Partner satisfaction or changes in partner satisfaction: A retrospective observational study

Abstract

In recent years, due to the increasing demand, genital aesthetic surgeries, particularly vaginoplasty, have become commonly preferred by women. However, data on the effects of this operation on male sexuality are limited. In recent years, societal awareness of sexual compatibility between partners and the surgical interventions that can be performed on the genital area to improve this compatibility has increased. This study aimed to demonstrate changes in partner satisfaction before and after vaginoplasty performed for aesthetic or medical reasons. This study was planned retrospectively. The sampling method used in the study was purposive sampling. Among 200 patients who underwent vaginoplasty, 47 were selected based on specific inclusion and exclusion criteria such as penis size perception, sexual activity, and the absence of erectile dysfunction. Patient information was screened from our clinic's database, and demographic data were recorded. Only the partners of women who underwent vaginoplasty were included in the study. Among these partners, only those with an average or above-average penis size were included. The partners of patients who underwent vaginoplasty were interviewed to assess their sexual functions using the Male Sexual Health Questionnaire-Ejaculation Disorder (MSHQ-EjD), the Golombok-Rust sexual satisfaction scale, and the new sexual satisfaction scale (NSSS). These assessments were conducted in the preoperative and postoperative periods, and the data were recorded. In this study, it was observed that there were no significant differences in MSHQ ejaculation function and ejaculation difficulty levels between the preoperative and postoperative periods. The Golombok-Rust sexual satisfaction scale assessed the quality of the relationship in 8 subgroups, finding that levels of frequency, communication, touching, satisfaction, impotence, and quality of sexual intercourse were significantly higher postoperatively, while scores for avoidance and premature ejaculation were significantly lower. This study found that sexual satisfaction increased in the partners of women who underwent vaginoplasty for aesthetic or medical reasons.