Abstract：
Genital affirmation surgery (GAS) requests are consistently increasing in demand. The gold standard is penile skin inversion, using cutaneous grafting for neovagina creation. The aim is to achieve the most realistic results both physically and functionally. Different studies have contradictory results, and the use of lubrication is insufficiently clear, while the use of sigmoidoplasty has been defended for constant lubrication.
Our aim was to evaluate transgender women\'s sexual function and lubrication after vaginoplasty by penile skin inversion.
We performed a prospective study on 45 patients who underwent primary penile inversion vaginoplasty. Participants answered two questionnaires during the follow-up consultation: the Female Sexual Function Index (FSFI) and an 18-item custom questionnaire.
The average FSFI score of our patients was 28.9, up to the cut-off defining a sexual disorder. Compared to the Wylomanski control group, no differences were found for the FSFI score and in the subgroups. Considering lubrication, 69% of the patients were satisfied or very satisfied with their lubrication. Furthermore, 53% reported a fluid release at each orgasm.
This study reported high satisfaction for both sexuality and lubrication, proning against penile inversion\'s GAS bad reputation concerning postoperative lubrication. A squirting effect was described for the first time and was present in 53% of our transpatients.
Our aim was to evaluate transgender women\'s sexual function and lubrication after vaginoplasty by penile skin inversion.
We performed a prospective study on 45 patients who underwent primary penile inversion vaginoplasty. Participants answered two questionnaires during the follow-up consultation: the Female Sexual Function Index (FSFI) and an 18-item custom questionnaire.
The average FSFI score of our patients was 28.9, up to the cut-off defining a sexual disorder. Compared to the Wylomanski control group, no differences were found for the FSFI score and in the subgroups. Considering lubrication, 69% of the patients were satisfied or very satisfied with their lubrication. Furthermore, 53% reported a fluid release at each orgasm.
This study reported high satisfaction for both sexuality and lubrication, proning against penile inversion\'s GAS bad reputation concerning postoperative lubrication. A squirting effect was described for the first time and was present in 53% of our transpatients.
摘要：
背景：生殖器肯定手术（GAS）的需求一直在增加。黄金标准是阴茎皮肤倒置，使用皮肤移植创造新阴道。目的是在物理和功能上实现最现实的结果。不同的研究结果相互矛盾，润滑的使用不够清楚，而乙状结肠成形术的使用已被捍卫为持续润滑。
目的：我们的目的是通过阴茎皮肤倒置评估变性女性阴道成形术后的性功能和润滑。
方法：我们对45例原发性阴茎内翻阴道成形术患者进行了前瞻性研究。参与者在后续咨询中回答了两份问卷：女性性功能指数（FSFI）和18项自定义问卷。
结果：我们患者的平均FSFI评分为28.9，达到定义性障碍的临界值。与Wylomanski对照组相比,FSFI评分和各亚组中无差异.考虑到润滑，69％的患者对他们的润滑感到满意或非常满意。此外，53%报告每次性高潮时液体释放。
结论：这项研究报告了对性欲和润滑的高满意度，针对阴茎倒置的气体，在术后润滑方面声誉不佳。首次描述了喷射效应，并且在53％的患者中存在喷射效应。
目的：我们的目的是通过阴茎皮肤倒置评估变性女性阴道成形术后的性功能和润滑。
方法：我们对45例原发性阴茎内翻阴道成形术患者进行了前瞻性研究。参与者在后续咨询中回答了两份问卷：女性性功能指数（FSFI）和18项自定义问卷。
结果：我们患者的平均FSFI评分为28.9，达到定义性障碍的临界值。与Wylomanski对照组相比,FSFI评分和各亚组中无差异.考虑到润滑，69％的患者对他们的润滑感到满意或非常满意。此外，53%报告每次性高潮时液体释放。
结论：这项研究报告了对性欲和润滑的高满意度，针对阴茎倒置的气体，在术后润滑方面声誉不佳。首次描述了喷射效应，并且在53％的患者中存在喷射效应。
