ESSM Position Statement “Sexual Wellbeing After Gender Affirming Surgery”

Sexual Medicine

Sahaand Poor Toulabi, MSc¹  Alessandra D. Fisher, MD, PhD, FECSM²  Marlon E. Buncamper, Prof. Dr³  Stan Monstrey, Prof. Dr⁴  Nim A. Christopher, MD, PhD, FECSM⁵  Marco Falcone, MD, FECSM⁵  Müjde Özer, MD, FECSM⁶  Guy T'Sjoen, Prof. Dr⁶  Marta R. Bizic, MD, PhD⁷  Miroslav Djordjevic, Prof. Dr⁸  Daniel Simon, DMD⁹  Luis Capitán, MD, PhD, OMFS^1,10  Joz Motmans, Prof. Dr^1,11 

[1] Corresponding Author: Müjde Özer, Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, De Boelelaan 1117, 1077MB Amsterdam, The Netherlands. Tel: [phone];Tel: +31 (0) 20 - 444 3261;Andrology, Women's Endocrinology, Gender Incongruence Unit, Department of Experimental Clinical and Biomedical Sciences, University of Florence, Florence, Italy;Department of Endocrinology and Center for Sexology and Gender, Ghent University and Ghent University Hospital, Ghent, Belgium;Department of Pediatric Urology, University of Belgrade, Belgrade, Serbia;Department of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands;Department of Plastic, Reconstructive and Hand Surgery, Ghent University Hospital, Ghent, Belgium;Department of Plastic, Reconstructive and Hand Surgery, Ghent University and Ghent University Hospital, Ghent, Belgium;Department of Urology, Città della Salute e della Scienza, University of Turin, Turin, Italy;Department of Urology, St Peter's Andrology Centre and The Institute of Urology, London, UK;Facialteam Surgical Group, HC Marbella International Hospital, Marbella, Málaga, Spain;

关键词: Transgender;    Transsexual;    Gender Incongruence;    Gender Diverse;    Gender Affirming Surgery;    Vaginoplasty;   

DOI  :  

来源: DOAJ

【 摘 要 】

Introduction: Much has been published on the surgical and functional results following Gender Affirming Surgery (‘GAS’) in trans individuals. Comprehensive results regarding sexual wellbeing following GAS, however, are generally lacking. Aim: To review the impact of various GAS on sexual wellbeing in treatment seeking trans individuals, and provide a comprehensive list of clinical recommendations regarding the various surgical options of GAS on behalf of the European Society for Sexual Medicine. Methods: The Medline, Cochrane Library and Embase databases were reviewed on the results of sexual wellbeing after GAS. Main Outcomes Measure: The task force established consensus statements regarding the somatic and general requirements before GAS and of GAS: orchiectomy-only, vaginoplasty, breast augmentation, vocal feminization surgery, facial feminization surgery, mastectomy, removal of the female sexual organs, metaidoioplasty, and phalloplasty. Outcomes pertaining to sexual wellbeing- sexual satisfaction, sexual relationship, sexual response, sexual activity, enacted sexual script, sexuality, sexual function, genital function, quality of sex life and sexual pleasure- are provided for each statement separately. Results: The present position paper provides clinicians with statements and recommendations for clinical practice, regarding GAS and their effects on sexual wellbeing in trans individuals. These data, are limited and may not be sufficient to make evidence-based recommendations for every surgical option. Findings regarding sexual wellbeing following GAS were mainly positive. There was no data on sexual wellbeing following orchiectomy-only, vocal feminization surgery, facial feminization surgery or the removal of the female sexual organs. The choice for GAS is dependent on patient preference, anatomy and health status, and the surgeon's skills. Trans individuals may benefit from studies focusing exclusively on the effects of GAS on sexual wellbeing. Conclusion: The available evidence suggests positive results regarding sexual wellbeing following GAS. We advise more studies that underline the evidence regarding sexual wellbeing following GAS. This position statement may aid both clinicians and patients in decision-making process regarding the choice for GAS. Özer M, Toulabi SP, Fisher AD, et al. ESSM Position Statement “Sexual Wellbeing After Gender Affirming Surgery”. Sex Med 2022;10:100471.

【 授权许可】

Unknown