{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T04:55:11Z","timestamp":1788411311163,"version":"build-2803163510"},"reference-count":26,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["jsm.jsexmed.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2016,9,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Puberty-suppressing hormonal treatment may result in penoscrotal hypoplasia in transgender women, making standard penile inversion vaginoplasty not feasible. For these patients, intestinal vaginoplasty is a surgical alternative, but knowledge on patient-reported postoperative outcomes and quality of life is lacking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To assess patient-reported functional and esthetic outcomes, quality of life, satisfaction, and sexual well-being after primary total laparoscopic intestinal vaginoplasty in transgender women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A survey study was performed on transgender women who underwent primary total laparoscopic intestinal vaginoplasty with at least 1 year of clinical follow-up. Thirty-one transgender women completed the questionnaires (median age at time of surgery = 19.1 years, range = 18.3\u201345.0) after a median clinical follow-up of 2.2 years (range = 0.8\u20137.5). Consenting women were asked to complete a combined questionnaire of the Subjective Happiness Scale, the Satisfaction With Life Scale, Cantril's Ladder of Life Scale, the Female Sexual Function Index, the Female Genital Self-Imaging Scale, the Amsterdam Hyperactive Pelvic Floor Scale\u2014Women, and a questionnaire addressing postoperative satisfaction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measures<\/jats:title>\n                    <jats:p>Patient-reported functional and esthetic outcomes and postoperative quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients graded their life satisfaction a median of 8.0 (range = 4.0\u201310.0) on Cantril's Ladder of Life Scale. Patients scored a mean total score of 27.7 \u00b1 5.8 on the Satisfaction With Life Scale, which indicated high satisfaction with life, and a mean total score of 5.6 \u00b1 1.4 on the Subjective Happiness Scale. Functionality was graded a median score of 8.0 of 10 (range = 1.0\u201310.0) and esthetics a score of 8.0 out of 10 (range = 3.0\u201310.0). The mean Female Sexual Function Index total score of sexually active transgender women was 26.0 \u00b1 6.8.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This group of relatively young transgender women reported satisfactory functional and esthetic results of the neovagina and a good quality of life, despite low Female Sexual Function Index scores.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.jsxm.2016.06.009","type":"journal-article","created":{"date-parts":[[2016,7,29]],"date-time":"2016-07-29T01:13:53Z","timestamp":1469754833000},"page":"1438-1444","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":92,"title":["Patient-Reported Esthetic and Functional Outcomes of Primary Total Laparoscopic Intestinal Vaginoplasty in Transgender Women with Penoscrotal Hypoplasia"],"prefix":"10.1093","volume":"13","author":[{"given":"Mark-Bram","family":"Bouman","sequence":"first","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"EMGO+ Institute for Health and Care Research \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"Centre of Expertise on Gender Dysphoria \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"Gender Surgery Amsterdam , Amsterdam, , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wouter B.","family":"van der Sluis","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"EMGO+ Institute for Health and Care Research \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonora E.","family":"van Woudenberg Hamstra","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlon E.","family":"Buncamper","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"EMGO+ Institute for Health and Care Research \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"Centre of Expertise on Gender Dysphoria \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"Gender Surgery Amsterdam , Amsterdam, , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baudewijntje P.C.","family":"Kreukels","sequence":"additional","affiliation":[{"name":"EMGO+ Institute for Health and Care Research \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"Centre of Expertise on Gender Dysphoria \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"Department of Medical Psychology \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Center \u00a0 , Amsterdam, , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wilhelmus J.H.J.","family":"Meijerink","sequence":"additional","affiliation":[{"name":"EMGO+ Institute for Health and Care Research \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"Centre of Expertise on Gender Dysphoria \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"Gender Surgery Amsterdam , Amsterdam, , The Netherlands"},{"name":"Department of Gastro-Intestinal Surgery and Advanced Laparoscopy \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margriet G.","family":"Mullender","sequence":"additional","affiliation":[{"name":"Department of Plastic, Reconstructive and Hand Surgery \u00a0 , Amsterdam, , The Netherlands"},{"name":"VU University Medical Centre \u00a0 , Amsterdam, , The Netherlands"},{"name":"EMGO+ 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