{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T13:30:26Z","timestamp":1784899826513,"version":"3.55.0"},"reference-count":14,"publisher":"CSIRO Publishing","issue":"1","license":[{"start":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T00:00:00Z","timestamp":1763424000000},"content-version":"vor","delay-in-days":292,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,2,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In the healthcare setting, transgender patients are often marginalized, face discrimination and have limited access to high-quality gender-affirming care, such as gender-affirming surgery (GAS). As a result, the available data pertaining to GAS are often based on convenience samples, and the majority of published studies in the US are cross-sectional. Transgender people may undergo GAS to align their bodies with their gender identities. There has been little emphasis on the GAS self-evaluated experience. GAS may be associated with improved quality of life in transgender people. This study aimed to analyze the functionality of transgender patients\u2019 genitals following vaginoplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 306 transgender patients responded to a validated survey for patient-reported feminizing GAS outcomes. Surveys were given to patients prior to GAS, and then 2\u00a0weeks, 6\u00a0months and 12\u00a0months postoperatively. Pre- and post-GAS responses were compared using McNemar and Wilcoxon signed-rank tests. Self-identified race\/ethnicity was available for all survey participants. All participants voluntarily took the same survey by using the same survey platform to eliminate bias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Five questions showed significant improvement between the 2-week and 6-month responses. These questions assessed if respondents had sensation in their clitoris (P\u00a0=\u00a00.031), the frequency that clitoral stimulation was pleasurable (P\u00a0=\u00a00.018), the presence of sexual activity in the past 3\u00a0months (P\u00a0&amp;lt;\u00a00.001), the ability to have penetrative vaginal intercourse (P\u00a0=\u00a00.031) and if labial irritation while walking or exercising decreased (P\u00a0=\u00a00.051). Significant differences were not detected between the 6-month and 12-month responses for any of the survey questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The results of five different metrics regarding sexual activity and vaginal functioning showed a significant improvement for transgender people following GAS. Findings also similarly demonstrate a high success rate of sexual activity after GAS. These are significant patient-reported outcomes using tools validated for the transgender population. Respondent outcomes significantly improved between the 2-week and 6-month time period, but did not differ between the 6-month and 12-month period, suggesting the ideal time to assess the above-described patient-perceived outcomes with vaginoplasty is 6\u00a0months postoperatively.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh24070","type":"journal-article","created":{"date-parts":[[2025,1,29]],"date-time":"2025-01-29T17:29:31Z","timestamp":1738171771000},"source":"Crossref","is-referenced-by-count":3,"title":["Using a novel and validated survey tool to analyze sexual functioning following vaginoplasty in transgender individuals"],"prefix":"10.1071","volume":"22","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-7889-0416","authenticated-orcid":true,"given":"Alyxandra","family":"Ramsay","sequence":"first","affiliation":[{"name":"AMount Sinai Heath System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Blankson","sequence":"additional","affiliation":[{"name":"AMount Sinai Heath System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lara","family":"Finnerty-Haggerty","sequence":"additional","affiliation":[{"name":"BState University of New York, Downstate College of Medicine, 450 Clarkson Avenue, Brooklyn, NY 11203, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiaxin","family":"Wu","sequence":"additional","affiliation":[{"name":"AMount Sinai Heath System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua D.","family":"Safer","sequence":"additional","affiliation":[{"name":"AMount Sinai Heath System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John Henry","family":"Pang","sequence":"additional","affiliation":[{"name":"AMount Sinai Heath System, Center for Transgender Medicine and Surgery, 275 7th Avenue, 15th Floor, New York, NY 10001, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2025,1,30]]},"reference":[{"issue":"6","key":"2025111818055482100_R1","doi-asserted-by":"publisher","first-page":"1744","DOI":"10.1111\/andr.13022","article-title":"Sexual health after vaginoplasty: a systematic review.","volume":"9","author":"Kloer","year":"2021","journal-title":"Andrology"},{"key":"2025111818055482100_R2","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1146\/annurev-med-020222-121106","article-title":"Update in adult transgender medicine.","volume":"74","author":"Ramsay","year":"2023","journal-title":"Annu Rev 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satisfaction.","volume":"9","author":"Hontscharuk","year":"2021","journal-title":"Andrology"},{"issue":"1","key":"2025111818055482100_R12","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/j.sxmr.2021.04.001","article-title":"Sexual functioning of transgender females post-vaginoplasty: evaluation, outcomes and treatment strategies for sexual dysfunction.","volume":"10","author":"Schardein","year":"2022","journal-title":"Sex Med Rev"},{"issue":"1","key":"2025111818055482100_R13","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1016\/j.sxmr.2018.06.004","article-title":"Masculinizing genital gender confirmation surgery.","volume":"7","author":"Hadj-Moussa","year":"2019","journal-title":"Sex Med Rev"},{"issue":"6","key":"2025111818055482100_R14","doi-asserted-by":"publisher","first-page":"902","DOI":"10.1016\/j.jsxm.2018.03.085","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 Sex Med"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH24070\/1636581\/sh24070.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH24070\/1636581\/sh24070.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T23:05:58Z","timestamp":1763507158000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/22\/1\/SH24070\/22101\/Using-a-novel-and-validated-survey-tool-to-analyze"}},"subtitle":[],"editor":[{"given":"Somesh","family":"Gupta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2025,1,30]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,2,6]]}},"URL":"https:\/\/doi.org\/10.1071\/sh24070","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"value":"1448-5028","type":"print"},{"value":"1449-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,30]]},"article-number":"SH24070"}}