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Vaginoplasty* is a gender-affirming surgical procedure in which male genitalia is reconstructed into female genitalia, complete with a vaginal vault, labia and a clitoris.

Penile Inversion Vaginoplasty is the most commonly performed type of MTF Vaginoplasty. The testicles are removed (Orchiectomy) and the scrotal skin is used to make labia majora (Labiaplasty). The nerves to the the sensitive glans penis and the corresponding skin is preserved and used to make a clitoris. The skin of the penis and, in most cases, skin grafts from the scrotum are used to make a vaginal vault. The urethra is shortened and placed in the female position. Sensitive urethral mucosa is placed in between the labia minora.

Penile Inversion Vaginoplasty is typically a one stage procedure, however, occasionally secondary procedures are preferred to maximize the aesthetic appearance of the vulva.

Robotic-Assisted Peritoneal Flap Vaginoplasty has several names: Davydov vaginoplasty and peritoneal pull through are the best-known alternative terms. The peritoneum is the inside lining of the abdomen. Through several small incisions on the abdomen, robotic-assisted laparoscopy is performed to rearrange the peritoneum in the pelvis. This will create the inside half of the vaginal canal. The remainder of the vaginoplasty is a standard penile inversion vaginoplasty.

Permanent hair removal is required on the genital area prior to surgery.

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