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Genitoplasty is
plastic surgery Plastic surgery is a surgical specialty involving the restoration, reconstruction or alteration of the human body. It can be divided into two main categories: reconstructive surgery and cosmetic surgery. Reconstructive surgery includes craniofa ...
to the genitals. Genitoplasties may be reconstructive to repair injuries, and damage arising from
cancer treatment Cancer can be treated by surgery, chemotherapy, radiation therapy, hormonal therapy, targeted therapy (including immunotherapy such as monoclonal antibody therapy) and synthetic lethality, most commonly as a series of separate treatments ...
, or congenital disorders, endocrine conditions, or they may be cosmetic. __TOC__


Medical uses

Genitoplasty surgery includes the following: *
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 vaginopla ...
* Correction of congenital conditions **
congenital adrenal hyperplasia Congenital adrenal hyperplasia (CAH) is a group of autosomal recessive disorders characterized by impaired cortisol synthesis. It results from the deficiency of one of the five enzymes required for the synthesis of cortisol in the adrenal cortex. ...
** microphallus repair **
hypospadias Hypospadias is a common variation in fetal development of the penis in which the urethra does not open from its usual location in the head of the penis. It is the second-most common birth abnormality of the male reproductive system, affecting abo ...
repair ** pseudovaginal perineoscrotal hypospadias repair **
androgen insensitivity syndrome Androgen insensitivity syndrome (AIS) is a difference in sex development involving hormonal resistance due to androgen receptor dysfunction. It affects 1 in 20,000 to 64,000 XY ( karyotypically male) births. The condition results in the partial o ...
repair ** repair of a urethra that is short *
labiaplasty Labiaplasty (also known as labioplasty, labia minora reduction, and labial reduction) is a plastic surgery procedure for altering the labia minora (inner labia) and the labia majora (outer labia), the folds of skin surrounding the human vulva. ...
* vaginal construction * vaginal
reconstruction Reconstruction may refer to: Politics, history, and sociology *Reconstruction (law), the transfer of a company's (or several companies') business to a new company *''Perestroika'' (Russian for "reconstruction"), a late 20th century Soviet Union ...
* repair of vaginal vault
prolapse In medicine, prolapse is a condition in which organs fall down or slip out of place. It is used for organs protruding through the vagina, rectum, or for the misalignment of the valves of the heart. A spinal disc herniation is also sometimes c ...
* vaginal suspension and fixation * operations on
cul-de-sac A dead end, also known as a cul-de-sac (, from French for 'bag-bottom'), no through road or no exit road, is a street with only one inlet or outlet. The term "dead end" is understood in all varieties of English, but the official terminology ...
* repair of
cystocele A cystocele, also known as a prolapsed bladder, is a medical condition in which a woman's bladder bulges into her vagina. Some may have no symptoms. Others may have trouble starting urination, urinary incontinence, or frequent urination. Complica ...
* repair of rectocele * genital prolapse * retropubic paravaginal repair *
hymenorrhaphy Hymenorrhaphy or hymen reconstruction surgery is the temporary surgical restoration of the hymen. The term comes from the Greek words ''hymen'' meaning "membrane", and ''raphḗ'' meaning " suture". It is also known as ''hymenoplasty'', although ...
The grafts used in genitalplasty can be an
allogenic In ecology, allogenic succession is succession driven by the abiotic components of an ecosystem. In contrast, autogenic succession is driven by the biotic components of the ecosystem. An allogenic succession can be brought about in a number of wa ...
, an
autograft Autotransplantation is the transplantation of organs, tissues, or even particular proteins from one part of the body to another in the same person ('' auto-'' meaning "self" in Greek). The autologous tissue (also called autogenous, autogene ...
, a
xenograft Xenotransplantation (''xenos-'' from the Greek meaning "foreign" or strange), or heterologous transplant, is the transplantation of living cells, tissues or organs from one species to another. Such cells, tissues or organs are called xenograft ...
, or an
autologous Autotransplantation is the transplantation of organs, tissues, or even particular proteins from one part of the body to another in the same person ('' auto-'' meaning "self" in Greek). The autologous tissue (also called autogenous, autogen ...
material. Genital reconstruction surgery can correct
prolapse In medicine, prolapse is a condition in which organs fall down or slip out of place. It is used for organs protruding through the vagina, rectum, or for the misalignment of the valves of the heart. A spinal disc herniation is also sometimes c ...
of the
urinary bladder The urinary bladder, or simply bladder, is a hollow organ in humans and other vertebrates that stores urine from the kidneys before disposal by urination. In humans the bladder is a distensible organ that sits on the pelvic floor. Urine enters ...
into the vagina and protrusion of the rectum into the vagina. Female infants born with a 46,XX genotype but have genitalia affected by
congenital adrenal hyperplasia Congenital adrenal hyperplasia (CAH) is a group of autosomal recessive disorders characterized by impaired cortisol synthesis. It results from the deficiency of one of the five enzymes required for the synthesis of cortisol in the adrenal cortex. ...
may undergo the surgical creation of a vagina. Vaginoplasty is commonly used to treat women with the congenital absence of the vagina. Other reasons for the surgery are to treat adrenal hyperplasia, microphallus, Mayer-Rokitansky-Kustner disorder and for women who have had a vaginectomy after malignancy or trauma. Reconstructive and corrective vaginal surgery restores or creates the vagina. Surgeries to modify the cosmetic appearance of infants' and children's genitals are controversial due to their human rights implications. There is no clinical consensus about necessity, timing, indications or evaluation.


See also

*
Intersex medical interventions Intersex medical interventions, also 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 ...


References

{{chromo, state=collapsed Gynecological surgery Surgical oncology Surgical removal procedures Gynaecology Reproductive system Female genital modification Plastic surgery Vagina Surgical procedures and techniques Congenital disorders