2021
DOI: 10.1111/andr.13022
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Sexual health after vaginoplasty: A systematic review

Abstract: Background: Vaginoplasty is a gender-affirming procedure for transgender and gender diverse (TGD) patients who experience gender incongruence. This procedure reduces mental health concerns and enhances patients' quality of life. A systematic review investigating the sexual health outcomes of vaginoplasty has not been performed. Objectives:To investigate sexual health after gender-affirming vaginoplasty for TGD patients.

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Cited by 17 publications
(11 citation statements)
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References 163 publications
(1,420 reference statements)
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“…While complications may occur, most are self-limited or can be treated with minor interventions (Hontscharuk, Alba, Hamidian Jahromi et al., 2021 ). Minor complications include issues such as the formation of granulation tissue, intravaginal hair growth, delayed wound healing or wound disruption (or both), aesthetic concerns, and introital stenosis (Ferrando, 2020 ; Kloer et al., 2021 ). While these complications are usually self-limited, they may impact patient well-being after surgery.…”
Section: Chapter 13 Surgery and Postoperative Carementioning
confidence: 99%
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“…While complications may occur, most are self-limited or can be treated with minor interventions (Hontscharuk, Alba, Hamidian Jahromi et al., 2021 ). Minor complications include issues such as the formation of granulation tissue, intravaginal hair growth, delayed wound healing or wound disruption (or both), aesthetic concerns, and introital stenosis (Ferrando, 2020 ; Kloer et al., 2021 ). While these complications are usually self-limited, they may impact patient well-being after surgery.…”
Section: Chapter 13 Surgery and Postoperative Carementioning
confidence: 99%
“…Scientific attention to the sexual experiences and behaviors of TGD people has grown in recent years (Gieles et al., 2022 ; Holmberg et al., 2019 ; Klein & Gorzalka, 2009 ; Kloer et al., 2021 ; Mattawanon et al., 2021 ; Stephenson et al., 2017 ; Tirapegui et al., 2020 ; Thurston & Allan, 2018 ). This expansion within the literature reflects a sex-positive framework (Harden, 2014 ), a framework that recognizes both the positive aspects such as sexual pleasure (Laan et al., 2021 ) and potential risks associated with sexuality (Goldhammer et al., 2022 ; Mujugira et al., 2021 ).…”
Section: Chapter 17 Sexual Healthmentioning
confidence: 99%
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“…Complication-and outcome-reports are sparse and reviews compare at best two techniques 19,20 and lack meta-analyses. [21][22][23] Initially, male pronounces were applied and surgery aimed for genitalia removal without new partner awareness of previous sex, but today female identity is recognized, with emphasis on aesthetics and functionality. The neovagina requires to be hairless, moist and minimally 11 cm deep and 3 cm wide, with labia minora, majora and a sensate clitoris.…”
Section: Vaginoplasty -Gender Dysphoriamentioning
confidence: 99%
“…Kloer et al. conducted a systematic review of sexual health following vaginoplasty 12 . They found median rates of 81% for general sexual satisfaction and 80% for ability to achieve orgasm postoperatively.…”
mentioning
confidence: 99%