{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,10]],"date-time":"2026-11-10T06:22:09Z","timestamp":1794291729263,"version":"4.9.0"},"reference-count":49,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,2,1]],"date-time":"2023-02-01T00:00:00Z","timestamp":1675209600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T00:00:00Z","timestamp":1674432000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Best Practice &amp; Research Clinical Obstetrics &amp; Gynaecology"],"published-print":{"date-parts":[[2023,2]]},"DOI":"10.1016\/j.bpobgyn.2022.102297","type":"journal-article","created":{"date-parts":[[2022,12,21]],"date-time":"2022-12-21T11:48:25Z","timestamp":1671623305000},"page":"102297","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":30,"special_numbering":"C","title":["Genital gender-affirming surgery for transgender women"],"prefix":"10.1016","volume":"86","author":[{"given":"Wouter B.","family":"van der Sluis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim","family":"Sch\u00e4fer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tim H.J.","family":"Nijhuis","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark-Bram","family":"Bouman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bpobgyn.2022.102297_bib1","first-page":"582","article-title":"The amsterdam cohort of gender dysphoria study (1972-2015): trends in prevalence, treatment, and regrets","volume":"15","author":"Wiepjes","year":"2018","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib2","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1093\/bjs\/znab213","article-title":"Surgical and demographic trends in genital gender-affirming surgery in transgender women: 40 years of experience in Amsterdam","volume":"109","author":"van der Sluis","year":"2021","journal-title":"Br J Surg"},{"issue":"Suppl 1","key":"10.1016\/j.bpobgyn.2022.102297_bib3","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1080\/26895269.2022.2100644","article-title":"Standards of care for the health of transgender and gender diverse People, version 8","volume":"23","author":"Coleman","year":"2022","journal-title":"Int J Transgend Health"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib4","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1089\/trgh.2020.0068","article-title":"Body mass index requirements for gender-affirming surgeries are not empirically based","volume":"6","author":"Brownstone","year":"2021","journal-title":"Transgend Health"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib5","doi-asserted-by":"crossref","first-page":"649e","DOI":"10.1097\/PRS.0000000000003108","article-title":"Penile inversion vaginoplasty with or without additional full-thickness skin graft: to graft or not to graft?","volume":"139","author":"Buncamper","year":"2017","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib6","first-page":"1033","article-title":"The bilateral pedicled epilated scrotal flap: a powerful adjunctive for creation of more neovaginal depth in penile inversion vaginoplasty","volume":"17","author":"Nijhuis","year":"2020","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib7","doi-asserted-by":"crossref","DOI":"10.1111\/j.1464-410X.2007.07017.x","article-title":"Feminizing genitoplasty in adult transsexuals: early and long-term surgical results","volume":"100","author":"Goddard","year":"2007","journal-title":"BJU Int"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib8","doi-asserted-by":"crossref","DOI":"10.1055\/s-0031-1281486","article-title":"Aesthetic and functional male to female genital and perineal surgery: feminizing vaginoplasty","volume":"25","author":"Reed","year":"2011","journal-title":"Semin Plast Surg"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib9","doi-asserted-by":"crossref","DOI":"10.1590\/S1677-55382012000100014","article-title":"Gender reassignment surgery: a 13 year review of surgical outcomes","volume":"38","author":"Rossi Neto","year":"2012","journal-title":"Int Braz J Urol"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib10","doi-asserted-by":"crossref","first-page":"6973","DOI":"10.1016\/j.jpra.2015.09.003","article-title":"Male to female gender reassignment surgery: surgical outcomes of consecutive patients during 14 years","volume":"6","author":"Sigurjonsson","year":"2015","journal-title":"JPRAS Open"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib11","article-title":"Male-to-female vaginoplasty: preecha's surgical technique","volume":"49","author":"Wangjiraniran","year":"2015","journal-title":"J\u00a0Plast Surg Hand Surg"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib12","doi-asserted-by":"crossref","first-page":"999","DOI":"10.1097\/PRS.0000000000002684","article-title":"Surgical outcome after penile inversion vaginoplasty: a retrospective study of 475 transgender women","volume":"138","author":"Buncamper","year":"2016","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib13","first-page":"760","article-title":"Postoperative complications following primary penile inversion vaginoplasty among 330 male-to-female transgender patients","volume":"199","author":"Gaither","year":"2018","journal-title":"J\u00a0Urol"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib14","doi-asserted-by":"crossref","first-page":"911e","DOI":"10.1097\/PRS.0000000000004427","article-title":"Predictors of patient satisfaction and postoperative complications in penile inversion vaginoplasty","volume":"141","author":"Massie","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib15","article-title":"Evaluation of BMI as a risk factor for complications following gender-affirming penile inversion vaginoplasty","volume":"7","author":"Ives","year":"2019","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib16","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.836335","article-title":"Penile flap inversion vaginoplasty in transgender women: contemporary morbidity and learning-curve analysis from a high-volume reconstructive center","volume":"9","author":"Maurer","year":"2022","journal-title":"Front Surg"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib17","article-title":"ESSM position statement \"sexual wellbeing after gender affirming surgery\"","volume":"10","author":"\u00d6zer","year":"2022","journal-title":"Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib18","first-page":"1499","article-title":"Outcome of vaginoplasty in male-to-female transgenders: a systematic review of surgical techniques","volume":"12","author":"Horbach","year":"2015","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib19","first-page":"1626","article-title":"Aesthetic and functional outcomes of neovaginoplasty using penile skin in male-to-female transsexuals","volume":"12","author":"Buncamper","year":"2015","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib20","doi-asserted-by":"crossref","first-page":"1732","DOI":"10.1111\/andr.13030","article-title":"Penile inversion vaginoplasty outcomes: complications and satisfaction","volume":"9","author":"Hontscharuk","year":"2021","journal-title":"Andrology"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib21","first-page":"721","article-title":"Quality of life and patient satisfaction following male-to-female sex reassignment surgery","volume":"14","author":"Papadopulos","year":"2017","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib22","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2018-025435","article-title":"International phase I study protocol to develop a patient-reported outcome measure for adolescents and adults receiving gender-affirming treatments (the GENDER-Q)","volume":"8","author":"Klassen","year":"2018","journal-title":"BMJ Open"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib23","doi-asserted-by":"crossref","first-page":"e22","DOI":"10.1016\/j.fertnstert.2016.08.049","article-title":"Total laparoscopic sigmoid vaginoplasty","volume":"106","author":"Bouman","year":"2016","journal-title":"Fertil Steril"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib24","doi-asserted-by":"crossref","first-page":"952","DOI":"10.1111\/bju.14155","article-title":"Ileal vaginoplasty as vaginal reconstruction in transgender women and patients with disorders of sex development: an international, multicentre, retrospective study on surgical characteristics and outcomes","volume":"121","author":"van der Sluis","year":"2018","journal-title":"BJU Int"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib25","doi-asserted-by":"crossref","first-page":"5643","DOI":"10.1007\/s00464-020-08078-2","article-title":"Use of right colon vaginoplasty in gender affirming surgery: proposed advantages, review of technique, and outcomes","volume":"35","author":"Garcia","year":"2021","journal-title":"Surg Endosc"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib26","doi-asserted-by":"crossref","first-page":"967","DOI":"10.1016\/j.fertnstert.2019.08.063","article-title":"Real-time indocyanine green fluorescent angiography in laparoscopic sigmoid vaginoplasty to assess perfusion of the pedicled sigmoid segment","volume":"112","author":"van der Sluis","year":"2019","journal-title":"Fertil Steril"},{"issue":"12","key":"10.1016\/j.bpobgyn.2022.102297_bib27","doi-asserted-by":"crossref","first-page":"3272","DOI":"10.1111\/codi.15952","article-title":"Gender dysphoria: laparoscopic sigmoid vaginoplasty. Another utility of indocyanine green","volume":"23","author":"Flor-Lorente","year":"2021","journal-title":"Colorectal Dis"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib28","doi-asserted-by":"crossref","first-page":"614e","DOI":"10.1097\/PRS.0000000000002549","article-title":"Primary total laparoscopic sigmoid vaginoplasty in transgender women with penoscrotal hypoplasia: a prospective cohort study of surgical outcomes and follow-up of 42 patients","volume":"138","author":"Bouman","year":"2016","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib29","doi-asserted-by":"crossref","DOI":"10.1155\/2018\/4907208","article-title":"Primary sigmoid vaginoplasty in transwomen: technique and outcomes","author":"Salgado","year":"2018","journal-title":"BioMed Res Int"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib30","first-page":"1835","article-title":"Intestinal vaginoplasty revisited: a review of surgical techniques, complications, and sexual function","volume":"11","author":"Bouman","year":"2014","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib31","doi-asserted-by":"crossref","first-page":"386","DOI":"10.1097\/PRS.0000000000001459","article-title":"Long-term outcomes of rectosigmoid neocolporrhaphy in male-to-female gender reassignment surgery","volume":"136","author":"Morrison","year":"2015","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib32","first-page":"702","article-title":"Long-term follow-up of transgender women after secondary intestinal vaginoplasty","volume":"13","author":"van der Sluis","year":"2016","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib33","first-page":"1438","article-title":"Patient-reported esthetic and functional outcomes of primary total laparoscopic intestinal vaginoplasty in transgender women with penoscrotal hypoplasia","volume":"13","author":"Bouman","year":"2016","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib34","first-page":"2030","article-title":"Colic-based transplant in sexual reassignment surgery: functional outcomes and complications in 43 consecutive patients","volume":"16","author":"di Summa","year":"2019","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib35","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1136\/flgastro-2015-100602","article-title":"Refractory diversion neovaginitis in a sigmoid-colon-derived neovagina: clinical and histopathological considerations","volume":"7","author":"van der Sluis","year":"2016","journal-title":"Frontline Gastroenterol"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib36","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1111\/his.12894","article-title":"Morphological spectrum of neovaginitis in autologous sigmoid transplant patients","volume":"68","author":"van der Sluis","year":"2016","journal-title":"Histopathology"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib37","doi-asserted-by":"crossref","DOI":"10.1016\/j.fertnstert.2015.11.013","article-title":"Diversion neovaginitis after sigmoid vaginoplasty: endoscopic and clinical characteristics","volume":"105","author":"van der Sluis","year":"2016","journal-title":"Fertil Steril"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib38","doi-asserted-by":"crossref","first-page":"676","DOI":"10.1016\/j.eururo.2020.06.040","article-title":"Outcomes of gender affirming peritoneal flap vaginoplasty using the da vinci single port versus xi robotic systems","volume":"79","author":"Dy","year":"2021","journal-title":"Eur Urol"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib39","doi-asserted-by":"crossref","first-page":"634e","DOI":"10.1097\/PRS.0000000000007779","article-title":"Vaginal canal reconstruction in penile inversion vaginoplasty with flaps, peritoneum, or skin grafts: where is the evidence?","volume":"147","author":"Salibian","year":"2021","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib40","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.urology.2022.05.001","article-title":"Laparoscopy assisted peritoneal pull-through vaginoplasty in transgender women","volume":"166","author":"Castanon","year":"2022","journal-title":"Urology"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib41","article-title":"An alternative option for gender-affirming revision vaginoplasty: the tubularized urachus-peritoneal hinge flap","volume":"10","author":"Smith","year":"2022","journal-title":"Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib42","doi-asserted-by":"crossref","first-page":"793","DOI":"10.1097\/PRS.0000000000002598","article-title":"Revision vaginoplasty: a comparison of surgical outcomes of laparoscopic intestinal versus perineal full-thickness skin graft vaginoplasty","volume":"138","author":"Van der Sluis","year":"2016","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib43","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1097\/AOG.0000000000001421","article-title":"Clinical characteristics and management of neovaginal fistulas after vaginoplasty in transgender women","volume":"127","author":"van der Sluis","year":"2016","journal-title":"Obstet Gynecol"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib44","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1080\/26895269.2020.1749921","article-title":"Orchiectomy in transgender individuals: a motivation analysis and report of surgical outcomes","volume":"21","author":"Van der Sluis","year":"2020","journal-title":"Int J Transgend Health"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib45","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.sxmr.2019.11.004","article-title":"A\u00a0simple guide for simple orchiectomy in transition-related surgeries","volume":"8","author":"Francis","year":"2020","journal-title":"Sex Med Rev"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib46","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1080\/26895269.2020.1774030","article-title":"Initial clinical experience with simple orchiectomy procedures in the context of transition-related surgeries","volume":"21","author":"Hana","year":"2020","journal-title":"Int J Transgend Health"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib47","first-page":"1566","article-title":"Gender-confirming vulvoplasty in transgender women in The Netherlands: incidence, motivation analysis, and surgical outcomes","volume":"17","author":"van der Sluis","year":"2020","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib48","first-page":"586","article-title":"Recommending or rejecting \"the dimple\": WPATH-affiliated medical professionals' experiences and attitudes toward gender-confirming vulvoplasty in transgender women","volume":"16","author":"Milrod","year":"2019","journal-title":"J\u00a0Sex Med"},{"key":"10.1016\/j.bpobgyn.2022.102297_bib49","first-page":"902","article-title":"Does depth matter? Factors affecting choice of vulvoplasty over vaginoplasty as gender-affirming genital surgery for transgender women","volume":"15","author":"Jiang","year":"2018","journal-title":"J\u00a0Sex Med"}],"container-title":["Best Practice &amp; Research Clinical Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S152169342200178X?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S152169342200178X?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,26]],"date-time":"2025-10-26T17:14:46Z","timestamp":1761498886000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S152169342200178X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2]]},"references-count":49,"alternative-id":["S152169342200178X"],"URL":"https:\/\/doi.org\/10.1016\/j.bpobgyn.2022.102297","relation":{},"ISSN":["1521-6934"],"issn-type":[{"value":"1521-6934","type":"print"}],"subject":[],"published":{"date-parts":[[2023,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Genital gender-affirming surgery for transgender women","name":"articletitle","label":"Article Title"},{"value":"Best Practice & Research Clinical Obstetrics & Gynaecology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bpobgyn.2022.102297","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 The Authors. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"102297"}}