Penetrative sex

Some metoidioplasty patients report that they are able to have penetrative sex with their penis. Many of these patients will use a penis pump to enlarge their results and facilitate penetrative sex. Patients should wait at least 3 months after surgery before using a penis pump.
A phalloplasty gives a patient a larger penis than a metoidioplasty, which facilitates its use for penetrative sex. That said, a phalloplasty penis cannot get erect on its own. Many patients use silicone erectile sleeves to help with this. Others will have an erectile device surgically inserted into their penis 1 year post-op. Both of these erectile devices can increase the girth, but not the length of the penis.