Science & Technology PostersS&T-28 COMPARISON OF SEXUAL FUNCTION IN TRANSSEXUAL WOMEN WHO UNDERWENT SEX REASSIGNMENT SURGERY BY TWO DIFFERENT TECHNIQUES

You have accessJournal of UrologyScience & Technology Posters1 Apr 2016S&T-28 COMPARISON OF SEXUAL FUNCTION IN TRANSSEXUAL WOMEN WHO UNDERWENT SEX REASSIGNMENT SURGERY BY TWO DIFFERENT TECHNIQUES Francesca Vedovo, Nicola Pavan, Gaetano Chiapparrone, Giovanni Liguori, Stefano Bucci, Fabio Barbone, and Carlo Trombetta Francesca VedovoFrancesca Vedovo More articles by this author , Nicola PavanNicola Pavan More articles by this author , Gaetano ChiapparroneGaetano Chiapparrone More articles by this author , Giovanni LiguoriGiovanni Liguori More articles by this author , Stefano BucciStefano Bucci More articles by this author , Fabio BarboneFabio Barbone More articles by this author , and Carlo TrombettaCarlo Trombetta More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2016.02.2857AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Clinical trials have shown that biological women with anorgasmia possess a smaller clitoral glans and clitoral components farther from the vagina lumen than women with normal orgasmic function. The aim of this study is to compare the sexual function in patients undergoing male to female (MtF) gender reassignment surgery (GRS ) using pubic neoclitoris technique (PNT) or neourethroclitoroplasty according to Petrovic (NCP). NCP consists in creating a neoclitoris embedded in urethral mucosa using urethral flaps, the neoclitoris is placed in the anatomical position of the male suspensory ligament of the penis therefore closer to the neovaginal cavity. METHODS After telephonic interview, we sent by e-mail the validated Italian version of the FSFI questionnaire (Female Sexual Function Index) to 40 patients undergoing MtF GRS in our Centre between 2004-2014 chosen randomly; 20 patients operated with PNT and 20 transsexual women who undergone NCP. We also compared sexual functioning and the general health of transsexual women with a similiar group of biological women. In these patients we considered the current age and the age at surgery, socio-demographic factors, comorbidities, lifestyle, habits and sexual orientation. All analysis was performed using SAS 9.3 software. RESULTS Of the 40 patients who agreed to take part in the study, 22 completed the questionnaire FSFI: 11 patients underwent (NCP) and 11 operated with the pubic neoclitoris technique. There were no significant differences between the two groups except for age at the time of surgery (PNT 43.5 vs NCP 33.5; p = 0.02). The results showed a mean FSFI Total Score of 25.81 NCP group vs 18.62 PNT group. Average value of FSFI Total Score: BCP group single 9.16, 22.15 in a relationship; PNT group single 26.03, 25.56 in a relationship. CONCLUSIONS Patients underwent NCP have reached FSFI Total Score greater than those operated with the previous technique (p <0.05). The stable relationship with a partner influences more sexual satisfaction of the BCP group than patients in the other group. The FSFI did not get statistically significant results in the evaluation of lubrication and dyspareunia. This study showed that, even in patients undergoing GRS, neoclitoris localization could be considered a parameter for evaluating sexual function and that a reduction of the distance between neovagina and neoclitoris is associated with greater sexual satisfaction. We think could be useful to draft a specific questionnaire to assess sexual function of patients undergoing GRS. © 2016FiguresReferencesRelatedDetails Volume 195Issue 4SApril 2016Page: e319-e320 Advertisement Copyright & Permissions© 2016MetricsAuthor Information Francesca Vedovo More articles by this author Nicola Pavan More articles by this author Gaetano Chiapparrone More articles by this author Giovanni Liguori More articles by this author Stefano Bucci More articles by this author Fabio Barbone More articles by this author Carlo Trombetta More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...