(354) A Call for a Validated Survey to Assess Sexual Function and Satisfaction for Trans Women Post Vaginoplasty

Abstract Introduction The path toward standardized assessment of sexual function and satisfaction (SFS) in women has progressed significantly since it was forged the 1970s. There are many current reliable options such as FSFI PROMIS Sexual Function & Satisfaction v2.0, which have been validated North American English speakers to assess SFS a clinical setting. However, these questionnaires inadequate effectively trans woman post-vaginoplasty due both absence appropriate questions (e.g. addressing post-op restoration sensation) presence inappropriate assessing endogenous lubrication). Objective Upon analysis measures SFS, we hope demonstrate need for tool post-vaginoplasty. Methods Surveys female were compiled reviewed appropriateness variables assessed included whether surveys discussed lubrication, pain/discomfort specific penetration, other areas genitalia. also lack factors dilation depth neovagina, scarring sensation, prostate stimulation, cosmetic appearance Results A total 18 assessed. 8 excluded if they designed populations or diseases (WSID; MSFQ; DSDS; TSS; PFSF; SFQ) their tools could not be accessed (DISF; DSFI). 70% asked about lubrication. 40% pain limited penetration. In studies pain, 25% (n=1) 1 survey vaginal difficulty with no that genitalia, scarring, sensation. Conclusions Although available contain post-vaginoplasty, most lubrication is irrelevant none several domains important should neovaginal depth, well genitalia SFS. For example, report pleasure from stimulation through canal during penetration; this type applicable cis therefore existing surveys, rendering incomplete. Due inadequacy call development population line precedent set by similarly populations. Disclosure No