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.