Does Genital Self-image Correspond with Sexual Health Before and After Vaginoplasty?
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Methods: A community advisory board informed an anonymous online survey utilizing patient-reported outcomes. Pre- and postvaginoplasty respondents were recruited online. Survey measures included the Female Genital Self-Image Scale (FGSIS) and the Patient-Reported Outcomes Measurement Information System sexual health measures. Welch approximation tests were performed for FGSIS and Patient-Reported Outcomes Measurement Information System questions, using Bonferroni correction.
Results: A total of 690 respondents prevaginoplasty (n = 525; 76%) and postvaginoplasty (n = 165; 24%) participated. The postoperative cohort, compared with the preoperative cohort, reported higher scores for orgasm (), satisfaction (), and pleasure (). FGSIS total score was higher among postoperative respondents (79.4% ± 17.1%) than preoperative respondents (50.6% ± 15.1%) (). Using Spearman rho, no significant correlation between FGSIS total score and any Patient-Reported Outcomes Measurement Information System subsectional measures was observed for the postoperative cohort, but a correlation () was observed for the preoperative cohort.
Conclusions: Individuals who are contemplating vaginoplasty have worse sexual health and genital self-image than those who underwent vaginoplasty, yet genital self-image does not correlate directly with sexual health. Sexual health is multimodal for each person.
Vulva Self-Image and Sexual Function After Female External Genital Plastic Surgery.
Turini T, Sant Ana G, Imoto A, Martins M Aesthetic Plast Surg. 2024; .
PMID: 39653835 DOI: 10.1007/s00266-024-04570-5.