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Phalloplasty & Metoidioplasty Surgical Educational Course


Presented by 

University Hospitals LGBTQ+ & Gender Care and UH Urology Institute

Friday & Saturday, September 23-24, 2022

Cleveland, OH

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.

Course Description:

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.

Learning Objectives:

  • 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

Target Audience:

Urology and Plastic Surgery Chief Residents, Fellows & Attendings

Faculty & Panel:

Nidal Al Deek, MD
Plastic & Reconstructive Surgeon, Master of Microsurgery
University Hospitals
Associate Professor of Surgery
Case Western Reserve University School of Medicine

Mang Chen, MD
Reconstructive Urologist, Genitourinary Reconstruction
Assistant Professor of Urology
University of Pittsburgh School of Medicine

Dmitriy Nikolavsky, MD
Director of Reconstructive Urology
Upstate University Hospital
Professor of Urology
Upstate Medical University

Course Directors:

Shubham Gupta, MD, FACS
Director, Surgical Gender Affirmation Program
University Hospitals Urology Institute
Division Chief, Reconstructive Urology
University Hospitals Cleveland Medical Center
Associate Professor
Case Western Reserve University School of Medicine

Joseph Khouri, MD
Division of Plastic Surgery
University Hospitals Cleveland Medical Center
Clinical Assistant Professor
Case Western Reserve University School of Medicine


Day 1 | Lecture & Video Symposium
Friday, September 23, 2022
Noon – 7:00 pm

12:00 – 12:15 pm | Onsite Check-In

12:15 – 12:30 pm | Welcome & Opening Remarks
Shubham Gupta, MD, FACS

12:30 – 12:45 pm | Overview of Masculinizing Genitoplasty
Joseph Khouri, MD

12:45 – 1:15 pm | Metoidioplasty
Mang Chen, MD

1:15 – 1:30 pm | Metoidioplasty - Complications
Dmitriy Nikolavsky, MD

1:30 – 1:40 pm | Radial Forearm Phalloplasty Overview
Shubham Gupta, MD, FACS, Cleveland, OH

1:40 – 2:00 pm | BREAK

2:00 – 2:45 pm | Radial Forearm Phalloplasty
Joseph Khouri, MD, Cleveland, OH

2:45 – 3:15 pm | Radial Forearm Phalloplasty – Staging Considerations
Mang Chen, MD
Shubham Gupta, MD

3:15 – 3:30 pm | Donor Site Management
Joseph Khouri, MD

3:30 – 3:45 pm | BREAK

3:45 – 4:15 pm | Abdominal Phalloplasty
Shubham Gupta, MD, FACS

4:15 – 4:45 pm | Anterolateral Thigh Phalloplasty
Nidal Al Deek, MD
Joseph Khouri, MD

4:45 – 5:15 pm | Urologic Complications after Phalloplasty
Dmitriy Nikolavsky, MD

5:15 – 5:45 pm | Penile Prosthesis after Phalloplasty
Mang Chen, MD

5:45 – 6:15 pm | Panel Discussion:  Building a Gender Affirmation Surgery Practice
Moderator: Shubham Gupta, MD, FACS, Cleveland, OH

6:15 – 6:20 pm | Closing Remarks

6:20 – 7:00 pm | Happy Hour & Venue Tour

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 with follow the Cadaver Lab.


Registration is limited.

  • Symposium & Cadaver Lab: $895.
  • Symposium Only: $295.

Click here to register for the UH Phalloplasty & Metiodioplasty Course.

For general course inquiries, contact


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