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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.
Clitoridectomy or clitorectomy is the surgical removal, reduction, or partial removal of the clitoris. It is rarely used as a therapeutic medical procedure, such as when cancer has developed in or spread to the clitoris. Commonly, non-medical removal of the clitoris is performed during female genital mutilation.
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.
A clitoral hood piercing is a female genital piercing through the clitoral hood surrounding the clitoris. In addition to being an adornment, a clitoral hood piercing can enhance sexual pleasure during masturbation, foreplay and intercourse. In an empirical study at the University of South Alabama, the authors reported a positive relationship between vertical clitoral hood piercings and desire, frequency of intercourse, and sexual arousal. There are two main types of clitoral hood piercing: the vertical clitoral hood (VCH) piercing and the horizontal clitoral hood (HCH) piercing. As the names indicate, the difference is in the direction the piercing is oriented in the skin above the clitoris. Neither of these piercings penetrates the clitoris itself, although in common parlance they are sometimes called "clit" piercings. The deep hood piercing is a variation of the clitoral hood piercing that passes deeper through the clitoral hood.
Genital piercing is a form of body piercing that involves piercing a part of the genitalia, thus creating a suitable place for wearing different types of jewellery. Nevertheless, the term may also be used pars pro toto to indicate all body piercings in the area of the anus, perineum, penis, scrotum, and vulva, including piercings such as anal, guiche, and pubic that do not involve perforation of genitalia. Genital piercings can be done regardless of sex, with various forms of piercings available. The main motive is beautification and individualization; in addition, some piercings enhance sexual pleasure by increasing stimulation. Pre-modern genital piercings is most culturally widespread in Southeast Asia, where it has been part of traditional practice since ancient times. Records of genital piercing are found in the Kama Sutra.
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.
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:
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.
The history of intersex surgery is intertwined with the development of the specialities of pediatric surgery, pediatric urology, and pediatric endocrinology, with our increasingly refined understanding of sexual differentiation, with the development of political advocacy groups united by a human qualified analysis, and in the last decade by doubts as to efficacy, and controversy over when and even whether some procedures should be performed.
Clitoromegaly is an abnormal enlargement of the clitoris that is mostly congenital; it is otherwise acquired through deliberately induced clitoral enlargement e.g. body modification by use of anabolic steroids, including testosterone. It can happen as part of a gender transition. It is not the same as normal enlargement of the clitoris seen during sexual arousal.
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.
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.
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.
The dorsal nerve of the clitoris is a nerve in females that branches off the pudendal nerve to innervate the clitoris. The nerve is important for female sexual pleasure, and it may play a role in clitoral erections.
Clitoral erection is a physiological phenomenon where the clitoris becomes enlarged and firm.
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.
Vulvoplasty, also known as zero-depth vaginoplasty, is a plastic surgery procedure for altering the appearance of one's vulva or constructing a vulva from penile and scrotal tissue.
References
- ↑ VanderBrink, Brian A.; Stock, Jeffrey A.; Hanna, Moneer K. (December 2010). "Aesthetic aspects of reconstructive clitoroplasty in females with bladder exstrophy-epispadias complex". Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS. 63 (12): 2141–2145. doi:10.1016/j.bjps.2010.02.005. ISSN 1878-0539. PMID 20303329.
- ↑ "Clinical Commissioning Policy Statement: Genital Surgery to improve clitoral sensation for women who have undergone Female Genital Mutilation" (PDF). NHS England. January 2015. Retrieved 2024-04-25.
- ↑ Villani, Michela (May 2023). "Clitoral reconstruction: challenges and new directions". International Journal of Impotence Research. 35 (3): 196–201. doi:10.1038/s41443-022-00572-6. ISSN 1476-5489. PMC 10159845 . PMID 35418603.
- ↑ Rawat, Jiledar; Singh, Sudhir (2022). "Sensation-preserving clitoral reduction surgery: A preliminary report of our experience". African Journal of Paediatric Surgery. 19 (1): 23–26. doi: 10.4103/ajps.AJPS_32_21 . ISSN 0974-5998. PMC 8759416 . PMID 34916347.
- ↑ Uzan, C.; Marchand, F.; Schmidt, M.; Meningaud, J.P.; Hersant, B. (July 2020). "Clitoral reduction: Technical note". Annales de Chirurgie Plastique Esthétique. 65 (4): e7–e13. doi:10.1016/j.anplas.2019.10.002. PMID 32482351.
- ↑ Reifsnyder, Jennifer E.; Stites, John; Bernabé, Kerlly J.; Galan, Denise; Felsen, Diane; Poppas, Dix P. (April 2016). "Nerve Sparing Clitoroplasty is an Option for Adolescent and Adult Female Patients with Congenital Adrenal Hyperplasia and Clitoral Pain following Prior Clitoral Recession or Incomplete Reduction". The Journal of Urology. 195 (4 Pt 2): 1270–1273. doi:10.1016/j.juro.2015.12.053. ISSN 1527-3792. PMID 26926549.
- ↑ 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.
- ↑ Perovic SV, Djordjevic ML (December 2003). "Metoidioplasty: a variant of phalloplasty in female transsexuals". BJU International. 92 (9): 981–5. doi:10.1111/j.1464-410x.2003.04524.x. PMID 14632860. S2CID 11836091.