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Sexuality after Male-to-Female Gender Affirmation Surgery

Male-to-Female (MtF) gender affirmation surgery (GAS) comprises the creation of a functional and aesthetic perineogenital complex. This study aimed to evaluate the effect of GAS on sexuality. We retrospectively surveyed all 254 MtF transsexual patients who had undergone GAS with penile inversion vag...

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Autores principales: Hess, J., Henkel, A., Bohr, J., Rehme, C., Panic, A., Panic, L., Rossi Neto, R., Hadaschik, B., Hess, Y.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994261/
https://www.ncbi.nlm.nih.gov/pubmed/29977922
http://dx.doi.org/10.1155/2018/9037979
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author Hess, J.
Henkel, A.
Bohr, J.
Rehme, C.
Panic, A.
Panic, L.
Rossi Neto, R.
Hadaschik, B.
Hess, Y.
author_facet Hess, J.
Henkel, A.
Bohr, J.
Rehme, C.
Panic, A.
Panic, L.
Rossi Neto, R.
Hadaschik, B.
Hess, Y.
author_sort Hess, J.
collection PubMed
description Male-to-Female (MtF) gender affirmation surgery (GAS) comprises the creation of a functional and aesthetic perineogenital complex. This study aimed to evaluate the effect of GAS on sexuality. We retrospectively surveyed all 254 MtF transsexual patients who had undergone GAS with penile inversion vaginoplasty at the Department of Urology, University Hospital Essen, Germany, between 2004 and 2010. In total, we received 119 completed questionnaires after a median of 5.05 years since surgery. Of the study participants, 33.7% reported a heterosexual, 37.6% a lesbian, and 22.8% a bisexual orientation related to the self-perceived gender. Of those who had sexual intercourse, 55.8% rated their orgasms to be more intensive than before, with 20.8% who felt no difference. Most patients were satisfied with the sensitivity of the neoclitoris (73.9%) and with the depth of the neovaginal canal (67.1%). The self-estimated pleasure of sexual activity correlated significantly with neoclitoral sensitivity but not with neovaginal depth. There was a significant correlation between the ease with which patients were able to become sexually aroused and their ability to achieve orgasms. In conclusion, orgasms after surgery were experienced more intensely than before in the majority of women in our cohort and neoclitoral sensitivity seems to contribute to enjoyment of sexual activity to a greater extent than neovaginal depth.
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spelling pubmed-59942612018-07-05 Sexuality after Male-to-Female Gender Affirmation Surgery Hess, J. Henkel, A. Bohr, J. Rehme, C. Panic, A. Panic, L. Rossi Neto, R. Hadaschik, B. Hess, Y. Biomed Res Int Research Article Male-to-Female (MtF) gender affirmation surgery (GAS) comprises the creation of a functional and aesthetic perineogenital complex. This study aimed to evaluate the effect of GAS on sexuality. We retrospectively surveyed all 254 MtF transsexual patients who had undergone GAS with penile inversion vaginoplasty at the Department of Urology, University Hospital Essen, Germany, between 2004 and 2010. In total, we received 119 completed questionnaires after a median of 5.05 years since surgery. Of the study participants, 33.7% reported a heterosexual, 37.6% a lesbian, and 22.8% a bisexual orientation related to the self-perceived gender. Of those who had sexual intercourse, 55.8% rated their orgasms to be more intensive than before, with 20.8% who felt no difference. Most patients were satisfied with the sensitivity of the neoclitoris (73.9%) and with the depth of the neovaginal canal (67.1%). The self-estimated pleasure of sexual activity correlated significantly with neoclitoral sensitivity but not with neovaginal depth. There was a significant correlation between the ease with which patients were able to become sexually aroused and their ability to achieve orgasms. In conclusion, orgasms after surgery were experienced more intensely than before in the majority of women in our cohort and neoclitoral sensitivity seems to contribute to enjoyment of sexual activity to a greater extent than neovaginal depth. Hindawi 2018-05-27 /pmc/articles/PMC5994261/ /pubmed/29977922 http://dx.doi.org/10.1155/2018/9037979 Text en Copyright © 2018 J. Hess et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Hess, J.
Henkel, A.
Bohr, J.
Rehme, C.
Panic, A.
Panic, L.
Rossi Neto, R.
Hadaschik, B.
Hess, Y.
Sexuality after Male-to-Female Gender Affirmation Surgery
title Sexuality after Male-to-Female Gender Affirmation Surgery
title_full Sexuality after Male-to-Female Gender Affirmation Surgery
title_fullStr Sexuality after Male-to-Female Gender Affirmation Surgery
title_full_unstemmed Sexuality after Male-to-Female Gender Affirmation Surgery
title_short Sexuality after Male-to-Female Gender Affirmation Surgery
title_sort sexuality after male-to-female gender affirmation surgery
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5994261/
https://www.ncbi.nlm.nih.gov/pubmed/29977922
http://dx.doi.org/10.1155/2018/9037979
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