Gender Dysphoria Vaginoplasty Sexuality
Conditions
Keywords
Genital gender affirming surgery, Gender dysphoria, Transwomen, Vaginoplasty, Sexuality, Satisfaction
Brief summary
Genital feminine affirming surgery may be an important step for transgender women. Vaginoplasty consists in the creation of external female genitalia and an operational vaginal cavity, and thus responds to major functional and aesthetic issues. Different techniques are available: inversion of penile skin flap for creation of the vulva. The vaginal cavity may come from scrotal skin graft, sigmoid segment, small intestine, or peritoneal flap. Vaginoplasty has a major place in the the transgender woman pathway, but the specific evaluation of long-term sexuality has not been explored so far. Multicentric (Lyon, FR - Lille, FR - Limoges, FR), prospective, observational study Patients who underwent vaginoplasty or revision vaginoplasty. Main objective: To assess sexuality after sex reassignment surgery in transgender women.
Interventions
OTHERValidated and non-validated questionnaire for exploration of sexuality and satisfaction after surgical procedure
Validated questionnaire : Female Sexual Function Index (FSFI), Female Genital Self-Imaging Scale (FGSIS), Body Image Scale (BIS), Non-validated questionnaire exploring post-surgery satisfaction, self-esteem scale, sexology.
Sponsors
Hospices Civils de Lyon
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* \> 18 years old * Underwent vaginoplasty or revision in Lyon South Hospital, Lille University Hospital, Limoges University Hospital, between January 2007 and December 2019 * Penile inversion vaginoplasty with scrotal skin graft
Exclusion criteria
* \< 18 years old * Vaginoplasty other than scrotal skin graft : intestinal segment or peritoneal flap
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| evaluation of FSFI : Female Sexual Function Index | At inclusion | specific questionnaire scale |
| evaluation of FGSIS : Female Genital Self Imaging Scale | At inclusion | specific questionnaire scale |
| evaluation of BIS : Body Image Scale | At inclusion | specific questionnaire scale |
| evaluation of Rosenberg Self-esteem scale | At inclusion | specific questionnaire scale |
Countries
France
Outcome results
None listed