Evidence map›Paper›PMID 34971864›Full record

ReviewSexual medicine2022

ESSM Position Statement "Sexual Wellbeing After Gender Affirming Surgery".

Müjde Özer, Sahaand Poor Toulabi, Alessandra D Fisher, Guy T'Sjoen, Marlon E Buncamper, Stan Monstrey, Marta R Bizic, Miroslav Djordjevic, Marco Falcone, Nim A Christopher and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in Sexual medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 29 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Impact of Gender-confirming Chest Surgery on Sexual Health: A Prospective Study.Plastic and reconstructive surgery. Global open · 2024
    Article
  10. Article
  11. Article
  12. Do we urologists know enough about gender minorities with prostate cancer?International braz j urol : official journal of the Brazilian Society of Urology
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 6 countries.

Müjde ÖzerDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands. Electronic address: m.ozer@amsterdamumc.nl.
Sahaand Poor ToulabiDepartment of Plastic, Reconstructive and Hand Surgery, Amsterdam University Medical Center, Amsterdam, The Netherlands.
Alessandra D FisherAndrology, Women's Endocrinology, Gender Incongruence Unit, Department of Experimental Clinical and Biomedical Sciences, University of Florence, Florence, Italy.
Guy T'SjoenDepartment of Endocrinology and Center for Sexology and Gender, Ghent University and Ghent University Hospital, Ghent, Belgium.
Marlon E BuncamperDepartment of Plastic, Reconstructive and Hand Surgery, Ghent University Hospital, Ghent, Belgium.
Stan MonstreyDepartment of Plastic, Reconstructive and Hand Surgery, Ghent University and Ghent University Hospital, Ghent, Belgium.
Marta R BizicDepartment of Pediatric Urology, University of Belgrade, Belgrade, Serbia.
Miroslav DjordjevicDepartment of Pediatric Urology, University of Belgrade, Belgrade, Serbia.
Marco FalconeDepartment of Urology, Città della Salute e della Scienza, University of Turin, Turin, Italy.
Nim A ChristopherDepartment of Urology, St Peter's Andrology Centre and The Institute of Urology, London, UK.
Daniel SimonFacialteam Surgical Group, HC Marbella International Hospital, Marbella, Málaga, Spain.
Luis CapitánFacialteam Surgical Group, HC Marbella International Hospital, Marbella, Málaga, Spain.
Joz MotmansCenter for Sexology and Gender, Ghent University Hospital, Ghent, Belgium.
Ghent University Hospital · BEHAN University of Applied Sciences · NLAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITCentar za Promociju Nauke · RSGender Studies · CZLondon Clinic · GBUniversity of Belgrade · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMuch has been published on the surgical and functional results following Gender Affirming Surgery ('GAS') in trans individuals. Comprehensive results regarding sexual wellbeing following GAS, however, are generally lacking.

aimTo review the impact of various GAS on sexual wellbeing in treatment seeking trans individuals, and provide a comprehensive list of clinical recommendations regarding the various surgical options of GAS on behalf of the European Society for Sexual Medicine.

methodsThe Medline, Cochrane Library and Embase databases were reviewed on the results of sexual wellbeing after GAS. MAIN OUTCOMES MEASURE: The task force established consensus statements regarding the somatic and general requirements before GAS and of GAS: orchiectomy-only, vaginoplasty, breast augmentation, vocal feminization surgery, facial feminization surgery, mastectomy, removal of the female sexual organs, metaidoioplasty, and phalloplasty. Outcomes pertaining to sexual wellbeing- sexual satisfaction, sexual relationship, sexual response, sexual activity, enacted sexual script, sexuality, sexual function, genital function, quality of sex life and sexual pleasure- are provided for each statement separately.

resultsThe present position paper provides clinicians with statements and recommendations for clinical practice, regarding GAS and their effects on sexual wellbeing in trans individuals. These data, are limited and may not be sufficient to make evidence-based recommendations for every surgical option. Findings regarding sexual wellbeing following GAS were mainly positive. There was no data on sexual wellbeing following orchiectomy-only, vocal feminization surgery, facial feminization surgery or the removal of the female sexual organs. The choice for GAS is dependent on patient preference, anatomy and health status, and the surgeon's skills. Trans individuals may benefit from studies focusing exclusively on the effects of GAS on sexual wellbeing.

conclusionThe available evidence suggests positive results regarding sexual wellbeing following GAS. We advise more studies that underline the evidence regarding sexual wellbeing following GAS. This position statement may aid both clinicians and patients in decision-making process regarding the choice for GAS. Özer M, Toulabi SP, Fisher AD, et al. ESSM Position Statement "Sexual Wellbeing After Gender Affirming Surgery". Sex Med 2022;10:100471.

Indexed as

Gender Affirming SurgeryGender DiverseGender IncongruenceMetaidoioplastyPhalloplastySexual WellbeingTransgenderTranssexualVaginoplasty

Identifiers

PMID34971864
PMCPMC8847816
OpenAlexW4200582955

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.