Gender reassignment surgery in male-to-female transsexualism: A retrospective 3-month follow-up study with anatomical remarks
Language English Country Netherlands Media print-electronic
Document type Journal Article, Research Support, Non-U.S. Gov't
PubMed
19473463
DOI
10.1111/j.1743-6109.2009.01245.x
PII: S1743-6095(15)32528-5
Knihovny.cz E-resources
- MeSH
- Time Factors MeSH
- Adult MeSH
- Body Mass Index MeSH
- Clitoris anatomy & histology innervation MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Genitalia, Male surgery MeSH
- Follow-Up Studies MeSH
- Postoperative Complications epidemiology MeSH
- Retrospective Studies MeSH
- Transsexualism surgery MeSH
- Vagina anatomy & histology MeSH
- Plastic Surgery Procedures methods MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
INTRODUCTION: Greater acceptance of sexual minorities has enabled people with transsexualism access to adequate treatment and social integration. Gender reassignment surgery is a complex phase in the care of transsexual patients. In response to a greater volume of patients, surgical techniques have evolved and the outcome in patients with male-to-female transsexualism is now a very accurate imitation of female genitalia, enabling sexual intercourse with orgasm. AIM: To evaluate the results of surgical reassignment of genitalia in male-to-female transsexuals. METHODS: A retrospective 3-month follow-up study of patients' opinions following gender reassignment surgery in 129 patients having a primary procedure (eight of whom had later sigmoideocolpoplasty) and five patients undergoing reoperation following an initial unsuccessful procedure at other units. All patients were male transsexuals. The surgical techniques are described in detail. MAIN OUTCOME MEASURES: Sexual functions and complications 3 months after surgery. RESULTS: All patients were satisfied with the first phase operation. Thirteen patients (9.7%) underwent successful sigmoideocolpoplasty. Main complications were as follows: rectal lesions developing during preparation of the vaginal canal (1.5%); bleeding from the stump of the shortened urethra in the first 48 hours postoperatively requiring secondary suturing (4.5%); temporary urinary retention requiring repeated insertion of urinary catheters for up to 6 days (5.2%); and healing of the suture between the perineum and the posterior aspect of the vaginal introitus healing by secondary intention (5.2%). The neoclitoris had erogenous sensitivity in 93.9% of patients and 65.3% reached orgasm in the first 3 months. CONCLUSIONS: Surgical conversion of the genitalia is a safe and important phase of the treatment of male-to-female transsexuals.
1st Faculty of Medicine Charles University Prague Czech Republic
Institute of Anatomy 1st Faculty of Medicine Prague Charles University Czech Republic
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