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Without doubt surgery has a positive effect on subjective wellbeing and sexual function [ 16 — 18 ]. A reduced sensitivity of the neoclitoris could therefore be a prognostic factor for asexuality. An incision is made into the scrotum, and the flap of skin is pulled back. Our study cohort comprised all MtF patients who had undergone GAS with penile inversion vaginoplasty at the Department of Urology, University Hospital Essen, Germany, between and , as has been previously reported [ 6 ]. Many sexual-reassignment procedures are conducted in private facilities that are not subject to reporting requirements. Though the rate of women, who were able to achieve an orgasm, was lower in the present study than in an earlier cohort from our department [ 9 ], our data aligns well with comparable studies of a similar size [ 11 , 19 , 41 — 43 ].

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GAS might reduce risk of stigmatization and discrimination in venues like swimming pools and health clubs or when dealing with authorities [ 2 , 15 ]. In total, 38 subjects The self-reported enjoyment of sexual activity correlated significantly and to a greater extent with neoclitoral sensitivity than with neovaginal dimensions, which was not significant. Reliable statistics are extremely difficult to obtain. This nonparametric test was used in preference to the t-test because the Shapiro—Wilk test indicated that distribution was not normal. Many sexual-reassignment procedures are conducted in private facilities that are not subject to reporting requirements.

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There was neither an association of the extent to which women felt female themselves nor with the degree to which they felt considered as women with time since surgery. Our results support this assumption. In our cohort, neoclitoral sensitivity seems to contribute to enjoyment of sexual activity to a greater extent than the depth of the neovaginal canal. Male-to-female MtF gender affirmation surgery GAS comprises the resection of all clearly defining features of male genitalia.

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Description: However effects of GAS in this field remain unclear so far. While neoclitoral sensitivity is unlikely to diminish, it is more likely that the neovaginal canal shrinks over time. In this retrospective study we could not rule this out. Moreover, receiving hormonal treatment was one of the factors related to a better subjective perception of sexual quality of life [ 20 ]. Ineffective dilatation of the neovaginal canal is obviously a key factor contributing to neovaginal stenosis. The results are given in absolute numbers and percentage in relation to total participants or number of answers. The aim is the formation of a perineogenital complex in appearance and function as feminine as possible [ 1 ] with a sensitive clitoris to enable orgasms. People who have male-to-female gender-reassignment surgery retain a prostate. Since it is very unlikely that handling of the neurovascular bundle during surgery will make the neoclitoris more sensitive than the glans penis was before, a possible explanation could be that postoperative patients were able to experience orgasm for the first time in a body that matched their perception. For more information you can review our Terms of Service and Cookie Policy.
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