Male to female transsexual. This is a manufactured vagina. A Neovagina.
This is genital origami, the cock cut open, carved and folded, crafted by techniques with names like Penile Inversion, the Suporn Technique, and the Wilson Method. The head of the cock morphs into the neoclit. In some methods the scrotal skin becomes the neovaginal canal.
I don’t know which methods were used in the creation of this particular neovagina, but surely this is art of the highest caliber. Sculpture in flesh tissue and nerve bundles.
Amazing and NSFW.