We performed an in-depth interview to ascertain the psychosocial and functional status in 10 of 22 male-to-female transsexuals who underwent vaginoplasty from May 1985 to December 1988. Followup from 5 to 48 months was available for 14 patients. Our patients comprised a well educated, mostly employed, law abiding group with a low incidence of drug use. Most patients were able to develop strong support systems and showed a marked decrease in suicidal tendencies postoperatively. Functionally, the majority of the patients were able to lubricate the neovagina and have painless intercourse with a potential for orgasm. The cosmetic result was judged to be good, with no patient reporting being discovered of having had a prior operation by the sexual partner. We experienced a 21% rate of vaginal stenosis with 40% of these patients fully functional after a corrective operation.
© 1990 by The American Urological Association Education and Research, Inc.
- Cited byDe Rosa P, Kent M, Regan M and Purohit R (2024) Vaginal Stenosis After Gender-affirming Vaginoplasty: A Systematic ReviewUrology, 10.1016/j.urology.2024.02.005, VOL. 186, (69-74), Online publication date: 1-Apr-2024.Marques I, Cagigal C, Ezzeddine R, Rema J and Cruz F (2023) The Impact of Gender-affirming Surgeries on Suicide-related Outcomes: A Systematic ReviewJournal of Psychosexual Health, 10.1177/26318318231189836, VOL. 5, NO. 3, (134-144), Online publication date: 1-Jul-2023.Pidgeon T, Franchi T, Lo A, Mathew G, Shah H, Iakovou D, Borrelli M, Sohrabi C and Rashid T (2022) Outcome measures reported following feminizing genital gender affirmation surgery for transgender women and gender diverse individuals: A systematic reviewInternational Journal of Transgender Health, 10.1080/26895269.2022.2147117, VOL. 24, NO. 2, (149-173), Online publication date: 3-Apr-2023.Clennon E, Martin L, Fadich S, Zeigen L, Blasdel G, Sineath C and Dy G (2022) Community Engagement and Patient-Centered Implementation of Patient-Reported Outcome Measures (PROMs) in Gender Affirming Surgery: a Systematic ReviewCurrent Sexual Health Reports, 10.1007/s11930-021-00323-6, VOL. 14, NO. 1, (17-29), Online publication date: 1-Mar-2022.Özer M, Toulabi S, Fisher A, T'Sjoen G, Buncamper M, Monstrey S, Bizic M, Djordjevic M, Falcone M, Christopher N, Simon D, Capitán L and Motmans J (2021) ESSM Position Statement “Sexual Wellbeing After Gender Affirming Surgery”Sexual Medicine, 10.1016/j.esxm.2021.100471, VOL. 10, NO. 1, (100471-100471), Online publication date: 1-Feb-2022.Kloer C, Parker A, Blasdel G, Kaplan S, Zhao L and Bluebond‐Langner R (2021) Sexual health after vaginoplasty: A systematic reviewAndrology, 10.1111/andr.13022, VOL. 9, NO. 6, (1744-1764), Online publication date: 1-Nov-2021.Bustos S, Bustos V, Mascaro A, Ciudad P, Forte A, Del Corral G and Manrique O (2021)(2021) Complications and Patient-reported Outcomes in Transfemale Vaginoplasty: An Updated Systematic Review and Meta-analysisPlastic and Reconstructive Surgery - Global Open, 10.1097/GOX.0000000000003510, VOL. 9, NO. 3, (e3510)Manrique O, Adabi K, Martinez-Jorge J, Ciudad P, Nicoli F and Kiranantawat K (2018) Complications and Patient-Reported Outcomes in Male-to-Female Vaginoplasty—Where We Are TodayAnnals of Plastic Surgery, 10.1097/SAP.0000000000001393, VOL. 80, NO. 6, (684-691), Online publication date: 1-Jun-2018.Andréasson M, Georgas K, Elander A and Selvaggi G (2018) Patient-Reported Outcome Measures Used in Gender Confirmation Surgery: A Systematic ReviewPlastic & Reconstructive Surgery, 10.1097/PRS.0000000000004254, VOL. 141, NO. 4, (1026-1039), Online publication date: 1-Apr-2018.Seyed-Forootan K, Karimi H and Seyed-Forootan N (2018) Autologous Fibroblast-Seeded Amnion for Reconstruction of Neo-vagina in Male-to-Female Reassignment SurgeryAesthetic Plastic Surgery, 10.1007/s00266-018-1088-z, VOL. 42, NO. 2, (491-497), Online publication date: 1-Apr-2018.Reed H, Yanes R, Delto J, Omarzai Y and Imperatore K (2015) Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our Experience and Survey of Related ProceduresAesthetic Plastic Surgery, 10.1007/s00266-015-0523-7, VOL. 39, NO. 5, (733-744), Online publication date: 1-Oct-2015.Rossi Neto R, vom Dorp F, Schenck M, Rübben H and Hess J (2012) Operative Geschlechtsangleichung im AlterSurgical gender reassignment in the elderlyDer Urologe, 10.1007/s00120-012-3023-2, VOL. 51, NO. 10, (1414-1418), Online publication date: 1-Oct-2012.Barrett J (2018) Disorders of gender identityAdvances in Psychiatric Treatment, 10.1192/apt.bp.109.007484, VOL. 17, NO. 5, (381-388), Online publication date: 1-Sep-2011.Shridharani S, Magarakis M, Manson P and Rodriguez E (2010) Psychology of Plastic and Reconstructive Surgery: A Systematic Clinical ReviewPlastic and Reconstructive Surgery, 10.1097/PRS.0b013e3181f445ae, VOL. 126, NO. 6, (2243-2251), Online publication date: 1-Dec-2010.Jarolím L, Šedý J, Schmidt M, Jerie J, Bartoníčková K and Chocholatý M (2010) Anatomical implications of sex reassignment surgery in male-to-female transsexualism and follow-up studyCzech Urology, 10.48095/cccu2010008, VOL. 14, NO. 1, (55-63), Online publication date: 1-Jan-2010.Klein C and Gorzalka B (2009) Continuing Medical Education: Sexual Functioning in Transsexuals Following Hormone Therapy and Genital Surgery: A Review (CME)The Journal of Sexual Medicine, 10.1111/j.1743-6109.2009.01370.x, VOL. 6, NO. 11, (2922-2939), Online publication date: 1-Nov-2009.Baranyi A, Piber D and Rothenhäusler H (2009) Mann-zu-Frau-Transsexualismus. Ergebnisse geschlechtsangleichender Operationen in einer biopsychosozialen PerspektiveMale-to-female transsexualism. Sex reassignment surgery from a biopsychosocial perspectiveWiener Medizinische Wochenschrift, 10.1007/s10354-009-0693-5, VOL. 159, NO. 21-22, (548-557), Online publication date: 1-Nov-2009.Jarolím L, Šedý J, Schmidt M, Naňka O, Foltán R and Kawaciuk I (2009) Gender Reassignment Surgery in Male-to-Female Transsexualism: A Retrospective 3-Month Follow-Up Study with Anatomical RemarksThe Journal of Sexual Medicine, 10.1111/j.1743-6109.2009.01245.x, VOL. 6, NO. 6, (1635-1644), Online publication date: 1-Jun-2009.Sutcliffe P, Dixon S, Akehurst R, Wilkinson A, Shippam A, White S, Richards R and Caddy C (2009) Evaluation of surgical procedures for sex reassignment: a systematic reviewJournal of Plastic, Reconstructive & Aesthetic Surgery, 10.1016/j.bjps.2007.12.009, VOL. 62, NO. 3, (294-306), Online publication date: 1-Mar-2009.Toyosaka A, Murata N, Mishima Y, Andoh T, Ohmuro S, Seki Y and Kanehiro H (2009) A Case of Ultra-High Rectovaginal Fistula after Sex Reassignment SurgeryThe Japanese Journal of Gastroenterological Surgery, 10.5833/jjgs.42.417, VOL. 42, NO. 4, (417-423), .Barrett J (2008) Disorders of gender identity Cambridge Textbook of Effective Treatments in Psychiatry, 10.1017/CBO9780511544392.048, (710-718)Goddard J, Vickery R, Qureshi A, Summerton D, Khoosal D and Terry T (2007) Feminizing genitoplasty in adult transsexuals: early and long‐term surgical resultsBJU International, 10.1111/j.1464-410X.2007.07017.x, VOL. 100, NO. 3, (607-613), Online publication date: 1-Sep-2007.Selvaggi G, Monstrey S, Ceulemans P, T'Sjoen G, De Cuypere G and Hoebeke P (2007) Genital Sensitivity After Sex Reassignment Surgery in Transsexual PatientsAnnals of Plastic Surgery, 10.1097/01.sap.0000238428.91834.be, VOL. 58, NO. 4, (427-433), Online publication date: 1-Apr-2007.Gijs L and Brewaeys A (2012) Surgical Treatment of Gender Dysphoria in Adults and Adolescents: Recent Developments, Effectiveness, and ChallengesAnnual Review of Sex Research, 10.1080/10532528.2007.10559851, VOL. 18, NO. 1, (178-224), Online publication date: 1-Mar-2007.Lawrence A (2006) Patient-Reported Complications and Functional Outcomes of Male-to-Female Sex Reassignment SurgeryArchives of Sexual Behavior, 10.1007/s10508-006-9104-9, VOL. 35, NO. 6, (717-727), Online publication date: 1-Dec-2006.(2006) Bibliographie Les troubles de l'identité sexuée, 10.3917/arco.miche.2006.01.0123, (123-127), Online publication date: 11-Apr-2006.Loue S Defining Sex, Gender, and Sexual Orientation Assessing Race, Ethnicity and Gender in Health, 10.1007/978-0-387-32462-3_4, (54-85)Lawrence A (2005) Sexuality Before and After Male-to-Female Sex Reassignment SurgeryArchives of Sexual Behavior, 10.1007/s10508-005-1793-y, VOL. 34, NO. 2, (147-166), Online publication date: 1-Apr-2005.Hoebeke P, Selvaggi G, Ceulemans P, Cuypere G, T'Sjoen G, Weyers S, Decaestecker K and Monstrey S (2005) Impact of Sex Reassignment Surgery on Lower Urinary Tract FunctionEuropean Urology, 10.1016/j.eururo.2004.10.008, VOL. 47, NO. 3, (398-402), Online publication date: 1-Mar-2005.Fang R, Chen T and Chen T (2003) Anatomic Study of Vaginal Width in Male-to-Female Transsexual SurgeryPlastic and Reconstructive Surgery, 10.1097/01.PRS.0000070946.57378.BB, VOL. 112, NO. 2, (511-514), Online publication date: 1-Aug-2003.Michel A, Ansseau M, Legros J, Pitchot W and Mormont y (2020) Los transexuales: ¿qué deparará el futuro?European psychiatry (Ed. Española), 10.1017/S1134066500006640, VOL. 10, NO. 2, (96-106), Online publication date: 1-Mar-2003.Michel A, Ansseau M, Legros J, Pitchot W and Mormont C (2020) The transsexual: what about the future?European Psychiatry, 10.1016/S0924-9338(02)00703-4, VOL. 17, NO. 6, (353-362), Online publication date: 1-Oct-2002.Sex, Gender, and Sexual Orientation Gender, Ethnicity, and Health Research, 10.1007/0-306-47569-3_5, (59-66)Michel A (2001) Le transsexuel : quel devenir ?Annales Médico-psychologiques, revue psychiatrique, 10.1016/S0003-4487(01)00071-3, VOL. 159, NO. 5, (347-358), Online publication date: 1-Jun-2001.Schroder M and Carroll R (2015) New Women: Sexological Outcomes of Male-to-Female Gender Reassignment SurgeryJournal of Sex Education and Therapy, 10.1080/01614576.1999.11074293, VOL. 24, NO. 3, (137-146), Online publication date: 1-Sep-1999.REHMAN J and MELMAN A (1999) FORMATION OF NEOCLITORIS FROM GLANS PENIS BY REDUCTION GLANSPLASTY WITH PRESERVATION OF NEUROVASCULAR BUNDLE IN MALE-TO-FEMALE GENDER SURGERYThe Journal of Urology, 10.1097/00005392-199901000-00057, (200-206), Online publication date: 1-Jan-1999.REHMAN J and MELMAN A (2018) FORMATION OF NEOCLITORIS FROM GLANS PENIS BY REDUCTION GLANSPLASTY WITH PRESERVATION OF NEUROVASCULAR BUNDLE IN MALE-TO-FEMALE GENDER SURGERY: FUNCTIONAL AND COSMETIC OUTCOMEJournal of Urology, VOL. 161, NO. 1, (200-206), Online publication date: 1-Jan-1999.Biçer Ü, Çolak B, Bilgili M and Dinçmen K (1996) Transseksüalite mi Homoseksüalite mi Olgu BildirisiThe Bulletin of Legal Medicine, 10.17986/blm.199612139, VOL. 1, NO. 2, (89-93)
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