Bouman Mark-Bram, van der Sluis Wouter B, van Woudenberg Hamstra Leonora E, Buncamper Marlon E, Kreukels Baudewijntje P C, Meijerink Wilhelmus J H J, Mullender Margriet G
Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Centre, Amsterdam, The Netherlands; EMGO+ Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands; Centre of Expertise on Gender Dysphoria, VU University Medical Centre, Amsterdam, The Netherlands; Gender Surgery Amsterdam, Amsterdam, The Netherlands.
Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Centre, Amsterdam, The Netherlands; EMGO+ Institute for Health and Care Research, VU University Medical Centre, Amsterdam, The Netherlands.
J Sex Med. 2016 Sep;13(9):1438-1444. doi: 10.1016/j.jsxm.2016.06.009. Epub 2016 Jul 27.
Puberty-suppressing hormonal treatment may result in penoscrotal hypoplasia in transgender women, making standard penile inversion vaginoplasty not feasible. For these patients, intestinal vaginoplasty is a surgical alternative, but knowledge on patient-reported postoperative outcomes and quality of life is lacking.
To assess patient-reported functional and esthetic outcomes, quality of life, satisfaction, and sexual well-being after primary total laparoscopic intestinal vaginoplasty in transgender women.
A survey study was performed on transgender women who underwent primary total laparoscopic intestinal vaginoplasty with at least 1 year of clinical follow-up. Thirty-one transgender women completed the questionnaires (median age at time of surgery = 19.1 years, range = 18.3-45.0) after a median clinical follow-up of 2.2 years (range = 0.8-7.5). Consenting women were asked to complete a combined questionnaire of the Subjective Happiness Scale, the Satisfaction With Life Scale, Cantril's Ladder of Life Scale, the Female Sexual Function Index, the Female Genital Self-Imaging Scale, the Amsterdam Hyperactive Pelvic Floor Scale-Women, and a questionnaire addressing postoperative satisfaction.
Patient-reported functional and esthetic outcomes and postoperative quality of life.
Patients graded their life satisfaction a median of 8.0 (range = 4.0-10.0) on Cantril's Ladder of Life Scale. Patients scored a mean total score of 27.7 ± 5.8 on the Satisfaction With Life Scale, which indicated high satisfaction with life, and a mean total score of 5.6 ± 1.4 on the Subjective Happiness Scale. Functionality was graded a median score of 8.0 of 10 (range = 1.0-10.0) and esthetics a score of 8.0 out of 10 (range = 3.0-10.0). The mean Female Sexual Function Index total score of sexually active transgender women was 26.0 ± 6.8.
This group of relatively young transgender women reported satisfactory functional and esthetic results of the neovagina and a good quality of life, despite low Female Sexual Function Index scores.
抑制青春期的激素治疗可能导致跨性别女性出现阴茎阴囊发育不全，使得标准的阴茎翻转阴道成形术不可行。对于这些患者，肠道阴道成形术是一种手术替代方案，但目前缺乏患者报告的术后结果和生活质量方面的知识。
评估跨性别女性初次全腹腔镜肠道阴道成形术后患者报告的功能和美学结果、生活质量、满意度和性健康状况。
对接受初次全腹腔镜肠道阴道成形术且有至少1年临床随访的跨性别女性进行了一项调查研究。31名跨性别女性在中位临床随访2.2年（范围 = 0.8 - 7.5年）后完成了问卷（手术时的中位年龄 = 19.1岁，范围 = 18.3 - 45.0岁）。同意参与的女性被要求完成一份综合问卷，包括主观幸福感量表、生活满意度量表、坎特里尔生活阶梯量表、女性性功能指数、女性生殖器自我意象量表、阿姆斯特丹女性盆底过度活跃量表以及一份关于术后满意度的问卷。
患者报告的功能和美学结果以及术后生活质量。
患者在坎特里尔生活阶梯量表上对生活满意度的评分中位数为8.0（范围 = 4.0 - 10.0）。患者在生活满意度量表上的平均总分是27.7 ± 5.8，表明对生活高度满意，在主观幸福感量表上的平均总分是5.6 ± 1.4。功能评分中位数为8.0（满分10分，范围 = 1.0 - 10.0），美学评分为8.0（满分10分，范围 = 3.0 - 10.0）。有性生活的跨性别女性的女性性功能指数平均总分是26.0 ± 6.8。
尽管女性性功能指数得分较低，但这群相对年轻的跨性别女性报告新阴道的功能和美学结果令人满意，生活质量良好。
