there is absolutely NO non-patriarchal, non-misogynist reason to regard this structure as a neo-vagina rather than a second asshole. this structure is EXACTLY as much a vagina as it is an asshole: which is to say that it is neither. if you must, call it a second asshole, because at least thats not misogynist. its still patriarchal though. as if patriarchal medicine could create an actual asshole! it cant.