title: Long-term psychosexual and psychosocial performance of patients with a sigmoid neovagina.
abstract: OBJECTIVE
  We aimed to study the long-term psychosexual and psychosocial performance of patients with a sigmoid vagina in vaginal dysgenesis and male-to-female transsexuals.
  
  
  METHODS
  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 done with standardized gynecologic examination and a structured interview.
  
  
  RESULTS
  The anatomic result was good in 18 patients, although several reoperative procedures had been necessary. Sexual adjustment was good or satisfactory in 12 of 19 patients. Of the 19 patients, 16 were capable of reaching an organism. Social adjustment was good or satisfactory in 16 patients.
  
  
  CONCLUSIONS
  The creation of a sigmoid neovagina results in a long-term anatomically satisfactory situation, in both patients with vaginal dysgenesis and male-to-female transsexuals. In a majority of the patients sexual and social adjustment is good or satisfactory.
authors.affiliation: Department of Obstetrics and Gynecology, Academic Hospital Rotterdam, The Netherlands.
authors.forename: I
authors.initials: I
authors.lastname: Freundt
authors.forename: T A
authors.initials: TA
authors.lastname: Toolenaar
authors.forename: F J
authors.initials: FJ
authors.lastname: Huikeshoven
authors.forename: H
authors.initials: H
authors.lastname: Jeekel
authors.forename: A C
authors.initials: AC
authors.lastname: Drogendijk
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D003075:Coitus; D003106:Colon / Q000637:transplantation*; D005260:Female; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D011606:Psychosexual Development; D012917:Social Adjustment; D011795:Surveys and Questionnaires; D016042:Transplantation, Heterotopic; D014189:Transsexualism / Q000523:psychology / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000601:surgery