Neoclitoral location may affect sexual function in transgender women: a preliminary pelvic MRI study.

Autor: Vedovo F; Urologic Clinic, Department of Medical, Surgical and Health Science, University of Trieste, Trieste, Italy. francesca.vedovo@gmail.com., Pavan N; Urologic Clinic, Department of Medical, Surgical and Health Science, University of Trieste, Trieste, Italy., Bertolotto M; Department of Radiology, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy., Giangreco M; Institute for Maternal and Child Health-IRCCS 'BurloGarofolo', Trieste, Italy., Chiapparrone G; Urologic Clinic, Department of Medical, Surgical and Health Science, University of Trieste, Trieste, Italy., Ongaro L; Urologic Clinic, Department of Medical, Surgical and Health Science, University of Trieste, Trieste, Italy., Currò F; Department of Radiology, Azienda Sanitaria Universitaria Giuliano Isontina, Trieste, Italy., Liguori G; Urologic Clinic, Department of Medical, Surgical and Health Science, University of Trieste, Trieste, Italy., Barbone F; Institute for Maternal and Child Health-IRCCS 'BurloGarofolo', Trieste, Italy.; University of Udine, Medical Area, Udine, Italy., Trombetta C; Urologic Clinic, Department of Medical, Surgical and Health Science, University of Trieste, Trieste, Italy.
Jazyk: angličtina
Zdroj: International journal of impotence research [Int J Impot Res] 2024 Aug; Vol. 36 (5), pp. 526-530. Date of Electronic Publication: 2023 May 13.
DOI: 10.1038/s41443-023-00716-2
Abstrakt: Assigned female at birth with anorgasmia possess a smaller clitoral glans and clitoral components farther from the vagina lumen than women with normal orgasmic function. There are no studies evaluating this correlation in operated transgender women. We evaluated whether differences in MRI measurements of neoclitoris volume and distance between the neoclitoris and the neovagina were correlated with differences in sexual function. We recruited for a prospective survey study 40 operated male to female patients (oMtF) who had undergone genital gender affirming surgery and postoperative pelvic MRI. Individual pelvic MRIs were reviewed by two blinded investigators, the three axes of the neoclitoris were measured and the volume was calculated using the ellipsoid formula. The distance between the neoclitoris and the neovagina was also measured. Sexual functioning was assessed using the Female Sexual Function Index (FSFI) and the operated Male to Female Sexual Function Index (oMtFSFI). Mean scores differences in FSFI, oMtFSFI were examined; associations with clitoral size, location, sexual functioning and demographical variables were investigated as well. The response rate was 55%, 11 MtFs operated with pubic neoclitoris technique (PNT) and 11 with neo-urethroclitoroplasty according to Petrović (NCP). The NCP group presented a neoclitoris mean volume of 1.04 (SD 0.39) cc vs 1.31 (SD 0.78) cc of the other group (p = 0.55). The mean distance between neoclitoris and neovagina was 4.20 (SD 0.57) cm in the PNT group and 2.55 (SD 0.45) in the NCP group (p < 0.001). Patients who had undergone NCP achieved a higher FSFI and oMtFSFI mean Total Score than those operated with the previous technique (FSFI 25.81 SD 3.02 vs 18.62 SD 9.92 p = 0.08; oMtFSFI 37.63 SD 8.28 vs 43.36 SD 13.02 p = 0.23). According to pelvic MRI measurements, this study suggests a correlation between neoclitoral location and oMtF sexual satisfaction.
(© 2023. The Author(s), under exclusive licence to Springer Nature Limited.)
Databáze: MEDLINE
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