We received this question per email, and we thought it would be interesting to share the answer here. So, can the ZSI 100 D4 implant be inserted after having already had a metoidioplasty? Yes, it is possible because there is always an interest in externalizing the metoidioplasty. This operation can be done without difficulty but it depends on the elasticity and the existing capacity of elongation of the metoidioplasty. If this is your case and you are wondering about this topic, write us! ZSI is the only European manufacturer of artificial urinary sphincters and of malleable and inflatable penile implants, as solutions for male urological problems (incontinence), sexual complications (Erectile Dysfunction), and gender identity procedures (prostheses for trans men and women).