Long‐Term Psychosexual and Anatomical Outcome after Vaginal Dilation or Vaginoplasty: A Comparative Study

Callens, Nina; Cuypere, Griet De; Wolffenbuttel, Katja P.; Beerendonk, C.C.M.; Zwan, Yvonne G. van der; Berg, M van den; Monstrey, Stan; Kuyk, Maaike E. Van; Sutter, Petra De; Dessens, Arianne B.; Cools, Martine

doi:10.1111/j.1743-6109.2012.02747.x

Cited by 58 publications

(61 citation statements)

References 38 publications

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“…The effect of treatment depends on the selected technique (dilatation or surgery), the surgeon's experience, the patient's motivation and approach to sex, the partner's attitude, the interval from diagnosis to therapy, postoperative rehabilitation, and primarily psychological support. The management and comparison of various techniques are not the subject of this study, because these have been summarized in other articles 36, 37. Despite the recommendation for treatment in MRKHS, there is no consensus on the best technique 38 .…”

Section: Discussionmentioning

confidence: 99%

Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty

et al. 2017

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IntroductionAdequate anatomic and physiologic functions of the genitalia are fundamental prerequisites for sexual well-being and reproduction. Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) compromises female sexual life and makes reproduction impossible.AimTo assess the psychosexual effect of vaginal reconstruction using the laparoscopic Vecchietti technique in patients with MRKHS.MethodsForty-two patients with MRKHS who underwent laparoscopic Vecchietti vaginoplasty were included. Their partners also were interviewed. A control group of 45 age-matched, childless, sexually active women were examined during the same period.Main Outcome MeasuresA gynecologic examination was performed to determine the anatomic outcome. Psychosexual function was evaluated with the Female Sexual Distress Scale–Revised (FSDS-R), the Female Sexual Function Index (FSFI), and a semistructured interview. Genital self-image was evaluated using the Female Genital Self-Image Scale (FGSIS).ResultsAverage neovagina length (7.0 ± 9.6 cm) in the MRKHS group was significantly shorter than the vaginal length in the control group (9.3 ± 2.5 cm). Women with a neovagina reported satisfactory sexual function (FSFI score = 29 ± 2.7) that was not significantly different from the control group (P < .05); however, they also had significantly higher levels of distress (FSDS-R score = 14.5 ± 6.5) and were not satisfied with their genitals (FGSIS score = 22.0 ± 2.4) compared with the control group.ConclusionSexual function in women with MRKHS can be restored successfully by vaginoplasty; however, they have higher rates of distress and are less satisfied with their genitals.Pastor Z, Fronĕk J, Nováčková M, Chmel R. Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty. Sex Med 2017;5:e106–e113.

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Section: Discussionmentioning

confidence: 99%

Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty

et al. 2017

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“…Neovaginoplasty is of great value for the psychological well-being of transgender and biological women with absence of a functional vagina. 1 Different techniques exist for this procedure such as the penile-skin inversion technique, use of nongenital skin grafts, and interposition of a bowel segment. Each technique and graft type has its own advantages; however, the risk of short-term (infection, flap necrosis, neovaginal abscesses, fistulas) and long-term (stenosis, prolapse, urethral meatus stenosis) complications exists in every technique.…”

Section: Resultsmentioning

confidence: 99%

“…Surgical trauma is a well-known cause of rectovaginal fistula formation, and we hypothesize that this is also the case after vaginoplasty. 1 In penile-skin inversion vaginoplasty, near total resection of the corpus spongiosum is performed. This is important, because erectile tissue remnants may cause neovaginal narrowing, which has an adverse effect on sexual functioning.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics and Management of Neovaginal Fistulas After Vaginoplasty in Transgender Women

Sluis

Bouman

Buncamper

et al. 2016

Obstetrics &Amp; Gynecology

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Neovaginal fistulas are uncommon after vaginoplasty. Symptoms of neovaginal fistulas are comparable with those of vaginal fistulas. In most patients, the diagnosis can be made based on symptoms and physical examination alone. It seems that a complicated course (eg, intraoperative rectal perforation or meatal stenosis) predisposes for fistula formation. Surgical repair of neovaginal fistulas is associated with few intraoperative and postoperative complications and does not seem to impair neovaginal function.

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“…12,13 For these patients, it is tremendously important to be able to restore vaginal function and appearance. To date, no consensus exists which (non-)surgical technique is most appropriate; providing the best functional and esthetic outcome with the least complications and/or disadvantages.…”

Section: Discussionmentioning

confidence: 99%

Total Laparoscopic Colocolpopoiesis in a Kidney Transplant Recipient With Frasier Syndrome

Bouman

Sluis

Nurmohamed

et al. 2016

Female Pelvic Medicine &Amp; Reconstructive Surgery

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Long‐Term Psychosexual and Anatomical Outcome after Vaginal Dilation or Vaginoplasty: A Comparative Study

Cited by 58 publications

References 38 publications

Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty

Sexual Life of Women With Mayer-Rokitansky-Küster-Hauser Syndrome After Laparoscopic Vecchietti Vaginoplasty

Clinical Characteristics and Management of Neovaginal Fistulas After Vaginoplasty in Transgender Women

Total Laparoscopic Colocolpopoiesis in a Kidney Transplant Recipient With Frasier Syndrome

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