Cirugía de adecuación genital trans: Efecto en función sexual, calidad de vida y salud pélvica

• Schifferli Quinteros, Antonia ^[1] ; Forteza Gallardo, Carla ^[1] ; Jara Pozas, Luciana ^[1] ; Urrea Cárdenas, Bárbara ^[1] ; Keim Soto, Carmen ^[1] ; Rehbein Elgueta, Maria ^[1] ; Hernández-Escobar, Alejandro ^[2] ; Rojas-Olave, Daniela ^[2]
  1. [1] Universidad San Sebastián

     Universidad San Sebastián

     Comuna de Concepción, Chile

     
  2. [2] Universidad de Los Lagos

     Universidad de Los Lagos

     Osorno, Chile

     
• Localización: Matronería actual, ISSN-e 2452-5820, Nº. 1, 2026 (Ejemplar dedicado a: Revista Matronería Actual), págs. 135-145
• Idioma: español
• DOI: 10.22370/revmat.1.2026.5442
• Títulos paralelos:
  • Transgenital adaptation surgery: Effect on sexual function, quality of life and pelvic health
• Enlaces
  • Texto completo
• Resumen
  • español

    Introducción: la cirugía de adecuación genital de género en mujeres trans puede mejorar su calidad de vida y función sexual, pese a los riesgos pélvicos que implica. El aumento de la demanda y acceso a la intervención quirúrgica denota la necesidad de brindar una atención sanitaria integral.

    Objetivo: establecer el impacto de la cirugía de adecuación genital de género en la salud pélvica, función sexual y calidad de vida de las mujeres trans entre los años 2014 y 2024.   Metodología: metodología tipo cualitativa, con un enfoque documental de análisis hermenéutico scoping review en las bases de datos Pubmed, Scopus, Web of Science y EBSCOhost.

    Resultados: se evidenció una reconstrucción genital con viabilidad tisular, preservación de sensibilidad erógena y reducción de complicaciones quirúrgicas lo que refleja la eficacia técnica de la cirugía.   Conclusión: la cirugía de adecuación genital tiene un impacto positivo en la satisfacción sexual y la percepción de identidad corporal, así como una mejora en la dinámica urinaria y reducción de molestias pélvicas, confluyendo en un incremento de la calidad de vida manifestado por bienestar psicológico, autoestima, reducción de disforia de género y relaciones afectivas.

  • English

    Introduction: gender-affirming genital surgery in transgender women can improve their quality of life and sexual function, despite the pelvic risks involved. The increased demand for and access to this surgical intervention highlights the need for comprehensive healthcare.

    Objective: to establish the impact of gender-affirming genital surgery on the pelvic health, sexual function, and quality of life of transgender women between 2014 and 2024.

    Methodology: a qualitative methodology was used, employing a documentary approach with hermeneutic analysis and scoping review. Databases searched: PubMed, Scopus, Web of Science, and EBSCOhost.

    Results: genital reconstruction with tissue viability, preservation of erogenous sensitivity, and a reduction in surgical complications were observed, reflecting the technical efficacy of the surgery.

    Conclusion: genital adjustment surgery has a positive impact on sexual satisfaction and body identity perception, as well as an improvement in urinary dynamics and a reduction in pelvic discomfort, resulting in an increase in quality of life manifested by psychological well-being, self-esteem, reduction of gender dysphoria and affective relationships.

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