Penile inversion

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Penile inversion is a surgical technique for genital reassignment used to construct a neo-vagina from a penis for transwomen, sometimes also for intersex people. It is one of two main sorts of vaginoplasty, along with colovaginoplasty.

The erectile tissue of the penis is removed, and the skin, with its blood and nerve supplies still attached (a flap technique first used by Sir Harold Gillies in 1951), is used to create a vestibule area and labia minora, and inverted into a cavity created in the pelvic tissue. Part of the tip (glans) of the penis, still connected to its blood and nerve supplies, is usually used to construct a clitoris, the urethra is shortened to end at a place that is appropriate for a female anatomy.

A non-surgery that would also be described as penile inversion (or possibly restraction, like animals) is only possible with a flacid penis. By holding the sides below the base of the head, and pushing down the head, it can be retracted into the shaft. By rolling the fingers down, it can retreat into the scrotum. This must be done manually, and comes out when tension is released. The speed at which this occurs may be slowed depending on the period it is held for. Stimulation causing erection will much more rapidly decompress the penis into its normal shape. This is a possible alternative to tucking, although it faces similar painful difficulties during erections, and is more difficult to secure.

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