{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T07:19:09Z","timestamp":1787987949456,"version":"build-2784847793"},"reference-count":29,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To examine sexual satisfaction, function, and orgasm following genital gender\u2010affirming surgeries (GGAS) among transgender and gender\u2010diverse (TGD) patients; we used the GENDER\u2010Q, a validated instrument for TGD individuals seeking gender\u2010affirming care that enables a more comprehensive evaluation of sexual experience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods<\/jats:title>\n                    <jats:p>Our cross\u2010sectional survey was distributed via e\u2010mail to patients; surveys were completed in May 2025. The primary outcome was sexual satisfaction measured by the GENDER\u2010Q Sexual Well\u2010Being scale. Secondary outcomes measured the relationship between ability to orgasm and orgasm changes pre\u2010 and postoperatively with identity, sexual wellness, social acceptance, body image, mental health, and surgical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 765 eligible individuals, 295 (39%) responded; 103 (35%) underwent vulvoplasty and 192 (65%) underwent vaginoplasty. In all, 89% were transgender women, and 80% were at least 1\u2010year postoperative. Sexual satisfaction did not differ by age, surgery type, race\/ethnicity, revision history, timing of first postoperative orgasm, or anxiety symptomology. Higher sexual satisfaction was associated with postoperative orgasm and absence of orgasm\u2010related pain and correlated positively with higher scores on the GENDER\u2010Q Orgasm, Social Acceptance, Surgery Outcome, and Body Image scales. In all, 80% of participants able to orgasm preoperatively reported postoperative orgasm, while 29% who did not experience orgasm preoperatively achieved orgasm postoperatively. Inability to orgasm postoperatively was associated with older age and lower Sexual Well\u2010Being and Surgery Outcome scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings underscore the multifactorial nature of sexual well\u2010being after GGAS and highlight the value of assessing sexual function before and after surgery. Longitudinal studies are needed to further characterize sexual health trajectories following GGAS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/bju.70391","type":"journal-article","created":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T06:45:01Z","timestamp":1787985901000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Sexual satisfaction, sexual function, and orgasm after gender\u2010affirming vaginoplasty and vulvoplasty"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9639-7337","authenticated-orcid":false,"given":"Harland V.","family":"Harrison","sequence":"first","affiliation":[{"name":"School of Medicine Oregon Health and Science University  Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geolani W.","family":"Dy","sequence":"additional","affiliation":[{"name":"Department of Urology Oregon Health and Science University  Portland OR USA"},{"name":"Division of Plastic Surgery Oregon Health and Science University  Portland OR USA"},{"name":"Department of Urology University of Washington  Seattle WA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Dugi","sequence":"additional","affiliation":[{"name":"Department of Urology Oregon Health and Science University  Portland OR USA"},{"name":"Division of Plastic Surgery Oregon Health and Science University  Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3902-2293","authenticated-orcid":false,"given":"Blair","family":"Peters","sequence":"additional","affiliation":[{"name":"Department of Urology Oregon Health and Science University  Portland OR USA"},{"name":"Division of Plastic Surgery Oregon Health and Science University  Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jyoti","family":"Chouhan","sequence":"additional","affiliation":[{"name":"Department of Urology Oregon Health and Science University  Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallery Jenna","family":"Robinson","sequence":"additional","affiliation":[{"name":"Transgender Health Program Oregon Health and Science University  Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5318-6079","authenticated-orcid":false,"given":"Jade","family":"Johnson","sequence":"additional","affiliation":[{"name":"Transgender Health Program Oregon Health and Science University  Portland OR USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. 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