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Genital modification and mutilation

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The terms genital modification and genital mutilation can refer to permanent or temporary changes to human sex organs. Some forms of genital alteration are performed on an adult at his or her own behest, with their informed consent. Other forms are performed on people who do not give informed consent, including infants or children. Any of these procedures may be considered modifications or mutilations by different groups of people.

Body modification

Female genital piercings: Clitoral hood piercing and labia piercing
Male genital tattooing
Main article: Body modification

Many types of genital modification are performed at the behest of the individual, for personal, sexual, aesthetic or cultural reasons. Penile subincision, or splitting of the underside of the penis, is widespread in the traditional cultures of Indigenous Australians. This procedure has taken root in Western body modification culture, the modern primitives. Meatotomy is a form that involves splitting of the glans penis alone, while genital bisection is a more extreme form that splits the penis entirely in half.

Genital piercings and genital tattooing may be performed for aesthetic reasons, but piercings have the benefit of increasing sexual pleasure for the pierced individual or their sex partners.[1] Similarly, Pearling involves surgical insertion of small, inert spheres under the skin along the shaft of the penis for the purpose of providing sexual stimulation to the walls of the vagina.

Clitoris enlargement may be achieved temporarily through the use of a clitoral pump, or it may be achieved permanently through the application or injection of testosterone. Penis enlargement is a term for various techniques used to attempt to increase the size of the penis, though the safety and efficacy of these techniques are debated.

Voluntary sex reassignment

Main article: Sex reassignment surgery

People who are transgender may undergo sex reassignment surgery in order to modify their bodies to match their gender identity. Not all transgender people elect to have these surgeries, but those who do usually see an improvement in their sexual lives as well as their mental and emotional well-being.[2] Some of the surgical procedures are breast augmentation and vaginoplasty for trans women and mastectomy, metoidioplasty, and phalloplasty for trans men. Trans women may also benefit from hair removal and facial feminization surgery, while some trans men may have liposuction to remove fat deposits around their hips and thighs.

Hijra, a third gender found in the Indian subcontinent, may opt to undergo castration.[3]

Involuntary sex assignment

Main articles: Sex assignment and Intersex surgery

Intersex children and children with ambiguous genitalia may be subjected to genital surgeries to "normalize" the appearance of the genitalia. These surgeries are usually performed for cosmetic benefit rather than for therapeutic benefits. Most surgeries involving children with ambiguous genitalia are sexually damaging and may render them infertile.[4] For example, in cases involving male children with micropenis, doctors may recommend the child be reassigned as female.[5] The Intersex Society of North America (ISNA) objects to elective surgeries performed on people without their informed consent on grounds that such surgeries subject patients to unnecessary harm and risk.[6]

In some cases, a child's gender may be reassigned due to genital injury. There have been at least seven cases of healthy male infants being reassigned as female due to circumcision damaging their penises beyond repair,[7][8][9][10] including the late David Reimer (born Bruce Reimer, later Brenda Reimer), who was the subject of John Money's John/Joan case, an unnamed American child, who was awarded $750,000 by Judge Walter McGovern of the Federal District Court after a military doctor was found guilty of medical malpractice in 1975, and an unnamed child who was circumcised at Northside Hospital, who received an undisclosed amount of money from the hospital.

As treatment

If the genitals become diseased, as in the case of cancer, sometimes the diseased areas are surgically removed. Females may undergo vaginectomy or vulvectomy, while males may undergo penectomy. Reconstructive surgery may be performed to restore what was lost, often with techniques similar to those used in sex reassignment surgery.

During childbirth, an episiotomy (cutting part of the tissue between the vagina and the anus) is sometimes performed to increase the amount of space through which the baby may emerge. Advocates of natural childbirth and unassisted birth state that this intervention is often performed without medical necessity, with significant damage to the person giving birth.

Hymenotomy is the surgical perforation of an imperforate hymen. It may be performed to allow menstruation to occur. An adult individual may opt for increasing the size of her hymenal opening, or removal of the hymen altogether, to facilitate sexual penetration of her vagina.

The world's first penis reduction surgery was performed in 2015, on a 17-year-old boy who had an American football-shaped penis as a result of recurrent priapism.[11]

Self-inflicted genital injury or mutilation

Main articles: Skoptic syndrome and Self-mutilation

A person may engage in self-inflicted genital injury or mutilation such as castration, penectomy, or clitoridectomy. The motivation behind such actions vary widely; it may be done due to skoptic syndrome, personal crisis related to gender identity, mental illness, self-mutilation, body dysmorphia, or social reasons.

Female genitals

See also: Category:Female genital modification

Female genital mutilation

Prevalence of FGM by country, according to a 2013 UNICEF report[12]
Main article: Female genital mutilation

Female genital mutilation (FGM), also known as female genital cutting (FGC), female circumcision, or female genital mutilation/cutting (FGM/C), refers to "all procedures involving partial or total removal of the external female genitalia or other surgery of the female genital organs whether for cultural, religious or other non-therapeutic reasons."[13] It is not the same as the procedures used in gender reassignment surgery or the genital modification of intersex persons. It is practised in several parts of the world, but the practice is concentrated more heavily in Africa, parts of the Middle East, and some other parts of Asia. Over 125 million women and girls have experienced FGM in the 29 countries in which it is concentrated.[14] Over eight million have been infibulated, a practice found largely in Djibouti, Eritrea, Somalia and Sudan.[15] Infibulation, the most extreme form of FGM (known as Type III), consists of the removal of the inner and outer labia and closure of the vulva, while a small hole is left for the passage of urine and menstrual blood; afterwards the vagina will be opened after the wedding for sexual intercourse and childbirth (see episiotomy). In the past several decades, efforts have been made by global health organizations, such as the WHO, to end the practice. However, because of its importance in traditional life, it continues to be practised in many societies.[16]

Hymenorrhaphy

Hymenorrhaphy refers to the practice of thickening the hymen, or, in some cases, implanting a capsule of red liquid within the newly created vaginal tissue. This new hymen is created to cause physical resistance, blood, or the appearance of blood, at the time that the individual's new husband inserts his penis into her vagina. This is done in cultures where a high value is placed on female virginity at the time of marriage. In these cultures, a woman may be punished, perhaps violently, if the community leaders deem that she was not virginal at the time of consummation of her marriage.[citation needed] Individuals who are victims of rape, who were virginal at the time of their rape, may elect for hymenorrhaphy.

Labia stretching

Labia stretching is the act of elongating the labia minora through manual manipulation (pulling) or physical equipment (such as weights).[17][18] It is a familial cultural practice in Rwanda,[17] common in Sub-Saharan Africa,[19] and a body modification practice elsewhere.[18] It is performed for sexual enhancement of both partners, aesthetics, symmetry and gratification.[17][18]

Labiaplasty and vaginoplasty

Vulva with labia minora surgically removed

Cosmetic surgery of female genitalia, known as elective genitoplasty, has become pejoratively known as designer vagina. In May 2007, an article published in the British Medical Journal strongly criticised this craze, citing its popularity being rooted in commercial and media influences.[20][21] Similar concerns have been expressed in Australia.[20]

Some women undergo vaginoplasty or labiaplasty procedures to alter the shape of their vulvas to meet personal or societal aesthetic standards.[22] The surgery itself is controversial, and critics refer to the procedures as "designer vagina".[23][24][25]

In the article Designer Vaginas by Simone Weil Davis, she talks about the modification of woman's vagina and the outside influences women are pressured with, which can cause them to feel shame towards their labia minora. She states that the media, such as pornography, creates an unhealthy view of what a "good looking vagina" is and how women feel that their privates are inferior and are therefore pressured to act upon that mindset. These insecurities are forced upon women by their partners and other women as well.[26] Also leading to a surge of these types of procedures is increased interest in non-surgical genital alterations, such as Brazilian waxing, that make the vagina more visible to judgment. The incentive to participate in labia- and vaginoplasty may also come about in an effort to manage women's physical attributes and their sexual behavior, treating their vagina as something needing to be managed or controlled and ultimately deemed "acceptable".[27]

Clitoral hood reduction

Clitoral hood reduction

Clitoral hood reduction, also termed clitoral hoodectomy,[28] clitoral unhooding,[29] clitoridotomy,[30] or (partial) hoodectomy,[31] is a form of hoodplasty. When performed with the consent of the adult individual, it can be considered an elective plastic surgery procedure for reducing the size and the area of the clitoral hood (prepuce) in order to further expose the clitoral glans of the clitoris; the therapeutic goal is thought to improve the sexual functioning of the woman, and the aesthetic appeal of her vulva. The reduction of the clitoral prepuce tissues usually is a sub-ordinate surgery within a labiaplasty procedure for reducing the labia minora; and occasionally within a vaginoplasty procedure. When these procedures are performed on individuals without their consent, they are considered a form of female genital mutilation.

Male genitals

See also: Category:Male genital modification

Castration

Main article: Castration

Castration in the genital modification and mutilation context is the removal of the testicles. Sometimes the term (meaning "cutting") is also used to refer to penis removal, but that is less common.

Hemi-castration

The removal of one testicle (sometimes referred to as unilateral castration) is usually done in the modern world only for medical reasons.

Circumcision

Prevalence of male circumcision by country
Main article: Circumcision
Before and after circumcision, in this case done to treat phimosis

Circumcision is the surgical removal of part or all of the foreskin. It is usually performed for religious, cultural or medical reasons and leaves some or all of the glans permanently exposed. Jews and many Americans typically have their infants circumcised during the neonatal period, while Filipinos, most Muslims and African tribes such as the Maasai and Xhosa circumcise in teenage years or childhood as an initiation into adulthood.

In modern medicine, circumcision may be used as treatment for severe phimosis or recurrent balanitis. Advocacy is often centered on preventive medicine while opposition is often centered on human rights (particularly the bodily integrity of the infant when circumcision is performed in the neonatal period) and the potentially harmful side effects of the procedure.[32][33][34]

The World Health Organization estimates that one-third of the world's men are circumcised.[35]

Foreskin restoration

Main article: Foreskin restoration

Foreskin restoration is the partial recreation of the foreskin after its removal by circumcision. Surgical restoration involves grafting skin taken from the scrotum onto a portion of the penile shaft. Nonsurgical methods involve tissue expansion by stretching the penile skin forward over the glans penis with the aid of tension. Nonsurgical restoration is the preferred method as it is less costly and typically yields better results than surgical restoration. A foreskin restoration device may be of help to men pursuing nonsurgical foreskin restoration. While restoration cannot recreate the nerves or tissues lost to circumcision, it can recreate the appearance and some of the function of a natural foreskin.

Infibulation

Main article: Infibulation
The Greek poet Anacreon (582 BCE – 485 BCE), showing kynodesmē

Infibulation literally means to close with a clasp or a pin. The word is used to include suturing of the foreskin over the head of the penis.

Infibulation is seen in rock art in Southern Africa.[36][37]

Early Greek infibulation consisted of piercing the foreskin and applying a gold, silver or bronze ring (annulus), a metal clasp (fibula) or pin. This was done for aesthetic reasons. The Greeks also used a nonsurgical form of infibulation by wearing a kynodesme.[38] Infibulation in Romano-Greek culture is attested as early as Aulus Cornelius Celcus (25 BC-50 AD) and as late as Oribasisus (325-405 AD).[39]

In the Victorian era, both in the UK and in the United States, routine infibulation was second only to circumcision in the "war on masturbation" and was used in orphanages and mental institutions, supported by leading physicians.[39][40]

In modern times, male infibulation may be performed for personal preferences or as part of BDSM.

Nullification

Total genital nullification is complete removal of the male genitals.

Pearling

Pearling
Main article: Pearling (body modification)

Pearling or genital beading is a form of body modification, the practice of permanently inserting small beads made of various materials beneath the skin of the genitals—of the labia, or of the shaft or foreskin of the penis. As well as being an aesthetic practice, this is usually intended to enhance the sexual pleasure of partners during vaginal or anal intercourse.

Penectomy

Main articles: Penectomy and Penis removal
Male genital area after partial penectomy

Penectomy involves the partial or total amputation of penis. Sometimes, the removal of the entire penis was done in conjunction with castration, or incorrectly referred to as castration. Removing the penis was often performed on eunuchs and high ranking men who would frequently be in contact with women, such as those belonging to a harem. The Hijra of India may remove their penis as an expression of their gender identity. In the medical field, removal of the penis may be performed for reasons of gangrene or cancer. Penis removal may occur through unintentional genital injury.

In the ulwaluko circumcision ceremony, which is performed by spear, accidental penectomy is a serious risk.[41]

Penis removal for purposes of assault or revenge is overwhelmingly a female-on-male crime, particularly in Thailand. Lorena Bobbit infamously removed her husband's penis in 1993. In some circumstances it may be possible to reattach the penis.

Penile subincision

File:Full subincision.jpg
Penile subincision
Main article: Penile subincision

Penile subincision is a form of genital modification involves a urethrotomy and vertically slitting the underside of the penis from the meatus towards to the base. It is performed by people of many cultures, such as the Indigenous Australians, the Arrente, the Luritja, the Samburu, the Samoans, and the Native Hawaiians. It may also be performed for personal preference. Penile subincision may leave a man with an increased risk of sexually transmitted diseases, issues with fertility (due to lack of control over what direction the sperm goes after ejaculation), and may require a man to sit down while urinating.[42] When the surgery is not performed in a hospital or by a licensed medical professional, complications such as infection, exsanguination, or permanent damage are major concerns.

Penile superincision

Main article: Dorsal slit

A dorsal slit (also known as superincision) is an incision made along the upper length of the foreskin with the intention to expose the glans penis without removing skin or tissue.

The practice appears to have occurred in Ancient Egypt, though not commonly:

A few examples of Old Kingdom [...] statuary present some adult males — usually priests, functionaries, or low-status workers98—as having undergone a vertical slit on the dorsal aspect of the prepuce, although no flesh has been removed.[38]

It may be performed as a part of traditional customs, such as those in the Pacific Islands and the Philippines. In the medical field, it may be performed for as an alternative to circumcision when circumcision is undesired or impractical. It remains a rare surgery and practice overall.


See also

References

  1. ^ "Penises, Piercings and Pleasure".
  2. ^ Cuypere G.; T'Sjoen G.; Beerten R.; Selvaggi G.; Sutter P.; Hoebeke P.; Monstrey S.; Vansteenwegen A.; Rubens R. (2005). "Sexual and physical health after sex reassignment surgery". Archives of Sexual Behavior. 34 (6): 679–690. doi:10.1007/s10508-005-7926-5. PMID 16362252.
  3. ^ Nanda, Serena (1999). Neither Man nor Woman: the Hijras of India (2nd ed.). Belmont, CA: Wadsworth Publishing. ISBN 9780534509033.
  4. ^ ISNA's Amicus Brief on Intersex Genital Surgery The Intersex Society of North America, Dated February 7, 1998
  5. ^ Karen S Vogt, MD, Michael J Bourgeois, MD, Arlan L Rosenbloom, MD, Mary L Windle, PharmD, George. P Chrousos, MD, FAAP, MACP, MACE, FRCP, Merrily P M Poth, MD, Stephen Kemp, MD, PhD Microphallus: Epidemiology Medscape, Updated August 3, 2011
  6. ^ What's ISNA's position on surgery? - The Intersex Society of North America
  7. ^ Gearhart JP, Rock JA (1989). "Total ablation of the penis after circumcision with electrocautery: a method of management and long-term followup". J Urol. 142 (3): 799–801.
  8. ^ "David Reimer, 38, Subject of the John/Joan Case" The New York Times, New York, USA, Published May 12, 2004
  9. ^ "Family Is Awarded $850,000 For Circumcision Accident" The New York Times, New York, USA, Published November 2, 1975
  10. ^ Charles Seabrook. $22.8 million in botched circumcision. Atlanta Constitution, Tuesday, March 12, 1991.
  11. ^ "Penis Reduction Surgery Is No Laughing Matter".
  12. ^ "Prevalence of FGM/C". UNICEF. Retrieved 18 August 2014.
  13. ^ Definition of the World Health Organization
  14. ^ UNICEF 2013, p. 22: "More than 125 million girls and women alive today have been cut in the 29 countries in Africa and the Middle East where FGM/C is concentrated.

    UNICEF 2013, p. 121, n. 62: "This estimate [125 million] is derived from weighted averages of FGM/C prevalence among girls aged 0 to 14 and girls and women aged 15 to 49, using the most recently available DHS, MICS and SHHS data (1997–2012) for the 29 countries where FGM/C is concentrated. The number of girls and women who have been cut was calculated using 2011 demographic figures produced by the UN Population Division ... The number of cut women aged 50 and older is based on FGM/C prevalence in women aged 45 to 49."

  15. ^ P. Stanley Yoder, Shane Khan, "Numbers of women circumcised in Africa: The Production of a Total", USAID, DHS Working Papers, No. 39, March 2008, pp. 13–14: "Infibulation is practiced largely in countries located in northeastern Africa: Djibouti, Eritrea, Ethiopia, Somalia, and Sudan. Survey data are available for Sudan, Eritrea, Ethiopia and Djibouti. Sudan alone accounts for about 3.5 million of the women. ... [T]he estimate of the total number of women infibulated in [Djibouti, Somalia, Eritrea, northern Sudan, Ethiopia, Guinea, Mali, Burkina Faso, Senegal, Chad, Nigeria, Cameroon and Tanzania, for women 15–49 years old] comes to 8,245,449, or just over eight million women." Also see Appendix B, Table 2 ("Types of FGC"), p. 19.

    UNICEF 2013, p. 182, identifies "sewn closed" as most common in Djibouti, Eritrea, Somalia for 15–49 age group (survey in 2000 for Sudan was not included), and for daughters, Djibouti, Eritrea, Niger and Somalia. UNICEF statistical profiles on FGM, showing type of FGM: Djibouti (December 2013), Eritrea (July 2014), Somalia (December 2013).

    Gerry Mackie, "Ending Footbinding and Infibulation: A Convention Account", American Sociological Review, 61(6), December 1996 (pp. 999–1017), p. 1002: "Infibulation, the harshest practice, occurs contiguously in Egyptian Nubia, the Sudan, Eritrea, Djibouti and Somalia, also known as Islamic Northeast Africa."

  16. ^ nthWORD Magazine. "nthWORD Magazine Interview with Liz Canner, filmmaker of Orgasm, Inc". Nthword.com. Retrieved 2010-11-07.
  17. ^ a b c [1], "Rwandan Women View The Elongation Of Their Labia As Positive", retrieved on 2008-06-18
  18. ^ a b c [2], "Enlarging Your Labia", retrieved on 2008-06-22
  19. ^ [3], "Sexual health--a new focus for WHO", page 6, retrieved on 2008-06-19
  20. ^ a b Bourke, Emily (2009-11-12). "Designer vagina craze worries doctors". Australian Broadcasting Corporation. Retrieved 2007-05-29.
  21. ^ Liao, Lih Mei; Sarah M Creighton (2007-05-26). "Requests for cosmetic genitoplasty: how should healthcare providers respond?". BMJ. 334 (7603). British Medical Journal: 1090–1092. doi:10.1136/bmj.39206.422269.BE. PMC 1877941. PMID 17525451. Retrieved 2007-05-29.
  22. ^ The Perfect Vagina Documentary Retrieved 13 February 2011.
  23. ^ Green, Fiona: "From clitoridectomies to 'designer vaginas': The medical construction of heteronormative female bodies and sexuality through female genital cutting." Sexualities, Evolution & Gender 7(2):153-187, 2005.
  24. ^ Essen, B & Johnsdotter, S: "Female Genital Mutilation in the West: Traditional Circumcision versus Genital Cosmetic Surgery". Acta Obstet Gynecol Scand, (83):611-613, 2004.
  25. ^ Braun, Virginia: "In search of (better) sexual pleasure: female genital 'cosmetic' surgery". Sexualities 8(4):407-424, 2005.
  26. ^ Davis, Simone Weil. "Designer Vaginas." Women's Voices, Feminist Visions. Ed. Susan Shaw and Janet Lee. New York: McGraw Hill (2012): 270-77.
  27. ^ Rodrigues Sara. "From Vaginal Exception to Exceptional Vagina: The Biopolitics of Female Genital Cosmetic Surgery". Sexualities. 2012: 778–94.
  28. ^ Gynecological cosmetic surgery: Expert Rev. Obstet. Gynecol. 4(2), 101-104 (2009): "The procedures described under female esthetic genital suergery are reduction labiaplasty, vaginaplasty, liposuction to mons pubis, fat injections to labia majora or mons, clitoral hoodectomy, hymenorrhaphy, 'G-spot amplication', and the use of a surgical laser in 'vaginal rejuvenation'."
  29. ^ Clitorolabial Reconstruction in Circumcised Females with Clitoral Inclusion Cyst: "It is very clear from the Prophet's instruction to perform partial hoodectomy. This hoodectomy or clitoral unhooding is currently considered in the aesthetic literature as cosmetic procedure of the female genitalia."
  30. ^ Obiajulu Nnamuchi (2012). "Circumcision or Mutilation-Voluntary or Forced Excision-Extricating the Ethical and Legal Issues in Female Genital Ritual". JL & Health (25): 85. The appropriate medical nomenclature for FC is "clitoridotomy" or hoodectomy
  31. ^ Alei Giovanni; Monarca Cristiano; Rizzo Maria I.; Letizia Piero; Alei Lavinia; Scuderi Nicolò (2011). "New Approach to Clitoral Phimosis: Hoodplasty". Journal of Gynecologic Surgery. 27 (1): 25–28. doi:10.1089/gyn.2009.0093. Clitoral phimosis is seldom reported. It is treated by hoodectomy or dorsal slit
  32. ^ Svoboda, J. S. (2013). "Circumcision of male infants as a human rights violation". Journal of Medical Ethics. 39 (7): 469–474. doi:10.1136/medethics-2012-101229. ISSN 0306-6800.
  33. ^ Dekkers (June 2009). "Routine (non-religious) neonatal circumcision and bodily integrity: a transatlantic dialogue". Kennedy Institute of Ethics Journal. 19 (2): 125–46. doi:10.1353/ken.0.0279. PMID 19623819.
  34. ^ Fadel, Petrina (Spring 2003). "Respect for Bodily Integrity: A Catholic Perspective on Circumcision in Catholic Hospitals". The American Journal of Bioethics. 3 (2): 1f–3f. doi:10.1162/152651603766436379. PMID 12859800.
  35. ^ "Male circumcision: Global trends and determinants of prevalence, safety and acceptability" (PDF). World Health Organization. 2007. Retrieved 2009-03-04.
  36. ^ Jean-Loïc Le Quellec. "Rock Art Research in Southern Africa 2000–2004". {{cite journal}}: Cite journal requires |journal= (help)
  37. ^ Jalmar and Ione Rudner (1971). The hunter and his art: A survey of rock art in Southern Africa. Cape Town: C. Struick.
  38. ^ a b Hodges FM (2001). "The ideal prepuce in ancient Greece and Rome. male genital aesthetics and their relation to lipodermos, circumcision, foreskin restoration, and the kynodesme". Bull Hist Med. 75: 375–405. doi:10.1353/bhm.2001.0119. PMID 11568485. Hodges draws a strong distinction between the kynodesme and infibulation "Tethering the akroposthion with the kynodesme is frequently confused with preputial infibulation, which had different objectives and was achieved by surgically piercing the prepuce and using the holes so created for the insertion of a metal clasp (fibula) in order to fasten the prepuce shut."
  39. ^ a b D. Schultheiss; J.J. Mattelaer; F.M. Hodges (2003). "Preputial infibulation: from ancient medicine to modern genital piercing". BJU International. 92 (7): 758–763. doi:10.1046/j.1464-410X.2003.04490.x.
  40. ^ The masturbation taboo and the rise of routine male circumcision: A review of the historiography RRJL Darby - Journal of Social History, 2003
  41. ^ Rijken, D.J. (2014). Description of the problems accompanying the ritual of Ulwaluko. Ulwaluko.co.za. Retrieved 2014-03-28.
  42. ^ http://wiki.bme.com/index.php?title=Meatotomy
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