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.