Nullification

Nullification removes external genitalia while preserving a urethral opening and anal opening.

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If the patient was born with a penis, the penis will be removed in addition to both testicles and the scrotum.  The penile/clitoral nerves can be preserved under the skin or they can be removed, depending on the patient's goals.  The urethra is shortened to the base of the pre-existing penis.

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If the patient was born with a vagina, the vagina will be removed in addition to the clitoris and labia.  The skin edges will meet at the original urethral opening.​

Day of Surgery

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Nullification performed by Dr. Bonnington involving removal of penis and scrotum (orcheictomy performed previously), clitoral nerves preserved under the skin.