Comment
Gender
Dysphoria
Penile-inversion- and Penoscrotal-vaginoplasty received major attention,
which causes a bias. Penoscrotal-vaginoplasty is considered the best
GAS-option, but reported high complaint-rates and overall
dissatisfaction and relatively low sexual activity. Neovagina depth
correlated with anatomical satisfaction. Graft quantity correlated with
surgery duration and was inversely proportional to necrosis, stenosis,
dyspareunia and revisions.
Mayer-Rokitansky-Küster-Hauser
MRKH-articles were few and diverse, likely due to non-surgical
alternatives. Peritoneal-vaginoplasty was the most performed technique.
It reported high aesthetic-, anatomical- and functional-satisfaction but
also dyspareunia, excessive discharge and ‘unsuccessful’ lengths.
QoL-assessments were mostly lacking.