MP91-19 NEOCLITORIS SIZE AND LOCATION: CAN THEY AFFECT TRANSSEXUAL WOMEN SEXUAL FUNCTION? A PRELIMINARY PELVIC MRI STUDY.

Abstract

You have accessJournal of UrologySexual Function/Dysfunction: Medical, Hormonal & Non-surgical Therapy I1 Apr 2017MP91-19 NEOCLITORIS SIZE AND LOCATION: CAN THEY AFFECT TRANSSEXUAL WOMEN SEXUAL FUNCTION? A PRELIMINARY PELVIC MRI STUDY. Francesca Vedovo, Nicola Pavan, Giovanni Liguori, Stefano Bucci, Michele Bertolotto, and Carlo Trombetta Francesca VedovoFrancesca Vedovo More articles by this author , Nicola PavanNicola Pavan More articles by this author , Giovanni LiguoriGiovanni Liguori More articles by this author , Stefano BucciStefano Bucci More articles by this author , Michele BertolottoMichele Bertolotto More articles by this author , and Carlo TrombettaCarlo Trombetta More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2017.02.2859AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Clinical trials have shown that biological women with anorgasmia possess a smaller clitoral glans and clitoral components farther from the vagina lumen than women with normal orgasmic function. The aim of this study is to evaluate neoclitoris size and location with regard to sexual function in patients undergoing male to female (MtF) gender reassignment surgery (GRS). For the evaluation of the normal post-operative changes and presence of complications, in our Centre, patients underwent MtF GRS performed a pelvic non-contrast MRI at 2-4 weeks after surgery. METHODS From May to June 2015 we enrolled, during follow up visits, 40 Italian speaking transsexual women underwent MtF GRS and postoperative MRI in our Centre between 2004-2014. Sexual functioning was assessed using the Italian version of the Female Sexual Function Index (FSFI). MR Scans were acquired with a 1.5T superconductive equipment in sagittal and axial planes using a multichannel phased array coil for parallel imaging. TSE T2-weighed images were obtained with 3-4mm thick contiguous sections. The neovagina and the rectum were distended with gel or a vaginal tutor inserted. Individual pelvic MRIs were reviewed by blinded investigators, the three axes of the neoclitoris were measured and the volume calculated using the ellipsoid formula. The distance between the neoclitoris and the neovagina was measured. Data included demographics, sexual history, previous surgery, partnership status, body mass index (BMI), past and current medical history, chronic medical treatments, education, job. RESULTS 22 patients completed the study. The mean age was 34 years (SD 7.44). The majority were Caucasians (N=20, 91%) and in a relationship (N=13, 51%). At the MRI neoclitoris mean volume was 1.18 cc (SD 0.43), coronal area 6.80 cm2 (SD 2.4) and 5.33 cm2 (SD 1.34) in sagittal view, the mean distance between neoclitoris and neovagina was 3.38 cm (SD 0.5). There is a statistically significant correlation between the parameter that evaluates the distance between the neoclitoris and the neovagina and the FSFI total score (p < 0.0001). Neoclitoris size did not significantly correlate with FSFI total score (p=0.76). CONCLUSIONS This study showed that, even in patients undergoing GRS, neoclitoris localization could be considered a parameter for evaluating sexual function and that a reduction of the distance between neovagina and neoclitoris is associated with greater sexual satisfaction. Neoclitoris size seems not to affect MtF sexual function. © 2017FiguresReferencesRelatedDetails Volume 197Issue 4SApril 2017Page: e1225 Advertisement Copyright & Permissions© 2017MetricsAuthor Information Francesca Vedovo More articles by this author Nicola Pavan More articles by this author Giovanni Liguori More articles by this author Stefano Bucci More articles by this author Michele Bertolotto More articles by this author Carlo Trombetta More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...