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Multiple techniques exist for phalloplasty, but all of the techniques involve taking a graft of tissue from a donor site. Most, but not all, involve extending the urethra. With phalloplasty, scrotoplasty can be performed using the labia majora (vulva) to form a scrotum where prosthetic testicles can be inserted. If vaginectomy, hysterectomy and/or oophorectomy have not been performed, they can be done at the same time. Multiple erectile device strategies exist, some using pump inflation, others a bendable rod. (source: Wikipedia)