The Sexual Goals of Metoidioplasty Patients and Their Attitudes Toward Using PDE5 Inhibitors and Intracavernosal Injections as Erectile Aids

Following metoidioplasty, transmen (TM) experience sexual function challenges including erectile dysfunction, which is typically treated in cisgender men with phosphodiesterase-5 inhibitors (PDE5i) and intracavernosal injections (ICI). We aim to evaluate sexual function post-metoidioplasty and explo...

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Bibliographic Details
Published in:Sexual medicine 2022-06, Vol.10 (3), p.100505-8, Article 100505
Main Authors: Khorrami, Amir, Kumar, Sahil, Bertin, Elise, Wassersug, Richard, O'Dwyer, Cormac, Mukherjee, Smita, Witherspoon, Luke, Mankowski, Peter, Genoway, Krista, Kavanagh, Alex G.
Format: Article
Language:English
Subjects:
Erectile Aids
Erectile dysfunction
Gender-affirming surgery
Intracavernosal injections
Metoidioplasty
Original Research
Phalloplasty
Phosphodiesterase inhibitors
Sexual dysfunction
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Summary:Following metoidioplasty, transmen (TM) experience sexual function challenges including erectile dysfunction, which is typically treated in cisgender men with phosphodiesterase-5 inhibitors (PDE5i) and intracavernosal injections (ICI). We aim to evaluate sexual function post-metoidioplasty and explore attitudes toward using PDE5i and ICI as potential erectile aids All patients who had metoidioplasty completed at the Gender Surgery Program in Vancouver, British Columbia were contacted. Participants completed an electronically accessible self-constructed questionnaire consisting of 39 items on erectile function, orgasm, and penetrative intercourse which also captured Erection Hardness Scores (EHS). Data were analyzed via t-test and 1-way ANOVA. Our outcomes were the importance of erectile function, ability to orgasm, penetrative intercourse, and attitudes towards using PDE5i and ICI post-metoidioplasty. Fifteen out of 22 patients completed the survey (median age 32 years). Most had metoidioplasty within the past 2 years. The participants ranked the ability to orgasm and to achieve or maintain erections significantly higher than penetrative intercourse (P
ISSN:2050-1161
2050-1161
DOI:10.1016/j.esxm.2022.100505