{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T13:35:37Z","timestamp":1785418537207,"version":"3.56.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T00:00:00Z","timestamp":1569888000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Transgender Health"],"published-print":{"date-parts":[[2019,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>Many transgender men seek surgical interventions to create male genitalia. Currently, there is no standardized tool to assess individual goals and expectations for such reconstructive genital surgery. The purpose of this study was to develop and pilot a genital affirmation surgical priorities scale (GASPS) in transgender men seeking metoidioplasty and\/or phalloplasty.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The research team developed the GASPS and piloted it with 63 patients seeking reconstructive genital surgery. The scale was constructed after a comprehensive literature review identified key areas of importance, including size, erogenous and tactile sensation, interest in penetrative sex, ability to urinate standing up, and maintenance of orgasmic function. Results were then tabulated and analyzed to look for trends.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Sixty three consecutive patients, mean age 24.98 years (standard deviation [SD]=5.87), were administered the assessment. On the 5 point Likert scale, patients were most concerned about being able to stand to urinate (mean=4.38, SD=1.06) and erotic sensation (mean=4.21, SD=0.8). The ability to engage in penetrative intercourse (mean=3.98, SD=1.34), tactile sensation (mean=3.93, SD=1.01), and penis length (mean=3.37, SD=1.18), and girth (mean=3.09, SD=1.20) were not universally considered to be important and responses varied widely. Most patients (86%) stated they had a history of being able to orgasm, and 8% did not know. Feedback suggested that scale use helped patients clarify goals for surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>GASPS use confirmed the diversity of patient priorities and the importance of individualized goal assessment. It also confirmed previous reports that standing to urinate is a major genital affirmation motivation for many transgender men.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/trgh.2019.0038","type":"journal-article","created":{"date-parts":[[2019,10,25]],"date-time":"2019-10-25T09:29:25Z","timestamp":1571995765000},"page":"270-276","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":31,"title":["Piloting a Genital Affirmation Surgical Priorities Scale for Trans Masculine Patients"],"prefix":"10.1177","volume":"4","author":[{"given":"Oren","family":"Ganor","sequence":"first","affiliation":[{"name":"Center for Gender Surgery, Boston Children's Hospital, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amir H.","family":"Taghinia","sequence":"additional","affiliation":[{"name":"Center for Gender Surgery, Boston Children's Hospital, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David A.","family":"Diamond","sequence":"additional","affiliation":[{"name":"Center for Gender Surgery, Boston Children's Hospital, Boston, Massachusetts."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth R.","family":"Boskey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,10,25]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2016.0092"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2015.0006"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001131"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23020"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23014"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23016"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.07.084"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-017-3517-y"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003697"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11934-018-0795-y"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2018.03.008"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13178-017-0295-8"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2017.10.064"},{"key":"e_1_3_3_15_2","first-page":"156","article-title":"Overall satisfaction, sexual function, and the durability of neophallus dimensions following staged female to male genital gender confirming surgery: the Institute of Urology, London U.K. experience","volume":"3","author":"Garcia MM","year":"2014","unstructured":"Garcia MM, , Christopher NA, , De Luca F, et al. Overall satisfaction, sexual function, and the durability of neophallus dimensions following staged female to male genital gender confirming surgery: the Institute of Urology, London U.K. experience. Transl Androl Urol. 2014; 3:156\u2013162.","journal-title":"Transl Androl Urol"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2017.04.005"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920140910"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0b013e3181aeeb06"},{"key":"e_1_3_3_19_2","first-page":"e1450","article-title":"What is the ideal neophallus? Response to Frey et al","volume":"5","author":"Elfering L","year":"2017","unstructured":"Elfering L, , \u00d6zer M, , Buncamper ME, et al. What is the ideal neophallus? Response to Frey et al. (2017): an update on genital reconstruction options for the female-to-male transgender patient: a Review of the literature. Plast Reconstr Surg Glob Open. 2017; 5:e1450.","journal-title":"(2017): an update on genital reconstruction options for the female-to-male transgender patient: a Review of the literature. Plast Reconstr Surg Glob Open"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2017.04.001"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199304000-00006"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.21037\/tau.2019.05.08"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000001611"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2017.08.003"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijps.IJPS_158_16"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12121"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.11.011"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23021"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004061"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2018.03.013"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2018.03.017"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1155\/2012\/581712"},{"key":"e_1_3_3_33_2","unstructured":"World Professional Association of Transgender Health. 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