Comment

Principal finding Gender Dysphoria patients

Penile-inversion- and Penoscrotal-surgery received far more attention than Intestinal- or Combined-interventions, which causes a bias. Penoscrotal-vaginoplasty is considered the best SRS-option, but reported high complaint- and revision-rates, overall dissatisfaction and low sexual activity. Neovagina depth and anatomical satisfaction were correlated for MtF-patients.

Principal findings MRKHS patients

MRKH-articles were few and diverse, likely due to non-surgical alternatives. Davydov-surgery is the longest and most performed MRKH-surgery, with high sexual activity and high aesthetic-, anatomical- and sexual function-satisfaction. Surgery dissatisfaction was low, but much dyspareunia, excessive discharge, ‘unsuccessful’ lengths and some granulation and neovagina obliteration were seen. MRKH QoL-assessments were mostly lacking.