Phalloplasty is a surgical procedure that involves creating a penis using skin grafts, often from the abdomen, groin, or thigh. It may or may not involve lengthening the urethra. During the procedure, the clitoris can be left in place or moved to the base of the penis where it maintains its sensitivity. A scrotoplasty may also be performed, which involves using tissue from the labia to construct a scrotum and then inserting testicular implants. If scrotoplasty isn’t desired, testicular implants can be place into the labia majora. A total hysterectomy is often performed at the same time as phalloplasty, which removes the uterus, fallopian tubes, and ovaries.
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