Sexuality after male to female gender confirming surgery

Jochen Hess

Department of Urology, University Hospital Essen

1997 - 2005 academic studies of human medicine in Leipzig, Lucerne and Berne2005 - 2010 urological / surgical education Lucerne / Berne and Essen2013 senior physician department of urology, University Hospital Essen, Germany further board certified qualification: conservative oncology (2013), palliative care (2015), andrology (2016), Fellow of the European Board of Sexual Medicine (2016)


Male to female (MtF) gender confirming surgery (GCS) comprises resection of the corpora cavernosa and the testicles with creation of a functional and asthetic perineogenital complex. However little is known about the long-term... [ view full abstract ]


This study aimed to evaluate the long-term effect of GCS on sexuality. [ view full abstract ]


We retrospectively surveyed 254 consecutive MtF transsexual patients who had undergone GCS with penile inversion vaginoplasty at our department between 2004 and 2010. In total, we received 119 completed questionnaires... [ view full abstract ]

Main Outcome Measures

We asked the women to self-identify their sexual orientation related to their perceived gender. Furthermore we inquired information about the ability to and the modality as to how achieve orgasms and about the satisfaction... [ view full abstract ]


Study participants reported in 33.7% a herterosexual orientation, in 37.6% a lesbian and in 22.8% a bisexual orientation. Approximately two thirds of the patients hadn´t encountered sexual intercourse after this time. Those... [ view full abstract ]


Meticulous preservation of genital nerval anatomy is a prerequisite for future orgasms in transgender individuals - the brain, however, seems to play the key role for overall orgasmic experience. [ view full abstract ]


  1. Jochen Hess (Department of Urology, University Hospital Essen)
  2. Isabella Kurth (Department of Urology, University Hospital Essen)
  3. Alexander Henkel (Department of Urology, University Hospital Essen)
  4. Leo Panic (Department of Urology, University Hospital Essen)
  5. Herbert Rübben (Department of Urology, University Hospital Essen)
  6. Roberto Rossi Neto (Clinica Urologia, General Hospital Ernesto Simoes Filho, Salvador)
  7. Yasmine Hess-Busch (Department of Urology, University Hospital Essen)

Topic Area

Oral & Poster Topics: Surgery


PS-7 » E-Posters Surgery (3) (16:30 - Thursday, 6th April, Danube)