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While these surgeries have been shown to improve psychological well-being and overall mental health, they often come with challenges, particularly in preserving sexual sensation and function. Despite advancements in surgical strategies, postoperative sexual rehabilitation remains an underexplored aspect of gender-affirming care. Emerging evidence suggests that transcutaneous electrical nerve stimulation (TENS) may offer a promising noninvasive approach to enhancing sexual function. This paper explores the role of TENS in sexual rehabilitation following GAGRS, emphasizing the need for a more comprehensive approach that goes beyond anatomical reconstruction.<\/jats:p>","DOI":"10.1177\/17562872251358125","type":"journal-article","created":{"date-parts":[[2025,7,21]],"date-time":"2025-07-21T06:40:25Z","timestamp":1753080025000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Application of transcutaneous electrical nerve stimulation (TENS) for restoring sexual function after gender-affirming genital reconstruction: a hypothesis"],"prefix":"10.1177","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0652-7693","authenticated-orcid":false,"given":"Fateme","family":"Tahmasbi","sequence":"first","affiliation":[{"name":"Urology Department, Faculty of Medicine, Tabriz University of Medical Sciences, Azadi Street-Golgasht Ave, Tabriz, East Azarbaijan 5166\/15731, Iran"},{"name":"Research Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,7,20]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2021.0952"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2019.19010080"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13669-024-00390-1"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/638919"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2023.10.009"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.21037\/tau-22-681"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2007.12.009"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/17518423.2024.2439560"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.15540\/nr.11.3.304"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.34172\/ijdrc.2023.e24"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40141-023-00397-4"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmn.2024.12.005"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2008.01803.x"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/ner.12846"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-024-07687-2"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01578.x"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2020.02.014"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30190"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000006315"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41585-022-00705-y"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000003510"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjps.2020.08.118"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.metop.2022.100173"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcte.2024.100355"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1210\/jendso\/bvab011"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1523\/JNEUROSCI.11-12-03898.1991"},{"key":"e_1_3_4_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/andr.13016"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2015.10.001"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-019-04019-3"},{"key":"e_1_3_4_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000004616"},{"key":"e_1_3_4_32_2","volume-title":"StatPearls [Internet]","author":"Teoli D","year":"2024","unstructured":"Teoli D, Dua A, An J. 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