015 Patient Reported Outcomes of a Robotic-Assisted Double-Skin Flap Vaginoplasty Technique for Gender Affirmation

Sexual health after vaginoplasty: A systematic review

“…36 studies presented outcomes on self-lubrication, secretions, and ejacu lations. [31][32][33]35,36,[39][40][41][42][43][44][46][47][48][49][50][51][52][53][54][55][56]58,73,75,83,85,91,102,104,108,116,118,141,142,152 FSFI and Q -SF measured lubrication in 18 studies. [31][32][33]35,36,[39][40][41][46][47][48][49][52][53][54][55]…”

“…28 studies showed outcomes of arousal. [31][32][33][34][35][36][39][40][41][42][43][46][47][48][49][50][51][52][53][54][55][56][63][64][65][66][67][68][69] Arousal encompassed "urge" and any measurable physiological changes reported during arousal. 18 studies encompassed arousal within a standardized questionnaire (FSFI, BISF-W, Q-SF).…”

“…49,75,102 WHOQ OL-100, and Q-SF. 25,[31][32][33][34][35][36][37][38][39][40][41][46][47][48][49][53][54][55][56][59][60][61]106 Of the studies with the highest levels of evidence (1b, prospective-cohort studies), Lothstein (1980) and Zavlin et al (2018) showed that the majority of patients following vaginoplasty experienced improved sex lives and satisfaction with intercourse. 45,102 3.8.1 | Post-operative PIV Between 64 and 98% (median 81%) of 353 patients postoperative primary PIV were satisfied with their general sexual satisfaction.…”

“…FSFI was the most commonly used validated questionnaire (17 studies) [31][32][33]35,36,39,41,[46][47][48][49][52][53][54][55][56]73. …”

“…The two studies with mean scores greater than 26.55, included Manriqueet al (2018) and Phelps et al (2020) with scores of 28.6 and 27.7, respectively. 46,48 Manrique et al (2018) described a pedicled transverse colon flap technique, while Phelps et al (2020) presented a double-skin flap technique 46,48.…”