Vaginoplasty outcome in male-to-female transsexuals.

This study investigated the cosmetic and functional adequacy of the neovagina in surgically reassigned male-to-female transsexuals. Subjects were 22 transsexuals with a mean postsurgical follow-up of 4.4 years. All were given structured interviews followed by pelvic examinations. The majority of subjects reported at least some postoperative sexual responsiveness. Vaginal depth, measured with a specially constructed probe, averaged 8.3 cm. Only a minority of subjects, however, complained that the neovagina was inadequate for coitus. It is possible that transsexuals accomplish coitus, despite short vaginas, by assuming positions that limit the depth of their partners' thrusting.