Imaging Study of Pelvic Changes After Peno-scrotal Inversion Vaginoplasty in Transgender Women MtF

What this Trial Is About

Researchers are studying transgender women undergoing male-to-female MtF sexual reassignment surgery using the peno-scrotal inversion vaginoplasty technique. The study focuses on assessing changes in the perineo-pelvic area by using static and dynamic MRI scans to observe the development and progression of rectocele, a pelvic condition. This prospective study aims to better understand the anatomical and functional outcomes after surgery, which is important because the surgery affects pelvic structures and their stability over time. Participants will receive static and dynamic perineo-pelvic MRI scans before surgery, then again at 6 months and 24 months after surgery. These imaging sessions are added to the usual care patients receive during their vaginoplasty treatment. The study looks at the evolution of pelvic anatomy, especially the appearance and size of rectocele, to evaluate how pelvic fixity changes post-surgery. Throughout the study, patients will attend several consultations that include clinical assessments, questionnaires, and monitoring of any post-operative issues. Researchers will measure outcomes such as rectal bulge size, pelvic symptoms, urinary and sexual quality, and graft sizes at 6 and 24 months. This follow-up allows for careful tracking of anatomical and functional changes over two years after the surgery.

Prospective Imaging Assessment of Perineo-pelvic Static's Evolution After Sexual Reassignment Surgery in MtF Transgender Patient, by Peno-scrotal Inversion Vaginoplasty Technique (TRANSPELV)