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Sex reassignment surgery

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https://www.readbyqxmd.com/read/29974289/breast-cancer-and-its-impact-in-male-transsexuals
#1
REVIEW
Dejan Nikolić, Miroslav Granić, Nebojša Ivanović, Darko Zdravković, Aleksandra Nikolić, Violeta Stanimirović, Marija Zdravković, Srdjan Dikić, Marko Nikolić, Miroslav Djordjević
INTRODUCTION: Lesbian, gay, and bisexuals have unique healthcare needs. Breast cancer is leading cancer in women, worldwide, accounting for 25% of all cases. Annual incidence rates increased significantly in all countries and age groups. The occurrence of breast cancer is rare in transgender population. As they have very limited access to medical care, it is much less likely to pursue breast cancer screening than in other individuals not identified as transgender. REVIEW OF THE CASES FROM LITERATURE: Up to date, only 13 cases of the breast cancer transsexuals (female to male) have been reported in six published papers worldwide...
July 5, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29916890/aesthetic-refinement-in-the-creation-of-the-clitoris-its-preputial-hood-and-labia-minora-in-male-to-female-transsexual-patients
#2
Iván Mañero Vazquez, Oihane García-Senosiain, Trinidad Labanca, Esther Gómez Gil
BACKGROUND: In male-to-female genital sex reassignment surgery, the clitoris, its prepuce, and the labia minora remain among the most difficult structures to construct. We describe the authors' clitoroplasty and vulvoplasty technique. METHODS: All patients who underwent male-to-female sex reassignment surgery at a single center, between June 2012 and June 2016, were prospectively included. The standard pedicled island neurovascular flap of the glans penis was harvested in a letter M fashion with attached preputial skin...
June 19, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29808166/spermatogenesis-abnormalities-following-hormonal-therapy-in-transwomen
#3
Sirachai Jindarak, Kasama Nilprapha, Taywin Atikankul, Apichai Angspatt, Pornthep Pungrasmi, Seree Iamphongsai, Pasu Promniyom, Poonpissamai Suwajo, Gennaro Selvaggi, Preecha Tiewtranon
Objective: To measure spermatogenesis abnormalities in transwomen at the time of sex reassignment surgery (SRS) and to analyze the association between hormonal therapy duration and infertility severity. Design: Retrospective study. Setting: University hospital. Patients: One-hundred seventy-three transwomen who underwent SRS from January 2000 to December 2015. Interventions: All orchidectomy specimens were retrospectively reviewed and classified...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29730870/effects-of-gender-reassignment-on-quality-of-life-and-mental-health-in-people-with-gender-dysphoria
#4
Berna Özata Yıldızhan, Şahika Yüksel, Mirella Avayu, Handan Noyan, Eren Yıldızhan
OBJECTIVE: Our purpose was to compare the life style, family and social relationships (social adaptation) and the quality of life in people with gender dysphoria with and without history of sex reassignment surgery. METHOD: Twenty  individuals (SR group) who were earlier followed   in Istanbul University Psychiatry Department Psychoneurosis and Psychotherapy Unit with gender dysphoria diagnosis in  order  to  have confirmative reports for the sex reassignment (SR) surgery were interviewed at least one year after the surgery...
2018: Türk Psikiyatri Dergisi, Turkish Journal of Psychiatry
https://www.readbyqxmd.com/read/29723643/transvaginal-natural-orifice-transluminal-endoscopic-surgery-for-female-to-male-transgender-men
#5
Yi-Le Lee, Teh-Fu Hsu, Ling-Yu Jiang, Hsiang-Tai Chao, Peng-Hui Wang, Yi-Jen Chen
STUDY OBJECTIVE: Previous studies suggest female-to-male transgender men tend to choose less invasive procedures, but the superior route of hysterectomy for them remains undetermined. DESIGN: A retrospective study (Canadian Task Force Classification II-3). SETTING: An academic tertiary hospital. PATIENTS: Fifty-six female-to-male transsexuals received total vaginal hysterectomy (VH) with bilateral salpingo-oophorectomy (BSO) between April 2008 and August 2016 at Taipei Veterans General Hospital, Taipei, Taiwan...
April 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29519186/vaginal-reconstruction-with-the-modified-rectosigmoid-colon-surgical-technique-long-term-results-and-sexual-outcomes
#6
Ömer Özkan, Özlenen Özkan, Anı Çinpolat, Nasuh Utku Doğan, Gamze Bektaş, Kemal Dolay, Alihan Gürkan, Cumhur Arıcı, Selen Doğan
Although vaginal reconstructions with intestinal segments require particularly complex surgical procedures, this technique has become popular with respect to fairly good functional and esthetic outcomes. This study describes cases of vaginal reconstruction performed using a modified rectosigmoid colon held in an ischemic state in order to reduce secretion and denervated in order to prevent defecation problems. Vaginal reconstructions with rectosigmoid colon were performed on 43 patients. In this retrospective study, 34 patients had Müllerian agenesis, while nine had undergone male to female sex reassignment surgery in which adequate vaginal depth had not been achieved...
August 2018: Journal of Plastic Surgery and Hand Surgery
https://www.readbyqxmd.com/read/29514430/experiences-of-and-barriers-to-transition-related-healthcare-among-korean-transgender-adults-focus-on-gender-identity-disorder-diagnosis-hormone-therapy-and-sex-reassignment-surgery
#7
Hyemin Lee, Jooyoung Park, Bokyoung Choi, Horim Yi, Seung-Sup Kim
OBJECTIVES: Transgender people may encounter barriers to transition-related healthcare services. This study aimed to investigate the experiences of transition-related healthcare and barriers to those procedures among transgender adults in Korea. METHODS: In 2017, we conducted a nationwide cross-sectional survey of 278 transgender adults, which named Rainbow Connection Project II, in Korea. We assessed the prevalence of transition-related healthcare, including gender identity disorder (GID) diagnosis, hormone therapy, and sex reassignment surgery...
2018: Epidemiology and Health
https://www.readbyqxmd.com/read/29503778/transgender-associations-and-possible-etiology-a-literature-review
#8
REVIEW
Fatima Saleem, Syed W Rizvi
Transgender or gender dysphoria has been defined in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), as distress resulting from the incongruence between one's experienced gender and one's assigned gender, along with a persistent and strong desire to be of another gender, and accompanied by clinically significant distress. Adolescents referred for evaluation often want hormonal therapy and several among them also express a desire for gender reassignment surgery. Furthermore, evidence shows that adolescents and adults with gender dysphoria without a sex development disorder, before gender reassignments, are at increased risk for suicide...
December 24, 2017: Curēus
https://www.readbyqxmd.com/read/29136520/characterization-of-myeloid-cell-populations-in-human-testes-collected-after-sex-reassignment-surgery
#9
Rosalie Ponte, Franck P Dupuy, Fadi Brimo, Vikram Mehraj, Pierre Brassard, Maud Belanger, Ekaterina Yurchenko, Mohammad-Ali Jenabian, Nicole F Bernard, Jean-Pierre Routy
The testis has been described in animal models as a site of immune privilege, which protects spermatids against tissue damage during inflammation. Myeloid cells, including macrophages and dendritic cells (DC), are defined as key players in the testicular immune privilege in animal models. However, their distribution and frequency in human testis remain poorly described. To overcome the challenges related to tissue sampling, we obtained testicular tissue from men under hormonal therapy who elected to have sex reassignment surgery (SRS)...
February 2018: Journal of Reproductive Immunology
https://www.readbyqxmd.com/read/29101439/male-to-female-sex-reassignment-surgery-using-the-combined-vaginoplasty-technique-satisfaction-of-transgender-patients-with-aesthetic-functional-and-sexual-outcomes
#10
Dmitry Zavlin, Jürgen Schaff, Jean-Daniel Lellé, Kevin T Jubbal, Peter Herschbach, Gerhard Henrich, Benjamin Ehrenberger, Laszlo Kovacs, Hans-Günther Machens, Nikolaos A Papadopulos
BACKGROUND: Currently available patient-reported outcome measures are limited in the field of sex reassignment surgery (SRS). Standardized questionnaires deliver high evidence data on satisfaction of male-to-female (MTF) transgender patients but do not allow any modification in their clinical application. We therefore designed a prospective study using self-developed indication-specific questionnaires to evaluate the aesthetic, functional, and sexual outcomes of MTF patients undergoing SRS...
February 2018: Aesthetic Plastic Surgery
https://www.readbyqxmd.com/read/29042697/vaginoplasty-with-a-pudendal-groin-flap-in-male-to-female-transsexuals
#11
Yuko Mukai, Toshiyuki Watanabe, Morito Sugimoto, Yoshihiro Kimata, Yuzaburo Namba
Many vaginoplasty techniques have been introduced to improve the outcomes of sex reassignment surgery for male-to-female transsexuals. Some vaginoplasty patients still require additional skin grafts, making dilation mandatory to overcome shrinkage. We developed a new vaginoplasty method (called the "pudendal-groin flap") that uses pudendal-groin flaps. One of this procedure's advantages is that skin grafts are unnecessary, even for patients with small penises and scrotums. We introduce the procedure here and describe our evaluation of its utility...
October 2017: Acta Medica Okayama
https://www.readbyqxmd.com/read/29039892/step-by-step-male-to-female-transsexual-surgery
#12
Rodrigo Uliano Moser da Silva, Fernando Jahn da Silva Abreu, Gabriel M V da Silva, João Vitor Quadra Vieira Dos Santos, Nelson Sivonei da Silva Batezini, Brasil Silva, Tiago Elias Rosito
INTRODUCTION: After the diagnosis of transsexualism is confirmed therapy commences with psychotherapeutic preparation for the conversion, and after conversion, long-term patient rehabilitation is maintained for at least two years. The indication for surgery is chronic discomfort caused by discord with the patient's natural gender, intense dislike of developing secondary sex characteristics and the onset of puberty. The surgical conversion of transsexuals is the main step in the complex care of these problematic patients (1)...
March 2018: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28914501/andrology-of-male-to-female-transsexuals-influence-of-cross-sex-hormone-therapy-on-testicular-function
#13
REVIEW
F Schneider, S Kliesch, S Schlatt, N Neuhaus
Patients with gender dysphoria are offered cross-sex hormone therapy and sex reassignment surgery to achieve the transition between the sex assigned at birth and gender identity. According to international guidelines, cross-sex hormone therapy in trans-women should lead to a psychologically and physiologically healthy body with feminized serum hormone levels, resulting in suppression of spermatogenesis. However, in a recently published multi-center study, we discovered a high proportion of patients with male serum hormone levels and qualitatively intact spermatogenesis on the day of sex reassignment surgery...
September 2017: Andrology
https://www.readbyqxmd.com/read/28841608/surgical-indications-and-outcomes-of-mastectomy-in-transmen-a-prospective-study-of-technical-and-self-reported-measures
#14
Tim C van de Grift, Lian Elfering, Mark-Bram Bouman, Marlon E Buncamper, Margriet G Mullender
BACKGROUND: Although transgender surgery constitutes a growing field within plastic surgery, prospective studies on masculinizing mastectomies are lacking. The objectives of the present study were to prospectively follow a cohort of transmen undergoing mastectomy to assess technical and self-reported outcomes and to evaluate surgical decision-making. METHODS: Fifty-four transmen were recruited during a 10-month period at the Department of Plastic Surgery of the Centre of Expertise on Gender Dysphoria...
September 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28746274/male-to-female-sex-reassignment-surgery-using-the-combined-technique-leads-to-increased-quality-of-life-in-a-prospective-study
#15
Nikolaos A Papadopulos, Dmitry Zavlin, Jean-Daniel Lellé, Peter Herschbach, Gerhard Henrich, Laszlo Kovacs, Benjamin Ehrenberger, Hans-Günther Machens, Jürgen Schaff
BACKGROUND: The authors' previous research showed that various plastic surgical procedures can increase a patient's quality of life in its different aspects. In a prospective setting, they evaluated whether sex reassignment surgery has similar effects for male-to-female transgender patients compared to baseline data before sex reassignment surgery. METHODS: All 39 patients who underwent their first-stage male-to-female sex reassignment surgery between October of 2012 and January of 2014 received one set of questionnaires preoperatively (time 0) and approximately 6 months after their final operation (time 1)...
August 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28716082/efficacy-of-hormonal-and-mental-treatments-with-mmpi-in-ftm-individuals-cross-sectional-and-longitudinal-studies
#16
Hiroyuki Oda, Toshihiko Kinoshita
BACKGROUND: Cross-sex hormone treatment (CSHT) is an important option for gender dysphoria (GD) individuals to improve the quality of life. However, in Japan, sex reassignment surgery (SRS) and CSHT for GD had been discontinued until 1998 (over 30 years). After resumption, the number of GD individuals wishing treatment rapidly increased. On the other hand, the number of medical institutions available for evaluation was limited. For this reason, hormonal treatment has been administered to GD individuals requiring the prompt start of CSHT in the absence of mental health assessment by specialists...
July 17, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28647785/fertility-preservation-for-trans-men-frozen-thawed-in-vitro-matured-oocytes-collected-at-the-time-of-ovarian-tissue-processing-exhibit-normal-meiotic-spindles
#17
S Lierman, K Tilleman, K Braeckmans, K Peynshaert, S Weyers, G T'Sjoen, P De Sutter
PURPOSES: At the moment of sex reassignment surgery (SRS), the ovarian tissue is sometimes cryopreserved as fertility preservation option for female-to-male trans men, also called trans men. During this preparation, cumulus-oocyte-complexes (COCs) can be found and in vitro matured. It is not known if these oocytes are developmentally competent. In order to use these oocytes for fertility preservation and subsequent fertilization, a normal spindle structure before and after vitrification is necessary...
November 2017: Journal of Assisted Reproduction and Genetics
https://www.readbyqxmd.com/read/28641936/combined-vaginoplasty-technique-for-male-to-female-sex-reassignment-surgery-operative-approach-and-outcomes
#18
Nikolaos A Papadopulos, Dmitry Zavlin, Jean-Daniel Lellé, Peter Herschbach, Gerhard Henrich, Laszlo Kovacs, Benjamin Ehrenberger, Hans-Guenther Machens, Juergen Schaff
BACKGROUND: Several therapy options exist for male-to-female (MTF) transgenders desiring sex reassignment. Surgery includes numerous different procedures. Of those, vaginoplasty is predominant and aims at providing attractive esthetics and fully functional genitals. This study aimed to present the surgical results of our modified combined vaginoplasty technique in a consecutive patient cohort. METHODS: We included 40 MTF transgender patients who underwent a two-stage sex reassignment surgery (SRS) in an observational prospective study between September 2012 and January 2014...
October 2017: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
https://www.readbyqxmd.com/read/28587891/the-accessibility-readability-and-quality-of-online-resources-for-gender-affirming-surgery
#19
Christina R Vargas, Joseph A Ricci, Michelle Lee, Adam M Tobias, Daniel A Medalie, Bernard T Lee
BACKGROUND: The transgender population is disproportionally affected by health disparities related to access to care. In many communities, transgender specialists are geographically distant and locally available medical professionals may be unfamiliar with unique needs of transgender patients. As a result, use of Internet resources for information about gender affirming surgery is particularly important. This study simulates a patient search for online educational material about gender affirming surgery and evaluates the accessibility, readability, and quality of the information...
September 2017: Journal of Surgical Research
https://www.readbyqxmd.com/read/28538922/the-national-policy-for-comprehensive-health-of-lesbians-gays-bisexuals-and-transgender-lgbt-and-access-to-the-sex-reassignment-process-in-the-brazilian-unified-health-system-sus-progress-and-challenges
#20
Gianna Schreiber Popadiuk, Daniel Canavese Oliveira, Marcos Claudio Signorelli
This study aimed to analyze how the Brazilian Ministry of Health (MS) is implementing the Sex Reassignment Process (SRP) in the Unified Health System (SUS), through research of public domain official documents, systematization of surgery's quantitative data and analysis of meeting reports of the LGBT Health Technical Committee (CTSLGBT) of the MS. We conducted exploratory research combining quantitative and qualitative methods, using as methodological basis the normative proposal of health programs and systems evaluation study...
May 2017: Ciência & Saúde Coletiva
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