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Sexuality after Male-to-Female Gender Affirmation Surgery.
1Department of Urology, University Hospital Essen, University Duisburg-Essen, Germany.
Biomed Research International
|July 7, 2018
Summary
Male-to-Female gender affirmation surgery (GAS) enhances sexual experiences for many. Post-surgery, most patients report more intense orgasms and satisfaction with neoclitoral sensitivity, contributing to sexual enjoyment.
Area of Science:
- Urology
- Gender-affirming care
- Sexual health
Background:
- Male-to-Female (MtF) gender affirmation surgery (GAS) creates a functional and aesthetic perineogenital complex.
- Evaluating the impact of GAS on patient sexuality is crucial for comprehensive care.
Purpose of the Study:
- To assess the effect of GAS, specifically penile inversion vaginoplasty, on the sexuality of MtF patients.
- To correlate surgical outcomes with sexual satisfaction and function.
Main Methods:
- Retrospective survey of 254 MtF patients who underwent GAS between 2004-2010.
- 119 completed questionnaires analyzed after a median of 5.05 years post-surgery.
Main Results:
- 55.8% reported more intensive orgasms post-surgery; 73.9% satisfied with neoclitoral sensitivity.
- Sexual pleasure correlated with neoclitoral sensitivity, not neovaginal depth.
- Arousal ease correlated significantly with orgasm achievement.
Conclusions:
- GAS, particularly penile inversion vaginoplasty, often leads to enhanced sexual experiences and more intense orgasms.
- Neoclitoral sensitivity is a key factor in sexual enjoyment after MtF GAS.
- Patient satisfaction is high regarding neoclitoral sensitivity and neovaginal depth.
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