Functional urinary reconstruction.
A thoughtful, patient-centered approach to urethral lengthening — combining advanced surgical expertise with compassionate care across Canada.
- 15+Years of experience
- 1,200+Procedures performed
- 10Provinces & territories served
A functional step in genital affirmation
Urethral lengthening extends the urethra through reconstructed anatomy, enabling standing urination for many transmasculine patients.
For many transmasculine and non-binary patients, the ability to urinate while standing is a deeply affirming functional goal. Urethral lengthening surgically extends the urethral channel to exit through the tip of the metoidioplasty or phalloplasty, using local tissue, grafts, or a combination of both.
Every plan is built collaboratively, respecting your anatomy, goals, and comfort. Our surgeons follow internationally recognized, WPATH-aligned standards to ensure safe, ethical, and reliable functional outcomes.
What urethral lengthening can mean for you
More than a functional change — a meaningful step toward comfort, confidence, and self-recognition.
Standing urination
Achieve the ability to urinate while standing — a meaningful functional goal for many transmasculine patients.
Improved well-being
Patients consistently report meaningful improvements in confidence, comfort, and quality of life.
Refined aesthetics
Natural-looking urethral meatus placement and contour tailored to your anatomy and surgical plan.
Functional integration
Seamlessly combined with metoidioplasty or phalloplasty as part of a comprehensive surgical roadmap.
Staged flexibility
Can be performed alongside other bottom surgeries or staged according to your preferences and healing.
Technique tailored to you
The surgical approach is matched to your anatomy, goals, and the primary reconstructive procedure.
Urethral lengthening approaches
Your surgeon will recommend the approach best suited to your primary procedure, anatomy, and functional goals.
With Metoidioplasty
- Indications
- Patients seeking a smaller, naturally erect phallus with the ability to stand to urinate.
- Advantages
- Uses local tissue and potentially a graft to extend the urethra through the released phallus with minimal additional scarring.
- Ideal candidates
- Patients prioritizing sensation and a less invasive approach while achieving standing urination.
With Phalloplasty
- Indications
- Patients undergoing phalloplasty who want a functional urethra through the neophallus.
- Advantages
- Creates a full-length urethra within the reconstructed phallus using flap tissue and grafts for reliable urinary function.
- Ideal candidates
- Patients prioritizing a larger phallus with the functional goal of standing urination.
Buccal Mucosa Graft
- Indications
- Patients requiring additional tissue for urethral lining due to prior surgery or anatomy.
- Advantages
- The inner cheek lining provides a durable, hairless graft that integrates well for urethral reconstruction.
- Ideal candidates
- Patients with a history of urethral complications or those needing revision or complex reconstruction.
Local Flap Urethroplasty
- Indications
- Patients with adequate local tissue for urethral extension without the need for distant grafts.
- Advantages
- Minimizes additional donor sites by using nearby tissue, reducing overall surgical complexity and recovery.
- Ideal candidates
- Patients with favorable local anatomy seeking a streamlined surgical approach.
Comparing the approaches
A quick reference to help you understand the trade-offs between scarring, candidacy, and outcomes.
| Technique | Scars | Best candidate | Sensation |
|---|---|---|---|
| With Metoidioplasty | Minimal | Sensation priority | Excellent |
| With Phalloplasty | Donor site | Full-size phallus | Often preserved |
| Buccal Graft | Inner cheek | Complex / revision | Not affected |
| Local Flap | Minimal | Favorable anatomy | Preserved |
What to expect at a glance
Your healing roadmap
A clear, week-by-week picture of what recovery looks like — so you always know what comes next.
- 1Week 1
Catheter & rest
A urinary catheter remains in place to protect the new urethra. Hospital stay for close monitoring, pain management, and rest.
- 2Weeks 2–3
Healing & catheter care
Incisions begin to close. Continue gentle wound care and catheter management. Light walking is encouraged.
- 3Weeks 4–6
Catheter removal & adjustment
The catheter is typically removed once healing is adequate. Most patients resume light daily activities and desk work.
- 4Months 2–3
Functional adaptation
You adapt to the new urinary stream pattern. Swelling subsides and any staged procedures may be planned if needed.
- 5Months 3–6
Final result
Healing is complete, urinary function is stable, and the final aesthetic and functional outcomes are established.
What your results will look like
Understanding scars, function, and long-term outcomes helps you set clear, realistic expectations.
Expected scars
Scarring depends on the primary procedure — minimal with metoidioplasty, or associated with the phalloplasty donor site and graft harvest areas.
Scar evolution
Scars are firm and pink early on, then progressively flatten and fade over 12–18 months with proper care.
Urinary function
Standing urination is achievable for most patients. A strong, directed stream typically develops as swelling subsides.
Sensation
Because urethral lengthening preserves surrounding tissue, tactile and erotic sensation in the genital area is typically maintained.
Long-term results
Once fully healed, results are permanent and stable, delivering lasting functional affirmation and comfort.
Aesthetic contour
The urethral opening is positioned and contoured for a natural masculine appearance that harmonizes with your reconstruction.
Surgical Excellence, with Care That Listens.
Every patient deserves compassionate, individualized care throughout their gender-affirming journey. Our team combines advanced surgical expertise with a deeply patient-centered approach to deliver safe, natural, and affirming outcomes tailored to your goals.
“Trusted by patients across Canada seeking compassionate, expert gender-affirming care.”
Fellowship-Trained Surgeons
Our procedures are performed by highly specialized surgeons with advanced training in gender-affirming and reconstructive surgery.
Advanced Microsurgical Care
We utilize modern surgical techniques and precision-focused care to support optimal healing, functionality, and long-term results.
WPATH-Aligned Protocols
Our approach follows internationally recognized standards of care to ensure ethical, safe, and evidence-based treatment.
Patient-Led Decision Making
Every treatment plan is built collaboratively, respecting your identity, goals, comfort level, and personal transition journey.
Aesthetic-Focused Outcomes
We prioritize natural-looking, harmonious results designed to align with each patient's vision and anatomy.
Multidisciplinary Support
From consultation to recovery, our team provides coordinated medical, surgical, and emotional support at every stage.
Meet Dr. Alexis Laungani
A vision of self-affirmation for all
Dr. Alexis Laungani is a plastic surgeon who offers meticulously crafted reconstructive and aesthetic procedures, artfully blending medical practice with personal well-being. With over 20 years of training across Belgium, the United States, and Canada, he harnesses globally recognized techniques to minimize downtime and scarring while achieving naturally beautiful results.
- Over 20 years of training across three continents
- Transparency at the cornerstone of care
- Holistic pre- and post-operative care
- Naturally beautiful, patient-centered results
From First Conversation to Long-Term Follow-Up.
We guide every patient through a personalized and supportive experience designed to prioritize comfort, clarity, safety, and confidence at every stage of the surgical journey.
“Every transition journey deserves thoughtful guidance, clarity, and compassionate support.”
- 1Step 1
Initial Consultation
Meet with our surgical team to discuss your goals, medical history, expectations, and personalized treatment options in a safe and affirming environment.
- 2Step 2
Surgical Planning
Your procedure plan is carefully tailored to your anatomy, transition goals, recovery needs, and desired aesthetic outcomes.
- 3Step 3
Surgery & Inpatient Care
Our team provides expert surgical care with attentive postoperative monitoring, ensuring comfort, safety, and individualized support during recovery.
- 4Step 4
Recovery & Follow-Up
We remain closely involved throughout healing with follow-up appointments, recovery guidance, and long-term support focused on optimal results and well-being.
Patients travel from across Canada
We welcome patients nationwide for gender-affirming bottom surgery, with coordinated travel and follow-up support.
Trusted by patients across every province and territory in Canada.
Frequently asked questions
More FTM bottom surgical options
Phalloplasty
Advanced masculinizing reconstructive surgery focused on creating natural form, function, and long-term gender affirmation outcomes.
Metoidioplasty
A gender-affirming procedure that enhances existing anatomy to create a natural masculine appearance with shorter recovery times.
Scrotoplasty
A reconstructive procedure designed to create a natural-looking scrotum as part of comprehensive transmasculine surgical care.
Plan your urethral lengthening.
Begin with a private, confidential consultation. Our team will guide you through every step with clarity and care.
Confidential consultations available across Canada.
Dedicated patient coordinators available for Canadian and international patients.
Serving patients across Canada
- WPATH-aligned care
- Fellowship-trained surgeons
- Patients across Canada
