Long-term psychosexual and psychosocial performance of patients with a sigmoid neovagina.

OBJECTIVE

We aimed to study the long-term psychosexual and psychosocial performance of patients with a sigmoid vagina in vaginal dysgenesis and male-to-female transsexuals.

STUDY

DESIGN

Nineteen patients who had undergone surgery to create a neovagina with the use of a sigmoid segment participated in a long-term follow-up study. Evaluation was done with standardized gynecologic examination and a structured interview.

RESULTS

The anatomic result was good in 18 patients, although several reoperative procedures had been necessary. Sexual adjustment was good or satisfactory in 12 of 19 patients. Of the 19 patients, 16 were capable of reaching an organism. Social adjustment was good or satisfactory in 16 patients.

CONCLUSIONS

The creation of a sigmoid neovagina results in a long-term anatomically satisfactory situation, in both patients with vaginal dysgenesis and male-to-female transsexuals. In a majority of the patients sexual and social adjustment is good or satisfactory.