Vulvoplasty

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Vulvoplasty, also known as zero-depth vaginoplasty, [1] is a plastic surgery procedure for altering the appearance of one's vulva or constructing a vulva from penile and scrotal tissue (a neovulva).

Contents

Labiaplasty, pre- and post-op. The labia minora has been reduced in size. Dr.OttoPlacikVaginoplasty.JPG
Labiaplasty, pre- and post-op. The labia minora has been reduced in size.
Vulva after clitoral hood reduction and labiaplasty Labiaplasty with clitoral hood reduction and Princess Albertina piercing 2.jpg
Vulva after clitoral hood reduction and labiaplasty

Surgery

Women

Women with congenital disorders or women post-vulvectomy or with genital trauma may receive vulvoplasty for medical reasons.

Women who experience discomfort on her vulva may also receive vulvoplasty.

Gender-affirming surgery

In gender-affirming surgery, some male-to-female transgender patients receive vulvoplasty without vaginoplasty to reconstruct the exterior of female genitalia. [2]

During clitoroplasty, a clitoris is made from the tissue of the glans penis. [3]

Labiaplasty can be performed as a discrete surgery, or as a subordinate procedure within a vaginoplasty. [4] [5] The labia minora are typically constructed from genital skin and the labia majora using skin from the scrotum. [3]

The urinary meatus in trans women is created by shortening the urethra and positioning it above the neovagina in such a way that the urine will descend downward while urinating in a seated position. [6]

Related Research Articles

<span class="mw-page-title-main">Clitoris</span> Erectile female sexual organ

In amniotes, the clitoris is a female sex organ. In humans, it is the vulva's most erogenous area and generally the primary anatomical source of female sexual pleasure. The clitoris is a complex structure, and its size and sensitivity can vary. The visible portion, the glans, of the clitoris is typically roughly the size and shape of a pea and is estimated to have at least 8,000 nerve endings.

<span class="mw-page-title-main">Labia minora</span> Flaps of skin on either side of the vaginal opening in the vulva

The labia minora, also known as the inner labia, inner lips, or nymphae, are two flaps of skin that are part of the primate vulva, extending outwards from the vaginal and urethral openings to encompass the vestibule. The labia minora are situated between the labia majora and together form the labia. They vary widely in size, color and shape from individual to individual.

<span class="mw-page-title-main">Genital modification and mutilation</span> Permanent or temporary changes to human sex organs

Genital modifications are forms of body modifications applied to the human sexual organs, such as piercings, circumcision, or labiaplasty. The term genital mutilation is generally used for genital modifications that diminish the recipient's quality of life and result in adverse health outcomes, whether physical or mental.

Gender-affirming surgery is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their identified gender. The phrase is most often associated with transgender health care and intersex medical interventions, although many such treatments are also pursued by cisgender and non-intersex individuals. It is also known as sex reassignment surgery, gender confirmation surgery, and several other names.

Phalloplasty is the construction or reconstruction of a penis or the artificial modification of the penis by surgery. The term is also occasionally used to refer to penis enlargement.

<span class="mw-page-title-main">Metoidioplasty</span> Surgical procedure used to create a penis from the clitoris

Metoidioplasty, metaoidioplasty, or metaidoioplasty is a female-to-male gender-affirming surgery.

Gender-affirming surgery for female-to-male transgender people includes a variety of surgical procedures that alter anatomical traits to provide physical traits more comfortable to the trans man's male identity and functioning.

Gender-affirming surgery for male-to-female transgender women or transfeminine non-binary people describes a variety of surgical procedures that alter the body to provide physical traits more comfortable and affirming to an individual's gender identity and overall functioning.

Suporn Watanyusakul is a Thai plastic and reconstructive surgeon. He is considered by some to be a world leader in surgical procedures for transgender individuals. He performs facial feminization surgery and male-to-female (MTF) sex reassignment surgery (SRS).

Vaginoplasty is any surgical procedure that results in the construction or reconstruction of the vagina. It is a type of genitoplasty. Pelvic organ prolapse is often treated with one or more surgeries to repair the vagina. Sometimes a vaginoplasty is needed following the treatment or removal of malignant growths or abscesses to restore a normal vaginal structure and function. Surgery to the vagina is done to correct congenital defects to the vagina, urethra and rectum. It may correct protrusion of the urinary bladder into the vagina (cystocele) and protrusion of the rectum (rectocele) into the vagina. Often, a vaginoplasty is performed to repair the vagina and its attached structures due to trauma or injury.

Genital reconstructive surgery may refer to:

<span class="mw-page-title-main">Intersex medical interventions</span> Performed to modify atypical or ambiguous genitalia

Intersex medical interventions (IMI), sometimes known as intersex genital mutilations (IGM), are surgical, hormonal and other medical interventions performed to modify atypical or ambiguous genitalia and other sex characteristics, primarily for the purposes of making a person's appearance more typical and to reduce the likelihood of future problems. The history of intersex surgery has been characterized by controversy due to reports that surgery can compromise sexual function and sensation, and create lifelong health issues. The medical interventions can be for a variety of reasons, due to the enormous variety of the disorders of sex development. Some disorders, such as salt-wasting disorder, can be life-threatening if left untreated.

<span class="mw-page-title-main">Emasculation</span> Removal of male sex organs

Emasculation is the removal of the external male sex organs, which includes both the penis and the scrotum, the latter of which contains the testicles. It is distinct from castration, where only the testicles are removed. Although the terms are sometimes used interchangeably, the potential medical consequences of emasculation are more extensive due to the complications arising from the removal of the penis. There are a range of religious, cultural, punitive, and personal reasons why someone may choose to emasculate themselves or another person.

<span class="mw-page-title-main">Labia</span> Parts of the vulva

The labia are the major externally visible portions of the vulva. In humans and other primates, there are two pairs of labia: the labia majora are large and thick folds of skin that cover the vulva's other parts while the labia minora are the inner folds of skin between the outer labia that surround and protect the urethral and vaginal openings.

<span class="mw-page-title-main">Scrotoplasty</span> Type of surgery to create or repair the scrotum

Scrotoplasty, also known as oscheoplasty, is a type of surgery to create or repair the scrotum. The history of male genital plastic surgery is rooted in many cultures and dates back to ancient times. However, scientific research for male genital plastic surgery such as scrotoplasty began to develop in the early 1900s. The development of testicular implants began in 1940 made from materials outside of what is used today. Today, testicular implants are created from saline or gel filled silicone rubber. There are a variety of reasons why scrotoplasty is done. Some transgender men and intersex or non-binary people who were assigned female at birth may choose to have this surgery to create a scrotum, as part of their transition. Other reasons for this procedure include addressing issues with the scrotum due to birth defects, aging, or medical conditions such as infection. For newborn males with penoscrotal defects such as webbed penis, a condition in which the penile shaft is attached to the scrotum, scrotoplasty can be performed to restore normal appearance and function. For older male adults, the scrotum may extend with age. Scrotoplasty or scrotal lift can be performed to remove the loose, excess skin. Scrotoplasty can also be performed for males who undergo infection, necrosis, traumatic injury of the scrotum.

<span class="mw-page-title-main">Labiaplasty</span> Plastic surgery procedure for altering the labia minora

Labiaplasty is a plastic surgery procedure for creating or altering the labia minora and the labia majora, the folds of skin of the human vulva. It is a type of vulvoplasty. There are two main categories of women seeking cosmetic genital surgery: those with conditions such as intersex, and those with no underlying condition who experience physical discomfort or wish to alter the appearance of their vulvas because they believe they do not fall within a normal range.

<span class="mw-page-title-main">Vaginectomy</span> Surgical removal of the vagina

Vaginectomy is a surgery to remove all or part of the vagina. It is one form of treatment for individuals with vaginal cancer or rectal cancer that is used to remove tissue with cancerous cells. It can also be used in gender-affirming surgery. Some people born with a vagina who identify as trans men or as nonbinary may choose vaginectomy in conjunction with other surgeries to make the clitoris more penis-like (metoidioplasty), construct of a full-size penis (phalloplasty), or create a relatively smooth, featureless genital area.

<span class="mw-page-title-main">Clitoral hood reduction</span> Cosmetic surgical procedure

Clitoral hood reduction, also termed clitoral hoodectomy, clitoral unhooding, clitoridotomy, or (partial) hoodectomy, is a plastic surgery procedure for reducing the size and the area of the clitoral hood in order to further expose the glans of the clitoris.

<span class="mw-page-title-main">Vulva</span> External genitalia of the female mammal

In mammals, the vulva consists of the external female genitalia. The human vulva includes the mons pubis, labia majora, labia minora, clitoris, vulval vestibule, urinary meatus, vaginal opening, hymen, and Bartholin's and Skene's vestibular glands. The vulva includes the entrance to the vagina, which leads to the uterus, and provides a double layer of protection for this by the folds of the outer and inner labia. Pelvic floor muscles support the structures of the vulva. Other muscles of the urogenital triangle also give support.

References

  1. Ferrando, Cecile A. (June 2023). "Updates on feminizing genital affirmation surgery (vaginoplasty) techniques". Neurourology and Urodynamics. 42 (5): 931–938. doi:10.1002/nau.25088. ISSN   0733-2467. PMID   36423307. S2CID   253879060.
  2. Bellringer 2017, p. 249.
  3. 1 2 Koch, Anne L. (2019). It Never Goes Away: Gender Transition at a Mature Age. Rutgers University Press. p. 89. ISBN   978-0-81359-839-0.
  4. Mirzabeigi MN, Moore JH, Mericli AF, et al. (February 2012). "Current trends in vaginal labioplasty: a survey of plastic surgeons". Ann Plast Surg. 68 (2): 125–34. doi:10.1097/SAP.0b013e31820d6867. PMID   21346521. S2CID   36163955.
  5. Emans.
  6. Buckley, Jill (2022). Urologic Reconstructive Surgery, An Issue of Urologic Clinics, E-Book. Elsevier Health Sciences. p. 439. ISBN   978-0-32398-794-3.