Clitoris is a small female sex organ. Its visible portion is present at the front junction of the labia minora which are th inner lips of the vagina, above the opening of the urethra. It looks like a small penis but unlike penis it doesn’t contain the distal portion of the urethra and therefore not used for excretion.
Sexual excitation and pleasurable orgasms of women are linked to clitoris. For this many trans women prefer to have clitoris, to satisfy themselves sexually and also build an identity as a full-fledged woman in the society.
The process of creation of new clitoris is known as clitoroplasty.
It is done simultaneously with vaginoplasty which is the process of creation of a new vagina.
- The most commonly used technique for creating a vagina is the penile inversion. In this technique, th surgeon makes an incision in th area between the rectum and the urethra and the prostrate. This forms a tunnel or tube like structure and makes up the new vagina. The surgeon lines the inside walls of the vagina with ski from the scrotum, the penis or both.
- In some cases, extra skin is required to make the vagina deeper or wider; this is usually taken from the lower abdomen or the scrotal sac. This is also done if enough scrotal or penile skin is not available.
- If your penis is damaged or removed earlier in life, a segment of your large intestine may be used to create the vagina as penile inversion will fail or is not possible in such cases. You must clarify this by discussing with your surgeon beforehand.
- After this, a small section of the head of the penis – the part that is most sensitive – is used to create a new clitoris. The erectile tissue present in the penis which gives it the ability to get hard will be removed so the entrance to the vagina and the clitoris don’t get overly swollen when you get sexually aroused.
The success rate of clitoroplasty for Trans women varies greatly. There are various causes of failure but the most common reason is necrosis. Necrosis is the death of the tissues due to lack of blood supply. Another great risk is the damage to pudendal nerves which greatly reduces the chances and intensity of orgasms when severed. Apart from these there aren’t much problems worth mentioning as most the trans women’s bodies readily accept the relocation of glans penile tissue in the area of a women’s clitoris.