LONG-TERM PSYCHOSEXUAL AND PSYCHOSOCIAL PERFORMANCE OF PATIENTS WITH A SIGMOID NEOVAGINA

OBJECTIVE: We aimed to study the long-term psychosexual and psychosoci al performance of patients with a sigmoid vagina in vaginal dysgenesis and male-to-female transsexuals. STUDY DESIGN: Nineteen patients who had undergone surgery to create a neovagina with the use of a sigmoid segment participated in a long-term follow-up study. Evaluation was do ne with standardized gynecologic examination and a structured intervie w. RESULTS: The anatomic result was good in 18 patients, although seve ral reoperative procedures had been necessary. Sexual adjustment was g ood or satisfactory in 12 of 19 patients. Of the 19 patients, 16 were capable of reaching an orgasm. Social adjustment was good or satisfact ory in 16 patients. CONCLUSIONS: The creation of a sigmoid neovagina r esults in a long-term anatomically satisfactory situation, in both pat ients with vaginal dysgenesis and male-to-female transsexuals. In a ma jority of the patients sexual and social adjustment is good or satisfa ctory.