Male-to-Female Sex Reassignment Surgery using the Combined Vaginoplasty Technique: Satisfaction of Transgender Patients with Aesthetic, Functional, and Sexual Outcomes

Abstract

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Sexual health after vaginoplasty: A systematic review

“…41 Self-lubrication satisfaction ratings ranged from 33% to 67%. 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.…”

Patient reported outcome measures and quality of life assessment in genital gender confirming surgery

“…It has undergone some limited validation for use in transgender women after vaginoplasty, but it is not completely validated for any purpose. Additionally, some literature uses simple 10-point Likert scales to measure overall sexual satisfaction (37,38). A simple question such as "On a scale of 1-10, how satisfied are you with your genital function?"…”

“…They mostly ask individuals to rate how masculine or feminine they feel, or how satisfied they are with their masculinity or femininity. One study of 49 transgender women found that individuals felt more feminine after vaginoplasty than before (from 7.6 to 9.01 out of 10, P<0.01) (38). One study of 21 transgender men found no significant change in satisfaction with masculinity following phalloplasty, although it should be noted that they reported feeling very satisfied with their masculinity even before surgery (1.6 out of 5, 1 is most satisfied) (26).…”

Spectrum of imaging findings in gender-affirming genital surgery: Intraoperative photographs, normal post-operative anatomy, and common complications

“…An important role of health care providers is using correct terminology (Table 1) and being aware of the unique health care challenges transgender patients face. Gender-affirming surgery is becoming more common and has been shown to improve quality of life [2,6]. Given the diversity of identities and surgical priorities of patients, surgical interventions are tailored to the unique needs of the patient.…”