnej, Gastroenterologicznej i Nowotwor\u00f3w Uk\u0142adu Pokarmowego"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4785-9819","authenticated-orcid":false,"given":"Klaudia","family":"Ciupak","sequence":"additional","affiliation":[{"name":"SKN przy II Katedrze i Klinice Chirurgii Og\u00f3lnej, Gastroenterologicznej i Nowotwor\u00f3w Uk\u0142adu Pokarmowego"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3319-6025","authenticated-orcid":false,"given":"Klaudiusz","family":"Garbacki","sequence":"additional","affiliation":[{"name":"SKN przy II Katedrze i Klinice Chirurgii Og\u00f3lnej, Gastroenterologicznej i Nowotwor\u00f3w Uk\u0142adu Pokarmowego"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4000-7755","authenticated-orcid":false,"given":"Justyna","family":"Wyro\u015blak-Najs","sequence":"additional","affiliation":[{"name":"II Klinika Chirurgii Og\u00f3lnej, Gastroenterologicznej i Nowotwor\u00f3w Uk\u0142adu Pokarmowego"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","container-title":["Polish Journal of Surgery"],"original-title":[],"deposited":{"date-parts":[[2025,12,18]],"date-time":"2025-12-18T08:10:31Z","timestamp":1766045431000},"score":1,"resource":{"primary":{"URL":"https:\/\/ppch.pl\/gicid\/01.3001.0055.4401"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,22]]},"references-count":0,"URL":"https:\/\/doi.org\/10.5604\/01.3001.0055.4401","relation":{},"ISSN":["0032-373X","2299-2847"],"issn-type":[{"value":"0032-373X","type":"print"},{"value":"2299-2847","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,22]]}}}