Abstract：
BACKGROUND: The Operated Male-to-Female Sexual Function Index (oMtFSFI) questionnaire is the first scoring system developed to assess sexual function after gender-affirming vulvo-vaginoplasty, and was initially developed and validated in Italian. The aim of this study was to provide linguistic validation of the questionnaire in French through several steps including use of the questionnaires across a series of patients who had undergone gender-affirming vulvo-vaginoplasty between 2020 and 2022 at two French academic centers.
METHODS: The French version of the oMtFSFI questionnaire was obtained through a double translation (Italian to French) and a back-translation (French to Italian), validated by a scientific committee, and cognitively assessed by a panel of expert patients. The questionnaire was then distributed to transgender male to female patients who had undergone genital gender affirming surgery at two French academic centers.
RESULTS: The oMtFSFI score consists of 18 questions exploring 7 domains (genital self-image, desire, arousal, lubrication, orgasm, satisfaction, sexual pain). Among the sixty-four patients who responded to the questionnaire, 16 patients (25%) reported abstaining from sexual activity involving vaginal penetration at the time of the study were excluded. The mean total score was 37, corresponding to mild to moderate sexual dysfunction and 60.4% of the patients reported normal overall sexual function. The level of sexual satisfaction was normal for 68.8% of the patients and the genital self-image was normal for 52.1%. Most of the patients (79.2%) reported at least mild dyspareunia and 10.4% had critical sexual dysfunction. Surgery improved gender dysphoria in 96.7% of patients. There was a strong correlation between the overall oMtFSFI score and the happiness Visual Analog Scale (VAS) (P<0.001) as well as with the quality of life VAS (P<0.001).
CONCLUSIONS: The French version of the oMtFSFI questionnaire is the only scoring system specifically developed to assess sexual function after vulvo-vaginoplasty in transgender women linguistically validated in French. Its validation in French language makes it an interesting tool for research and clinical practice.
METHODS:
METHODS: The French version of the oMtFSFI questionnaire was obtained through a double translation (Italian to French) and a back-translation (French to Italian), validated by a scientific committee, and cognitively assessed by a panel of expert patients. The questionnaire was then distributed to transgender male to female patients who had undergone genital gender affirming surgery at two French academic centers.
RESULTS: The oMtFSFI score consists of 18 questions exploring 7 domains (genital self-image, desire, arousal, lubrication, orgasm, satisfaction, sexual pain). Among the sixty-four patients who responded to the questionnaire, 16 patients (25%) reported abstaining from sexual activity involving vaginal penetration at the time of the study were excluded. The mean total score was 37, corresponding to mild to moderate sexual dysfunction and 60.4% of the patients reported normal overall sexual function. The level of sexual satisfaction was normal for 68.8% of the patients and the genital self-image was normal for 52.1%. Most of the patients (79.2%) reported at least mild dyspareunia and 10.4% had critical sexual dysfunction. Surgery improved gender dysphoria in 96.7% of patients. There was a strong correlation between the overall oMtFSFI score and the happiness Visual Analog Scale (VAS) (P<0.001) as well as with the quality of life VAS (P<0.001).
CONCLUSIONS: The French version of the oMtFSFI questionnaire is the only scoring system specifically developed to assess sexual function after vulvo-vaginoplasty in transgender women linguistically validated in French. Its validation in French language makes it an interesting tool for research and clinical practice.
METHODS:
摘要：
背景：手术男性对女性性功能指数（oMtFSFI）问卷是第一个用于评估性别确认外阴阴道成形术后性功能的评分系统，最初是用意大利语开发和验证的。这项研究的目的是通过几个步骤提供法语问卷的语言验证，包括在2020年至2022年期间在两个法国学术中心接受性别确认外阴阴道成形术的一系列患者中使用问卷。
方法：法语版本的oMtFSFI问卷是通过双重翻译（意大利语到法语）和反向翻译（法语到意大利语）获得的，由科学委员会验证，并由一组专家患者进行认知评估。然后将问卷分发给在两个法国学术中心接受过生殖器性别确认手术的变性男性女性患者。
结果：oMtFSFI分数由18个问题组成，探索7个领域（生殖器自我形象，欲望,唤醒,润滑,性高潮,满意,性疼痛）。在回答问卷的64名患者中，16名患者（25％）报告在研究时放弃涉及阴道渗透的性活动被排除在外。平均总分为37，对应于轻度至中度性功能障碍，60.4％的患者报告总体性功能正常。68.8%的患者性生活满意度正常，52.1%的患者生殖器自我形象正常。大多数患者（79.2％）报告至少有轻度性交困难，10.4％有严重的性功能障碍。手术改善了96.7%患者的性别焦虑。总体oMtFSFI评分与幸福视觉模拟量表（VAS）（p<0.001）以及与生活质量VAS（p<0.001）之间存在很强的相关性。
结论：法语版本的oMtFSFI问卷是唯一专门开发的评分系统，用于评估跨性别女性外阴阴道成形术后的性功能。其法语验证使其成为研究和临床实践的有趣工具。
方法：法语版本的oMtFSFI问卷是通过双重翻译（意大利语到法语）和反向翻译（法语到意大利语）获得的，由科学委员会验证，并由一组专家患者进行认知评估。然后将问卷分发给在两个法国学术中心接受过生殖器性别确认手术的变性男性女性患者。
结果：oMtFSFI分数由18个问题组成，探索7个领域（生殖器自我形象，欲望,唤醒,润滑,性高潮,满意,性疼痛）。在回答问卷的64名患者中，16名患者（25％）报告在研究时放弃涉及阴道渗透的性活动被排除在外。平均总分为37，对应于轻度至中度性功能障碍，60.4％的患者报告总体性功能正常。68.8%的患者性生活满意度正常，52.1%的患者生殖器自我形象正常。大多数患者（79.2％）报告至少有轻度性交困难，10.4％有严重的性功能障碍。手术改善了96.7%患者的性别焦虑。总体oMtFSFI评分与幸福视觉模拟量表（VAS）（p<0.001）以及与生活质量VAS（p<0.001）之间存在很强的相关性。
结论：法语版本的oMtFSFI问卷是唯一专门开发的评分系统，用于评估跨性别女性外阴阴道成形术后的性功能。其法语验证使其成为研究和临床实践的有趣工具。
