>>18219232Not even cenobites could dream up the kind of shit gender surgeons do every day.
>Vaginectomy is performed via robotic-assisted laparoscopic transabdominal approach. A complete mucosal vaginectomy first provides the graft for a neourethra, and subsequently, the vaginal hysterectomy, BSO, and vaginal closure are performed. Concurrently, gracilis muscle is harvested and passed through a tunnel between the groin and vaginal cavity. It is then split longitudinally and the inferior half is passed into the vaginal cavity, where it is inset into the vaginal cavity. Following urethroplasty, the superior half of the gracilis flap is placed around the vaginal flap to buttress this suture line with well-vascularized tissue. 