Hello, Are you aware that cis women cannot become constipated? Cis women are able to insert a finger into their vagina to digitally manipulate impacted faeces and clear their rectal cavity. As I am sure everyone will experience occasionally in their lifetime, constipation can degrade quality of life; women's ability, therefore, to be able to manually extricate impacted shit out of their own arseholes is a major benefit for the fairer sex. My question is: does the latest cutting edge Indian sex reassignment surgeries allow trans women to manually evacuate impacted excrement from their rectum? Is digital manipulation of impacted shit accumulated in the anus of a transwoman through the artificial vaginal opening a high priority to medical researchers? And does manual shit extraction tilt you toward one procedure over another?