Improved sexuality and satisfactory lubrication after genital affirmation surgery using penile skin inversion in transgender women: A satisfaction study.

Autor: Litrico L; Department of Plastic Surgery, Sorbonne University, Paris, France; Institut national de la santé et de la recherche médicale 1148, Laboratoire de recherche vasculaire translationnelle, Bichat Hospital, Paris City University, France. Electronic address: lorraine.litrico@aphp.fr., Van Dieren L; Faculty of Medicine and Health Sciences, University of Antwerp, Wilrijk, Belgium., Cetrulo CL Jr; Vascularized Composite Allotransplantation Laboratory, Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America; Plastic and reconstructive surgery department, Massachusetts General Hospital, Boston, MA, United States of America; Department of Plastic Surgery, Shriners Hospital for Children, Boston, MA, United States of America., Atlan M; Department of Plastic Surgery, Sorbonne University, Paris, France., Lellouch AG; Vascularized Composite Allotransplantation Laboratory, Center for Transplantation Sciences, Massachusetts General Hospital, Harvard Medical School, Boston, MA, United States of America; Plastic and reconstructive surgery department, Massachusetts General Hospital, Boston, MA, United States of America; Department of Plastic Surgery, Shriners Hospital for Children, Boston, MA, United States of America; Department of Plastic, Reconstructive and Aesthetic Surgery, European Georges Pompidou Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France., Cristofari S; Department of Plastic Surgery, Sorbonne University, Paris, France; Institut national de la santé et de la recherche médicale 1148, Laboratoire de recherche vasculaire translationnelle, Bichat Hospital, Paris City University, France.
Jazyk: angličtina
Zdroj: Journal of plastic, reconstructive & aesthetic surgery : JPRAS [J Plast Reconstr Aesthet Surg] 2023 Nov; Vol. 86, pp. 8-14. Date of Electronic Publication: 2023 Aug 11.
DOI: 10.1016/j.bjps.2023.07.024
Abstrakt: Introduction: Genital affirmation surgery (GAS) requests are consistently increasing in demand. The gold standard is penile skin inversion, using cutaneous grafting for neovagina creation. The aim is to achieve the most realistic results both physically and functionally. Different studies have contradictory results, and the use of lubrication is insufficiently clear, while the use of sigmoidoplasty has been defended for constant lubrication.
Aims: Our aim was to evaluate transgender women's sexual function and lubrication after vaginoplasty by penile skin inversion.
Methods: We performed a prospective study on 45 patients who underwent primary penile inversion vaginoplasty. Participants answered two questionnaires during the follow-up consultation: the Female Sexual Function Index (FSFI) and an 18-item custom questionnaire.
Results: The average FSFI score of our patients was 28.9, up to the cut-off defining a sexual disorder. Compared to the Wylomanski control group, no differences were found for the FSFI score and in the subgroups. Considering lubrication, 69% of the patients were satisfied or very satisfied with their lubrication. Furthermore, 53% reported a fluid release at each orgasm.
Conclusion: This study reported high satisfaction for both sexuality and lubrication, proning against penile inversion's GAS bad reputation concerning postoperative lubrication. A squirting effect was described for the first time and was present in 53% of our transpatients.
Competing Interests: Declaration of Competing Interest The authors have no conflict of interest to declare.
(Copyright © 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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