Gender affirming surgery: Vaginoplasty and clitoroplasty with modified peno-scrotal flap technique

Sexual health after vaginoplasty: A systematic review

“…Of the standardized questionnaires, the Sheffield Prolapse Questionnaire and BISF‐W included questions about frequency of sexual activity 34,106,151 . Of the primary vaginoplasty techniques, PIV showed a higher median percentage of patients engaging in vaginal intercourse than intestinal flap vaginoplasty 29,33,35,36,50,51,68,70,71,74,80,91‐93,95,100,108,109,111,116,127,130,137,140,145,147,149 . Among alternative vaginoplasty techniques (peritoneal flap, amnion graft, and buccal graft), overall observed sexual activity rates were 62.5%, 75%, and 100%, respectively 11,30,101 .…”

“…The FSFI, BISF‐W, and Q‐SF all measure orgasmic ability 31‐36,39‐41,46‐49,52‐56 . Overall percentage of patients who were able to achieve orgasm ranged between 17.4 and 100% (median 79.7%) among patients ( n = 2384) despite revision or primary vaginoplasty techniques 11,29,34,35,43,44,50,51,58,64,65,68,77,80,81,83,89,93,96,97,99‐101,104,108,115,116,118,125,127,138,139,141,144,155,162‐165 . Vaginal orgasm was reported in 2–60% (median 36%) of patients ( n = 748) 18,51,78,86,87,98,100,116,121,125,141,142 .…”

“…46 studies measured or reported on erogenous sensation of post‐surgical genitalia including the vulva, clitoris, anus, or mons pubis 11,13,18,19,30,33,35,44,45,48,51,66,67,70‐103 . General erogenous sensation ranged from 51.4% to 100% (median 97.7%) in 529 patients 11,13,30,74,80,88,89,91,100,101 . Only De Andrade (2013) reported a qualified scale for genital sensibility, receiving a 9.4/10 among 7 patients 75 .…”

“…11,13,18,19,30,33,35,44,45,48,51,66,67, General erogenous sensation ranged from 51.4% to 100% (median 97.7%) in 529 patie nts. 11,13,30,74,80,88,89,91,100,101 Only De Andrade (2013) reported a qualified scale for genital sensibility, receiving a 9.4/10 among 7 patients. 75 The clitoris is the most reported area of erogenous sensation.…”

“…113 Vaginal orgasm was reported in 2-60% (median 36%) of patients (n = 748). 18,51,78,86,87,98,100,116,121,125,141,142 Clitoral orgasm was reported from 48 to 100% (median 83%) of patients (n = 816). 18,31,[70][71][72]86,91,92,147 20% of 5 patients reported their orgasm localized to stimulation of their urethral meatus.…”