Male-to-Female Sex Reassignment Surgery using the Combined Vaginoplasty Technique: Satisfaction of Transgender Patients with Aesthetic, Functional, and Sexual Outcomes
Background Currently available patient-reported outcome measures are limited in the field of sex reassignment surgery (SRS). Standardized questionnaires deliver high evidence data on satisfaction of male-to-female (MTF) transgender patients but do not allow any modification in their clinical applica...
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| Veröffentlicht in: | Aesthetic plastic surgery 2018-02, Vol.42 (1), p.178-187 |
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| creator | Zavlin, Dmitry Schaff, Jürgen Lellé, Jean-Daniel Jubbal, Kevin T. Herschbach, Peter Henrich, Gerhard Ehrenberger, Benjamin Kovacs, Laszlo Machens, Hans-Günther Papadopulos, Nikolaos A. |
| description | Background
Currently available patient-reported outcome measures are limited in the field of sex reassignment surgery (SRS). Standardized questionnaires deliver high evidence data on satisfaction of male-to-female (MTF) transgender patients but do not allow any modification in their clinical application. We therefore designed a prospective study using self-developed indication-specific questionnaires to evaluate the aesthetic, functional, and sexual outcomes of MTF patients undergoing SRS.
Methods
Forty-nine adult MTF transgender patients who underwent two-stage SRS were eligible for study inclusion between September 2012 and January 2014. Forty patients (= N) ultimately filled out both parts of the questionnaire sets: 1 day before the first stage (T0) and 6 months after the second stage of SRS (T1). These questionnaires focused on demographic characteristics, the satisfaction with aesthetic and functional results, and sexuality.
Results
Patients rated their surgical satisfaction of most items with mean scores above 7 on a 0–10-point scale. Many items evaluating everyday life activities improved significantly after SRS compared to T0 (
p
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| doi_str_mv | 10.1007/s00266-017-1003-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1960925674</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1960925674</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-60e9ce47d5fa3496281f9cacb82dd895c639cd8ad6c2b9044c83b6584c9a673e3</originalsourceid><addsrcrecordid>eNp1kc9u1DAQxiMEotvCA3BBlrhwqMH_4sTcqhVbkIqK2AVxixxnknWV2FvbEWxfiNfEyxaEkDjNjOb3ffboK4pnlLyihFSvIyFMSkxohfPM8d2DYkEFZ7hkgj4sFoRLgRmVX0-K0xhvCKGsqsTj4oQpSjKoFsWPD3oEnDxewZQ7tIbv6BPoGO3gJnAJrecwQNijOVo3oLQFtPRTax106IserPO7Uce0RxswW2dvZ3iD1jrZ2GuTrHfI92gTtIsDuA4C-ph32TaibzZt0QXE7JisOUer2f0S6PEcadcdPjLrEV3PyfgJ4pPiUa_HCE_v61nxefV2s3yHr64v3y8vrrDhFUtYElAGRNWVveZCSVbTXhlt2pp1Xa1KI7kyXa07aViriBCm5q0sa2GUlhUHfla8PPrugs_HxNRMNhoYR-3Az7GhShLFSlmJjL74B73xc8gHHCjFRVmXvMwUPVIm-BgD9M0u2EmHfUNJc0ixOabY5BQPM2_usub5vfPcTtD9UfyOLQPsCMS8cjmfv57-r-tP3nSrAA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1993458535</pqid></control><display><type>article</type><title>Male-to-Female Sex Reassignment Surgery using the Combined Vaginoplasty Technique: Satisfaction of Transgender Patients with Aesthetic, Functional, and Sexual Outcomes</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Zavlin, Dmitry ; Schaff, Jürgen ; Lellé, Jean-Daniel ; Jubbal, Kevin T. ; Herschbach, Peter ; Henrich, Gerhard ; Ehrenberger, Benjamin ; Kovacs, Laszlo ; Machens, Hans-Günther ; Papadopulos, Nikolaos A.</creator><creatorcontrib>Zavlin, Dmitry ; Schaff, Jürgen ; Lellé, Jean-Daniel ; Jubbal, Kevin T. ; Herschbach, Peter ; Henrich, Gerhard ; Ehrenberger, Benjamin ; Kovacs, Laszlo ; Machens, Hans-Günther ; Papadopulos, Nikolaos A.</creatorcontrib><description>Background
Currently available patient-reported outcome measures are limited in the field of sex reassignment surgery (SRS). Standardized questionnaires deliver high evidence data on satisfaction of male-to-female (MTF) transgender patients but do not allow any modification in their clinical application. We therefore designed a prospective study using self-developed indication-specific questionnaires to evaluate the aesthetic, functional, and sexual outcomes of MTF patients undergoing SRS.
Methods
Forty-nine adult MTF transgender patients who underwent two-stage SRS were eligible for study inclusion between September 2012 and January 2014. Forty patients (= N) ultimately filled out both parts of the questionnaire sets: 1 day before the first stage (T0) and 6 months after the second stage of SRS (T1). These questionnaires focused on demographic characteristics, the satisfaction with aesthetic and functional results, and sexuality.
Results
Patients rated their surgical satisfaction of most items with mean scores above 7 on a 0–10-point scale. Many items evaluating everyday life activities improved significantly after SRS compared to T0 (
p
< 0.01). All but one patient (97.5%) reported no regrets about having undergone surgery, and the majority recommended it to other patients with gender dysphoria. Femininity and sexual activity increased significantly postoperatively (
p
< 0.01). Satisfaction with intercourse and orgasm was high: 6.70 and 8.21, respectively, on a 0–10 scale.
Conclusion
Satisfaction with the cosmetic outcome, as well as the functional and sexual outcomes, reveal positive effects of SRS using the combined technique on transgender patient lives. Nevertheless, standardized and validated SRS-specific questionnaires are lacking.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><identifier>ISSN: 0364-216X</identifier><identifier>EISSN: 1432-5241</identifier><identifier>DOI: 10.1007/s00266-017-1003-z</identifier><identifier>PMID: 29101439</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Cohort Studies ; Female ; Germany ; Gynecologic Surgical Procedures - methods ; Hospitals, University ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Article ; Otorhinolaryngology ; Patient Reported Outcome Measures ; Patients ; Personal Satisfaction ; Plastic Surgery ; Quality of Life - psychology ; Questionnaires ; Retrospective Studies ; Sex Reassignment Surgery - methods ; Sexual Behavior - physiology ; Sexual Behavior - psychology ; Surgery ; Surveys and Questionnaires ; Transgender persons ; Transgender Persons - psychology ; Transsexualism - surgery ; Vagina - surgery ; Young Adult</subject><ispartof>Aesthetic plastic surgery, 2018-02, Vol.42 (1), p.178-187</ispartof><rights>Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2017</rights><rights>Aesthetic Plastic Surgery is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-60e9ce47d5fa3496281f9cacb82dd895c639cd8ad6c2b9044c83b6584c9a673e3</citedby><cites>FETCH-LOGICAL-c372t-60e9ce47d5fa3496281f9cacb82dd895c639cd8ad6c2b9044c83b6584c9a673e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00266-017-1003-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00266-017-1003-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29101439$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zavlin, Dmitry</creatorcontrib><creatorcontrib>Schaff, Jürgen</creatorcontrib><creatorcontrib>Lellé, Jean-Daniel</creatorcontrib><creatorcontrib>Jubbal, Kevin T.</creatorcontrib><creatorcontrib>Herschbach, Peter</creatorcontrib><creatorcontrib>Henrich, Gerhard</creatorcontrib><creatorcontrib>Ehrenberger, Benjamin</creatorcontrib><creatorcontrib>Kovacs, Laszlo</creatorcontrib><creatorcontrib>Machens, Hans-Günther</creatorcontrib><creatorcontrib>Papadopulos, Nikolaos A.</creatorcontrib><title>Male-to-Female Sex Reassignment Surgery using the Combined Vaginoplasty Technique: Satisfaction of Transgender Patients with Aesthetic, Functional, and Sexual Outcomes</title><title>Aesthetic plastic surgery</title><addtitle>Aesth Plast Surg</addtitle><addtitle>Aesthetic Plast Surg</addtitle><description>Background
Currently available patient-reported outcome measures are limited in the field of sex reassignment surgery (SRS). Standardized questionnaires deliver high evidence data on satisfaction of male-to-female (MTF) transgender patients but do not allow any modification in their clinical application. We therefore designed a prospective study using self-developed indication-specific questionnaires to evaluate the aesthetic, functional, and sexual outcomes of MTF patients undergoing SRS.
Methods
Forty-nine adult MTF transgender patients who underwent two-stage SRS were eligible for study inclusion between September 2012 and January 2014. Forty patients (= N) ultimately filled out both parts of the questionnaire sets: 1 day before the first stage (T0) and 6 months after the second stage of SRS (T1). These questionnaires focused on demographic characteristics, the satisfaction with aesthetic and functional results, and sexuality.
Results
Patients rated their surgical satisfaction of most items with mean scores above 7 on a 0–10-point scale. Many items evaluating everyday life activities improved significantly after SRS compared to T0 (
p
< 0.01). All but one patient (97.5%) reported no regrets about having undergone surgery, and the majority recommended it to other patients with gender dysphoria. Femininity and sexual activity increased significantly postoperatively (
p
< 0.01). Satisfaction with intercourse and orgasm was high: 6.70 and 8.21, respectively, on a 0–10 scale.
Conclusion
Satisfaction with the cosmetic outcome, as well as the functional and sexual outcomes, reveal positive effects of SRS using the combined technique on transgender patient lives. Nevertheless, standardized and validated SRS-specific questionnaires are lacking.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</description><subject>Adult</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Germany</subject><subject>Gynecologic Surgical Procedures - methods</subject><subject>Hospitals, University</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Patient Reported Outcome Measures</subject><subject>Patients</subject><subject>Personal Satisfaction</subject><subject>Plastic Surgery</subject><subject>Quality of Life - psychology</subject><subject>Questionnaires</subject><subject>Retrospective Studies</subject><subject>Sex Reassignment Surgery - methods</subject><subject>Sexual Behavior - physiology</subject><subject>Sexual Behavior - psychology</subject><subject>Surgery</subject><subject>Surveys and Questionnaires</subject><subject>Transgender persons</subject><subject>Transgender Persons - psychology</subject><subject>Transsexualism - surgery</subject><subject>Vagina - surgery</subject><subject>Young Adult</subject><issn>0364-216X</issn><issn>1432-5241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc9u1DAQxiMEotvCA3BBlrhwqMH_4sTcqhVbkIqK2AVxixxnknWV2FvbEWxfiNfEyxaEkDjNjOb3ffboK4pnlLyihFSvIyFMSkxohfPM8d2DYkEFZ7hkgj4sFoRLgRmVX0-K0xhvCKGsqsTj4oQpSjKoFsWPD3oEnDxewZQ7tIbv6BPoGO3gJnAJrecwQNijOVo3oLQFtPRTax106IserPO7Uce0RxswW2dvZ3iD1jrZ2GuTrHfI92gTtIsDuA4C-ph32TaibzZt0QXE7JisOUer2f0S6PEcadcdPjLrEV3PyfgJ4pPiUa_HCE_v61nxefV2s3yHr64v3y8vrrDhFUtYElAGRNWVveZCSVbTXhlt2pp1Xa1KI7kyXa07aViriBCm5q0sa2GUlhUHfla8PPrugs_HxNRMNhoYR-3Az7GhShLFSlmJjL74B73xc8gHHCjFRVmXvMwUPVIm-BgD9M0u2EmHfUNJc0ixOabY5BQPM2_usub5vfPcTtD9UfyOLQPsCMS8cjmfv57-r-tP3nSrAA</recordid><startdate>20180201</startdate><enddate>20180201</enddate><creator>Zavlin, Dmitry</creator><creator>Schaff, Jürgen</creator><creator>Lellé, Jean-Daniel</creator><creator>Jubbal, Kevin T.</creator><creator>Herschbach, Peter</creator><creator>Henrich, Gerhard</creator><creator>Ehrenberger, Benjamin</creator><creator>Kovacs, Laszlo</creator><creator>Machens, Hans-Günther</creator><creator>Papadopulos, Nikolaos A.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20180201</creationdate><title>Male-to-Female Sex Reassignment Surgery using the Combined Vaginoplasty Technique: Satisfaction of Transgender Patients with Aesthetic, Functional, and Sexual Outcomes</title><author>Zavlin, Dmitry ; Schaff, Jürgen ; Lellé, Jean-Daniel ; Jubbal, Kevin T. ; Herschbach, Peter ; Henrich, Gerhard ; Ehrenberger, Benjamin ; Kovacs, Laszlo ; Machens, Hans-Günther ; Papadopulos, Nikolaos A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-60e9ce47d5fa3496281f9cacb82dd895c639cd8ad6c2b9044c83b6584c9a673e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Germany</topic><topic>Gynecologic Surgical Procedures - methods</topic><topic>Hospitals, University</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Patient Reported Outcome Measures</topic><topic>Patients</topic><topic>Personal Satisfaction</topic><topic>Plastic Surgery</topic><topic>Quality of Life - psychology</topic><topic>Questionnaires</topic><topic>Retrospective Studies</topic><topic>Sex Reassignment Surgery - methods</topic><topic>Sexual Behavior - physiology</topic><topic>Sexual Behavior - psychology</topic><topic>Surgery</topic><topic>Surveys and Questionnaires</topic><topic>Transgender persons</topic><topic>Transgender Persons - psychology</topic><topic>Transsexualism - surgery</topic><topic>Vagina - surgery</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zavlin, Dmitry</creatorcontrib><creatorcontrib>Schaff, Jürgen</creatorcontrib><creatorcontrib>Lellé, Jean-Daniel</creatorcontrib><creatorcontrib>Jubbal, Kevin T.</creatorcontrib><creatorcontrib>Herschbach, Peter</creatorcontrib><creatorcontrib>Henrich, Gerhard</creatorcontrib><creatorcontrib>Ehrenberger, Benjamin</creatorcontrib><creatorcontrib>Kovacs, Laszlo</creatorcontrib><creatorcontrib>Machens, Hans-Günther</creatorcontrib><creatorcontrib>Papadopulos, Nikolaos A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zavlin, Dmitry</au><au>Schaff, Jürgen</au><au>Lellé, Jean-Daniel</au><au>Jubbal, Kevin T.</au><au>Herschbach, Peter</au><au>Henrich, Gerhard</au><au>Ehrenberger, Benjamin</au><au>Kovacs, Laszlo</au><au>Machens, Hans-Günther</au><au>Papadopulos, Nikolaos A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Male-to-Female Sex Reassignment Surgery using the Combined Vaginoplasty Technique: Satisfaction of Transgender Patients with Aesthetic, Functional, and Sexual Outcomes</atitle><jtitle>Aesthetic plastic surgery</jtitle><stitle>Aesth Plast Surg</stitle><addtitle>Aesthetic Plast Surg</addtitle><date>2018-02-01</date><risdate>2018</risdate><volume>42</volume><issue>1</issue><spage>178</spage><epage>187</epage><pages>178-187</pages><issn>0364-216X</issn><eissn>1432-5241</eissn><abstract>Background
Currently available patient-reported outcome measures are limited in the field of sex reassignment surgery (SRS). Standardized questionnaires deliver high evidence data on satisfaction of male-to-female (MTF) transgender patients but do not allow any modification in their clinical application. We therefore designed a prospective study using self-developed indication-specific questionnaires to evaluate the aesthetic, functional, and sexual outcomes of MTF patients undergoing SRS.
Methods
Forty-nine adult MTF transgender patients who underwent two-stage SRS were eligible for study inclusion between September 2012 and January 2014. Forty patients (= N) ultimately filled out both parts of the questionnaire sets: 1 day before the first stage (T0) and 6 months after the second stage of SRS (T1). These questionnaires focused on demographic characteristics, the satisfaction with aesthetic and functional results, and sexuality.
Results
Patients rated their surgical satisfaction of most items with mean scores above 7 on a 0–10-point scale. Many items evaluating everyday life activities improved significantly after SRS compared to T0 (
p
< 0.01). All but one patient (97.5%) reported no regrets about having undergone surgery, and the majority recommended it to other patients with gender dysphoria. Femininity and sexual activity increased significantly postoperatively (
p
< 0.01). Satisfaction with intercourse and orgasm was high: 6.70 and 8.21, respectively, on a 0–10 scale.
Conclusion
Satisfaction with the cosmetic outcome, as well as the functional and sexual outcomes, reveal positive effects of SRS using the combined technique on transgender patient lives. Nevertheless, standardized and validated SRS-specific questionnaires are lacking.
Level of Evidence IV
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors
www.springer.com/00266
.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>29101439</pmid><doi>10.1007/s00266-017-1003-z</doi><tpages>10</tpages></addata></record> |
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| source | MEDLINE; SpringerLink Journals |
| subjects | Adult Cohort Studies Female Germany Gynecologic Surgical Procedures - methods Hospitals, University Humans Male Medicine Medicine & Public Health Middle Aged Original Article Otorhinolaryngology Patient Reported Outcome Measures Patients Personal Satisfaction Plastic Surgery Quality of Life - psychology Questionnaires Retrospective Studies Sex Reassignment Surgery - methods Sexual Behavior - physiology Sexual Behavior - psychology Surgery Surveys and Questionnaires Transgender persons Transgender Persons - psychology Transsexualism - surgery Vagina - surgery Young Adult |
| title | Male-to-Female Sex Reassignment Surgery using the Combined Vaginoplasty Technique: Satisfaction of Transgender Patients with Aesthetic, Functional, and Sexual Outcomes |
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