Vulvoplasty, also known as zero-depth vaginoplasty, is a
plastic surgery procedure for altering the appearance of one's
vulva
In mammals, the vulva (: vulvas or vulvae) comprises mostly external, visible structures of the female sex organ, genitalia leading into the interior of the female reproductive tract. For humans, it includes the mons pubis, labia majora, lab ...
or constructing a vulva from
penile
A penis (; : penises or penes) is a sex organ through which male and hermaphrodite animals expel semen during copulation, and through which male placental mammals and marsupials also urinate.
The term ''penis'' applies to many intromittent ...
and
scrotal
In most terrestrial mammals, the scrotum (: scrotums or scrota; possibly from Latin ''scortum'', meaning "hide" or "skin") or scrotal sac is a part of the external male genitalia located at the base of the penis. It consists of a sac of skin c ...
tissue (a neovulva).
Surgery
Reasons for vulvoplasty
Women with congenital disorders or women post-
vulvectomy or with
genital trauma
Genital trauma is trauma to the genitalia.
History of studying genital trauma
Doctors and nurses have been conducting sexual assault examinations and have been collecting evidence for victims of assault for 20 years. But the amount of scientif ...
may receive vulvoplasty for medical reasons.
Women who experience vulvar discomfort may also receive vulvoplasty.
Gender-affirming surgery
In
gender-affirming surgery
Gender-affirming surgery (GAS) is a surgical procedure, or series of procedures, that alters a person's physical appearance and sexual characteristics to resemble those associated with their gender identity. The phrase is most often associated ...
, some male-to-female
transgender
A transgender (often shortened to trans) person has a gender identity different from that typically associated with the sex they were sex assignment, assigned at birth.
The opposite of ''transgender'' is ''cisgender'', which describes perso ...
patients receive vulvoplasty without
vaginoplasty
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 vaginoplas ...
to reconstruct the exterior of female genitalia.
During
clitoroplasty, a
clitoris
In amniotes, the clitoris ( or ; : clitorises or clitorides) is a female sex organ. In humans, it is the vulva's most erogenous zone, erogenous area and generally the primary anatomical source of female Human sexuality, sexual pleasure. Th ...
is made from the tissue of the
glans penis
In male human anatomy, the glans penis or penile glans, commonly referred to as the glans, (; from Latin ''glans'' meaning "acorn") is the bulbous structure at the Anatomical terms of location#Proximal and distal, distal end of the human penis ...
.
Labiaplasty
Labiaplasty (also known as labioplasty, labia minora reduction, and labial reduction) is a plastic surgery procedure for creating or altering the labia minora (inner labia) and the labia majora (outer labia), the folds of skin of the human vu ...
can be performed as a discrete surgery, or as a subordinate procedure within a vaginoplasty. The
labia minora
The labia minora (Latin for 'smaller lips', : labium minus), 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 inner Vagina#Vaginal opening and hymen, vagi ...
are typically constructed from genital skin and the
labia majora
In primates, and specifically in humans, the labia majora (: labium majus), also known as the outer lips or outer labia, are two prominent Anatomical terms of location, longitudinal skin folds that extend downward and backward from the mons pubis ...
using skin from the
scrotum
In most terrestrial mammals, the scrotum (: scrotums or scrota; possibly from Latin ''scortum'', meaning "hide" or "skin") or scrotal sac is a part of the external male genitalia located at the base of the penis. It consists of a sac of skin ...
.
The
urinary meatus
The urinary meatus (, ; : meati or meatuses), also known as the external urethral orifice, is the opening of the penis or vulva where urine exits the urethra during urination. It is also where semen exits during male ejaculation, and other fluids ...
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.
References
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{{Human reproductive health
Gynecological surgery
Surgical oncology
Feminizing surgery
Female genital modification
Plastic surgery
Vulva
Pediatric gynecology
Intersex healthcare
Surgical procedures and techniques