Sexual Function After Shallow and Full-Depth Vaginoplasty: Challenges, Clinical Findings, and Treatment Strategies— Urologic Perspectives - 18/06/18

Doi : 10.1016/j.cps.2018.04.002

Maurice M. Garcia, MD, MAS ^a,^b,^c,^⁎
^a Division of Urology, Academic Urology Practice, Cedars-Sinai Medical Center, 8631 West Third Street, Suite 1070 West, Los Angeles, CA 90048, USA
^b Department of Urology, University of California San Francisco, San Francisco, CA, USA
^c Department of Anatomy, University of California San Francisco, San Francisco, CA, USA

^∗Academic Urology Practice, Cedars-Sinai, 8631 West Third Street, Suite 1070 West, Los Angeles, CA, 90048.Academic Urology PracticeCedars-Sinai8631 West Third StreetSuite 1070 WestLos AngelesCA90048

Résumé

This article presents an ordered review of the role of sexual function in discussion and planning before genital gender-affirming surgery and through recovery to initiation of sexual activity after surgery. Strategies are proposed to optimize sexual function postoperatively. Clinical observations are reviewed and genital and surgical anatomy is reviewed to explain the rationale for the treatment strategies proposed. The importance of offering shallow-depth vaginoplasty to all patients is discussed. Lastly, specific strategies to maximize and enhance recovery of erogenous sensation after surgery are focused on.

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Keywords : Transgender, Vaginoplasty, Shallow-depth vaginoplasty, Gender-affirming surgery, Sex reassignment surgery, Gender reassignment surgery, Sexual function, Male to female