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In this study, patient-reported outcomes (PROs) in transgender men after genital gender-affirming surgery (gGAS) with versus without urethral lengthening were compared. Additionally, predictors of post-operative satisfaction were identified. Transgender men ≥ 1 year after gGAS who were willing to participate filled in a patient-reported outcome measure. Answers were compared between groups. Predictors of post-operative satisfaction were analysed using linear regression analysis. No significant differences were found in PROs. Most participants were (very) satisfied with life (75%), the appearance of the neophallus (66%), voiding (59%), the effect on masculinity (82%), and confirmed that the end surgical result matched their expectations (61%). Satisfaction with the appearance (p < 0.001) and voiding (p = 0.02) were positively associated with patient satisfaction at follow-up. No significant differences were found in PROs after gGAS with versus without urethral lengthening. Satisfaction with the appearance of the neophallus and voiding were positively associated with post-operative patient satisfaction. [ABSTRACT FROM AUTHOR]

This article describes the clinical outcomes after implantation of the erectile prosthesis for phalloplasty in trans men. Demographic data, type of prosthesis (hydraulic or semi-rigid), operative data and intra- and post-operative complications were collected. In addition, it was examined what percentage of the men were sexually active with penetrative sex. Of the 18 semi-rigid erectile prostheses, one was removed due to impending erosion and four were switched to the hydraulic one. Of these 42, four (9.5%) were removed because of an infection, in four men a (9.5%) longer prosthesis was placed and five (11.9%) reoperations were performed due to material problems. Implantation of the erectile prosthesis developed for phalloplasty shows favorable results. The majority of men are capable of penetrative sex. [ABSTRACT FROM AUTHOR]