Penile inversion vaginoplasty (PIV) is a gender-affirming surgical procedure where the skin of the penis and scrotum is reconstructed into the neovaginal lining. To prevent hair-bearing skin from becoming incorporated into the neovaginal canal, transgender patients are encouraged to undergo hair removal of their external genitalia. The goal of this preoperative hair removal is to minimize the risk of potential hair-related complications after vaginoplasty. To better support patients seeking preoperative hair removal and identify current treatment barriers, we surveyed patients about their progress and satisfaction with hair removal. A cross-sectional survey was constructed to assess patient experiences with hair removal in advance of PIV. Sixty-seven patients met the inclusion criteria, of which 46 participated (68.7%). Both laser hair removal (LHR) and electrolysis were used. Although all patients had completed some preoperative hair removal at the time of survey (average of 14 sessions), the cohort completed only two-thirds of their total expected hair clearance. Multiple peri-procedural pain management therapies were employed, but overall satisfaction with pain management was low (57.4 ± 5.0 out of 100). LHR was associated with significantly lower procedural pain compared to electrolysis (p < .001). The average global satisfaction with the hair removal process was 57.9 ± 5.7 and incidents of mistreatment were associated with a statistically significant reduction in overall satisfaction (p = .02). Most patients felt that hair removal was important prior to surgery. Overall, LHR and electrolysis were both utilized as effective preoperative hair removal modalities; however, LHR has better pain tolerability than electrolysis.

阴茎内翻阴道成形术 (PIV) 是一种性别确认手术，将阴茎和阴囊的皮肤重建为新阴道内层。为了防止有毛的皮肤融入新阴道管，鼓励跨性别患者接受外生殖器脱毛。术前脱毛的目的是尽量减少阴道成形术后潜在的毛发相关并发症的风险。为了更好地支持寻求术前脱毛的患者并确定当前的治疗障碍，我们调查了患者对脱毛的进展和满意度。我们进行了一项横断面调查，以评估 PIV 之前患者的脱毛体验。67 名患者符合纳入标准，其中 46 名患者参与（68.7%）。激光脱毛（LHR）和电解脱毛均采用。尽管所有患者在调查时都完成了一些术前脱毛（平均 14 次），但该队列仅完成了预期脱毛总量的三分之二。采用了多种围手术期疼痛管理疗法，但对疼痛管理的总体满意度较低（57.4±5.0/100）。与电解相比，LHR 与显着降低的手术疼痛相关 ( p  < .001)。对脱毛过程的全球平均满意度为 57.9 ± 5.7，虐待事件与总体满意度的统计显着下降相关 ( p  = .02)。大多数患者认为手术前脱毛很重要。总体而言，LHR 和电解均被用作有效的术前脱毛方式；然而，LHR 比电解具有更好的疼痛耐受性。