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And he watched videos of surgeries that gave him a better look at the tissue to see how much of it he could harvest with the same technique. In what has become the standard surgery for a male to female bottom transition, the outside of the penis then becomes the inside of the vagina. The internal artificial vagina IAV usually permits semen sampling, as well as mating ability evaluation among animals. Critics have labeled such surgery as the "designer vagina". Radiological cancer treatment can result in the destruction or alteration of vaginal tissues. Anim Reprod Sci. Nicholas Thompson Nicholas Thompson.

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Evaluation of the influence of some factors for determining the effect of surgical creation of an artificial vagina.

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