Partner satisfaction or changes in partner satisfaction: A retrospective observational study

Area of Science:

• Genital reconstructive surgery
• Sexual health and medicine
• Psychosexual outcomes

Background:

• Genital aesthetic surgeries, including vaginoplasty, are increasingly common for women.
• Limited data exists on the impact of vaginoplasty on male partners' sexual experiences.
• Growing awareness of sexual compatibility drives interest in surgical interventions.

Purpose of the Study:

• To evaluate changes in male partner sexual satisfaction before and after vaginoplasty.
• To assess the impact of vaginoplasty on male sexual function and relationship quality.

Main Methods:

• Retrospective study design with purposive sampling of 47 male partners of women undergoing vaginoplasty.
• Utilized the Male Sexual Health Questionnaire-Ejaculation Disorder (MSHQ-EjD), Golombok-Rust sexual satisfaction scale, and new sexual satisfaction scale (NSSS).
• Data collected preoperatively and postoperatively to compare outcomes.

Main Results:

• No significant differences were observed in male ejaculation function or difficulty (MSHQ-EjD).
• Significant improvements reported in relationship quality subgroups: frequency, communication, touching, satisfaction, impotence, and sexual intercourse quality (Golomobok-Rust scale).
• Reduced scores in avoidance and premature ejaculation were noted postoperatively.

Conclusions:

• Vaginoplasty positively impacts male partners' sexual satisfaction and relationship dynamics.
• The procedure enhances overall sexual experience for partners, despite no direct changes in ejaculation parameters.
• Supports the consideration of vaginoplasty for improving partnered sexual well-being.