Sexual Function of Trans Women After Vaginoplasty

Study Overview
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Brief Summary
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Genital feminine affirming surgery may be an important step for transgender women. Vaginoplasty consists in the creation of external female genitalia and an operational vaginal cavity, and thus responds to major functional and aesthetic issues. Different techniques are available: inversion of penile skin flap for creation of the vulva. The vaginal cavity may come from scrotal skin graft, sigmoid segment, small intestine, or peritoneal flap. Vaginoplasty has a major place in the the transgender woman pathway, but the specific evaluation of long-term sexuality has not been explored so far. Multicentric (Lyon, FR - Lille, FR - Limoges, FR), prospective, observational study Patients who underwent vaginoplasty or revision vaginoplasty. Main objective: To assess sexuality after sex reassignment surgery in transgender women.

Official Title
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Exploring Sexual Function and Satisfaction of Trans Women After Vaginoplasty: Results of a Multicentric Survey

Conditions
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Gender Dysphoria Vaginoplasty Sexuality

Intervention / Treatment
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* Other: Validated and non-validated questionnaire for exploration of sexuality and satisfaction after surgical procedure


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: > 18 years old Underwent vaginoplasty or revision in Lyon South Hospital, Lille University Hospital, Limoges University Hospital, between January 2007 and December 2019 Penile inversion vaginoplasty with scrotal skin graft Exclusion Criteria: < 18 years old Vaginoplasty other than scrotal skin graft : intestinal segment or peritoneal flap

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Transwomen vaginoplasty<br>Transgender women who underwent vaginoplasty | Other: Validated and non-validated questionnaire for exploration of sexuality and satisfaction after surgical procedure<br>* Validated questionnaire : Female Sexual Function Index (FSFI), Female Genital Self-Imaging Scale (FGSIS), Body Image Scale (BIS), Non-validated questionnaire exploring post-surgery satisfaction, self-esteem scale, sexology.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| evaluation of FSFI : Female Sexual Function Index | specific questionnaire scale | At inclusion | 
| evaluation of FGSIS : Female Genital Self Imaging Scale | specific questionnaire scale | At inclusion | 
| evaluation of BIS : Body Image Scale | specific questionnaire scale | At inclusion | 
| evaluation of Rosenberg Self-esteem scale | specific questionnaire scale | At inclusion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Genital gender affirming surgery, Gender dysphoria, Transwomen, Vaginoplasty, Sexuality, Satisfaction