Morphological spectrum of neovaginitis in autologous sigmoid transplant patients

Abstract

Acute and chronic inflammation of the sigmoid-derived neovagina was commonly observed and consistent with a proposed diagnosis of diversion neovaginitis. Neovaginal discharge correlates with this histopathological entity.

ESSM Position Statement “Sexual Wellbeing After Gender Affirming Surgery”

“…Sexual arousal was possible, orgasm could be reached through neo-clitoral stimulation. Mean rating for neovaginal functionality was 7.3 (SD 1.8; 1–10 scale), appearance was 7.4 (SD 1.9) van der Sluis et al 2016, Morphological spectrum 133 Outcome measures 4 26 AMAB 19–52 Sexual activity (type of activity), sexual preference, lubricant use, condom use, vaginal symptoms (discharge, odour, pain) Self-developed questionnaire, clinical examination (biopsies, vaginal swabs) 8 (31%) reported discharge, 4 (15%), 1 (4%) reported tenesmus, 4 (15%) neovaginal pain (3 of which during deep penetration). Wagner et al 2010, Male-to-female 134 Outcome measures 4 50 AMAB 25–52 Satisfaction with vaginal dimensions, orgasm, intercourse, pain during sex Self-developed questionnaire 35 (70%) had achieved clitoral orgasm, 42 (84%) had regular intercourse (2 of which reported pain during intercourse).…”

“…Sixty-one studies reported outcomes on sexual wellbeing following vaginoplasty, available in Table 2. 55 , 79 , 80 , 81 , 84 , 85 , 87 , 88 , 89 , 90 , 91 , 92 , 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 , 104 , 105 , 106 , 107 , 108 , 109 , 110 , 111 , 112 , 113 , 114 , 115 , 116 , 117 , 118 , 119 , 120 , 121 , 122 , 123 , 124 , 125 , 126 , 127 , 128 , 129 , 130 , 131 , 132 , 133 , 134 , 135 , 136 , 137 , 138 ...…”