Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques

Abstract

It was with great interest that we read the article by Dr. Horbach et al., Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques [1]. We congratulate the authors on this well-designed systematic review from 1995 to the present and the discussion that points out that efforts should be made to measure outcomes with validated questionnaires and scores for sexual function and quality of life. We have three questions regarding their conclusion and recommendations, in which they wrote that, for now, the penile skin inversion technique is the most researched method, and surgical outcome and sexual function are generally acceptable to good. In the light of your review, do you think that it is possible to get very good to excellent outcomes after penile skin inversion technique? What do you think about the learning curve associated with this surgical technique? Do you have guidelines in your university hospital in order to optimize the surgeon's learning curve of this procedure?

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