Tactile and erogenous sensitivity in reconstructed genitals is one of the goals in sex reassignment surgery. Since November 1993 until April 2003, a total of 105 phalloplasties with the radial forearm free flap and 127 vaginoclitoridoplasties with the inverted penoscrotal skin flap and the dorsal glans pedicled flap have been performed at Ghent University Hospital. The specific surgical tricks used to preserve genital and tactile sensitivity are presented. In phalloplasty, the dorsal hood of the clitoris is incorporated into the neoscrotum; the clitoris is transposed, buried, and fixed directly below the reconstructed phallic shaft; and the medial and lateral antebrachial nerves are coapted to the inguinal nerve and to one of the 2 dorsal nerves of the clitoris. In vaginoplasty, the clitoris is reconstructed from a part of the glans penis inclusive of a part of the corona, the inner side of the prepuce is used to reconstruct the labia minora, and the penile shaft is inverted to line the vaginal cavity.
Deadnaming occurs when someone, intentionally or not, refers to a person who’s transgender by the name they used before they transitioned. You may also hear it described as referring to someone by their “birth name” or their “given name.”
Twitter now prohibits misgendering or “deadnaming” transgender people, alongside other harassment and abuse tactics. It’s part of a more general rewording of the hateful conduct policy, which now emphasizes the fact that certain groups — including transgender people — are disproportionately targeted with abuse.The hateful conduct policy previously banned “repeated and/or non-consensual slurs, epithets, racist and sexist tropes, or other content that degrades someone.” The new policy specifies that “this includes targeted misgendering or deadnaming of transgender individuals” — i.e., deliberately referring to a transgender person with the wrong pronouns or using their pre-transition name.