{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T19:14:38Z","timestamp":1771528478014,"version":"3.50.1"},"reference-count":43,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2022,12,9]],"date-time":"2022-12-09T00:00:00Z","timestamp":1670544000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Andrology"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Penile and genital surgery for congenital or acquired conditions is daily practice in reconstructive urology. These procedures, which carry the risk of disrupting nerves and blood vessels, may impair the genital sensation, and affect the capacity for sexual pleasure. Self\u2010reported tools are needed to systematically assess the male genitalia before and after reconstructive surgeries in terms of genital sensation and sexual experience.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aim<\/jats:title><jats:p>This study validated the Dutch translation of the \u201cself\u2010assessment of genital anatomy and sexual functioning in male\u201d (SAGASF\u2010M) questionnaire and investigated the perceptions of healthy men regarding their genital anatomy and sensory function.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eight hundred and eight sexually active men with a median age of 39 years (18\u201379 years) and no history of genital procedures other than circumcision filled out an online version of the questionnaire. Twenty\u2010four participants were randomly recruited to confirm the responses of the \u201cself\u2010assessment of genital anatomy and sexual functioning in male\u201d questionnaire by a clinical evaluation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The \u201cself\u2010assessment of genital anatomy and sexual functioning in male\u201d questionnaire comprises of multiple\u2010choice questions and clarifying illustrations asking men to rate their genital appearance, overall sexual sensitivity, and pain perception as well as the intensity and the effort to reach orgasm. Prespecified regions of the glans, penile shaft, scrotum, perineum, and anus are evaluated through this questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Only slight variability in anatomical ratings was observed. Overall discrimination between different genital areas in terms of genital sensation was significant. The bottom of the glans or frenular area was rated the highest contributor to \u201csexual pleasure,\u201d followed by the other regions of the glans and shaft. The same distribution was found for \u201corgasm intensity\u201d and \u201corgasm effort.\u201d The anal region was generally rated the lowest. \u201cDiscomfort\/pain\u201d was rated lower than any of the other sensory function indicators and the top of the glans and anal region were rated most likely to perceive this unpleasant sensation. Participants reported significantly more sexual pleasure and intense orgasms when stimulated by a sexual partner than self\u2010stimulation. Homosexual and bisexual men reported a higher contribution of the perineal and anal regions in sexual pleasure and orgasm. No significant difference between circumcised and uncircumcised individuals regarding overall genital sensation could be found.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The Dutch translation of the SAGASF\u2010M questionnaire is a valuable and reliable tool for self\u2010assessment of genital anatomy and sensation, providing a site\u2010specific attribution of a patient's perceived sexual function. Further prospective research with this questionnaire could aid in the patient\u2010centered improvement of genital surgery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/andr.13348","type":"journal-article","created":{"date-parts":[[2022,11,25]],"date-time":"2022-11-25T08:55:46Z","timestamp":1669366546000},"page":"489-500","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["The self\u2010assessment of genital anatomy, sexual function, and genital sensation (SAGASF\u2010M) questionnaire in a Belgian Dutch\u2010speaking male population: A validating study"],"prefix":"10.1111","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4314-793X","authenticated-orcid":false,"given":"Wietse","family":"Claeys","sequence":"first","affiliation":[{"name":"Department of Urology University Hospital Ghent and Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guy","family":"Bronselaer","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Ghent and Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolaas","family":"Lumen","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Ghent and Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Piet","family":"Hoebeke","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Ghent and Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne\u2010Fran\u00e7oise","family":"Spinoit","sequence":"additional","affiliation":[{"name":"Department of Urology University Hospital Ghent and Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,12,9]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2011.03.003"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3900857"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)36966-5"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.151.9.1377"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)12980-7"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(01)62075-5"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2009.172"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1464-410X.2003.04435.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/0006-8993(86)90357-4"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2006.06685.x"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2021.01.186"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3900368"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2020.09.025"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.esxm.2021.100413"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2019.01.002"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.08166.x"},{"key":"e_1_2_8_18_1","unstructured":"Statbel. 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