Background : There is a dearth of information on the sexual health of transgender men generally; even less data exist on sexual health or well-being after genital surgeries referred to as bottom surgery. Transgender men, or trans men are individuals who self identify as men and were assigned female at birth. Bottom surgeries, historically called sexual reassignment surgeries, include metoidioplasty and phalloplasty. After a review of related literature, it is unclear how many transgender men have these surgeries nor how many desire surgery. Medical literature related to sexual health after surgery focuses on the ability to have an orgasm and how sensate the penis is after surgery; this includes both tactile and erotic sensation. This information does not adequately address other dimensions of sexual health as mental health, social and relational health with regard to sexuality. It is important for transgender men to be informed about how surgery will impact their sexual health in order to make decisions about their healthcare needs.
Methods : This scoping review will determine the current state of all literature related to transgender men’s sexual health after bottom surgery. Databases searched include PubMed MedLine PsychInfo, LGBT Life, CINHL and ERIC. Articles were reviewed in line with scoping review methodology using keyword searches. First abstract review was completed to determine fit with research question, leaving 57 articles for full review. After full review, 16 articles met the criteria as addressing sexual health after bottom surgery for transgender men.
Results : Large gaps in literature exist based on this review. Topic areas addressed in literature include continued ability to orgasms, sensation (erotic and tactile) in genitals, overall surgical satisfaction, and increases in masturbation as well as partnered sexual activity involving genitals. Results are presented in charted format.
Conclusions : Literature related to transgender men’s sexual health after bottom surgery is scarce, this review point to gaps in research such as satisfaction with sexual experiences, changes in sexual functioning, and the impact of surgery on sexual or romantic relationships. In the future, research should address these crucial aspects of sexual health in order for patients to be full informed prior to consenting to surgical interventions.