a Department of Plastic, Reconstructive and Hand Surgery , VU University Medical Center , Amsterdam , The Netherlands.
b Department of Medical Psychology, Section Gender and Sexology , VU University Medical Center , Amsterdam , The Netherlands.
J Sex Marital Ther. 2019;45(3):201-205. doi: 10.1080/0092623X.2018.1500405. Epub 2019 Jan 23.
Genital gender-affirming surgery (GAS) aims to alleviate feelings of gender dysphoria and support psychosexual outcomes. However, little is known of sexual activity and satisfaction of transmen after phalloplasty or metoidioplasty. A clinical follow-up study was conducted in transmen at least one year after genital GAS in order to evaluate measures of experienced sexuality. Participants ( = 38) received a set of self-constructed questionnaires on sexual relationships and orientation, use of genitals during sexual contact, and the experienced influence of surgery on sexuality. Twenty-nine had received phalloplasty, nine metoidioplasty. The average follow-up time was 32 months. The majority reported to be sexually active. The use and enjoyment of both chest and genitals during sexual activity increased after surgery. Other areas of improvement included arousability, sexual interest, and pleasure. Free text comments provided an insight into the role of genital sensation and sexual self-esteem in postoperative sexuality. In conclusion, genital GAS positively impacts transmen's sexuality, although possible issues with genital sensation or penetration may exist and should be communicated preoperatively. Therefore, we recommend interdisciplinary collaboration on this subject.
生殖器性别肯定手术（GAS）旨在减轻性别焦虑感并支持精神性结果。然而，对于跨性别男性在接受阴茎成形术或阴蒂成形术后的性行为和满意度知之甚少。对至少在生殖器 GAS 后一年的跨性别男性进行了一项临床随访研究，以评估所经历的性行为的测量方法。参与者（n=38）收到了一套关于性关系和性取向、性接触时使用生殖器以及手术对性行为影响的自我构建的问卷。29 人接受了阴茎成形术，9 人接受了阴蒂成形术。平均随访时间为 32 个月。大多数人报告有性行为。手术后，胸部和生殖器在性活动中的使用和享受都增加了。其他改善的领域包括唤起能力、性兴趣和快感。自由文本评论深入了解了术后性行为中生殖器感觉和性自尊的作用。总之，生殖器 GAS 对跨性别男性的性行为有积极影响，尽管可能存在与生殖器感觉或插入有关的问题，这些问题应在术前进行沟通。因此，我们建议在这一主题上进行跨学科合作。
