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transgender surgery

Bethany Alice Jones, Jon Arcelus, Walter Pierre Bouman, Emma Haycraft
BACKGROUND: Whether transgender people should be able to compete in sport in accordance with their gender identity is a widely contested question within the literature and among sport organisations, fellow competitors and spectators. Owing to concerns surrounding transgender people (especially transgender female individuals) having an athletic advantage, several sport organisations place restrictions on transgender competitors (e.g. must have undergone gender-confirming surgery). In addition, some transgender people who engage in sport, both competitively and for leisure, report discrimination and victimisation...
October 3, 2016: Sports Medicine
R Craig Sineath, Cory Woodyatt, Travis Sanchez, Shawn Giammattei, Theresa Gillespie, Enid Hunkeler, Ashli Owen-Smith, Virginia P Quinn, Douglas Roblin, Robert Stephenson, Patrick S Sullivan, Vin Tangpricha, Michael Goodman
Purpose: Medical gender confirmation therapy (GCT) plays an important role in transgender health; however, its prevalence and determinants constitute an area of uncertainty. Methods: Data for this cross-sectional study were obtained from an online survey distributed from October 2012 through the end of 2013 among persons who visited the social media sites of a transgender education and social networking meeting. Eligible respondents (n=280) were persons whose gender identity was different from their sex assigned at birth and who responded to questions about previously received or planned hormonal therapy (HT), chest reconstruction, or genital surgery...
2016: Transgend Health
Clare Bellhouse, Sandra Walker, Christopher K Fairley, Lenka A Vodstrcil, Catriona S Bradshaw, Marcus Y Chen, Eric P F Chow
OBJECTIVE: Literature surrounding the healthcare needs of transgender individuals is limited in Australia. This study aimed to investigate the demographic characteristics, risk behaviours and HIV/STI positivity among male-to-female (MTF) and female-to-male (FTM) transgender individuals attending Melbourne Sexual Health Centre (MSHC), Australia, between 2011 and 2014. METHOD: A retrospective cohort analysis for 133 transgender individuals was conducted based on the first visit of individuals to MSHC during the study period...
September 29, 2016: Sexually Transmitted Infections
Mark-Bram Bouman, Wouter B van der Sluis, Marlon E Buncamper, Müjde Özer, Margriet G Mullender, Wilhelmus J H J Meijerink
BACKGROUND: In young transgender women previously treated with puberty-suppressing hormones, penoscrotal hypoplasia can make penoscrotal inversion vaginoplasty unfeasible. The aim of this study was to prospectively assess surgical outcomes and follow-up of total laparoscopic sigmoid vaginoplasty as primary reconstruction in a cohort of transgender women with penoscrotal hypoplasia. METHODS: Baseline demographics, surgical characteristics, and intraoperative and postoperative complications of all performed total laparoscopic sigmoid vaginoplasty procedures were prospectively recorded...
October 2016: Plastic and Reconstructive Surgery
Mark-Bram Bouman, Marlon E Buncamper, Wouter B van der Sluis, Wilhelmus J H J Meijerink
OBJECTIVE: To demonstrate step by step our technique for total laparoscopic sigmoid vaginoplasty. DESIGN: Surgical video tutorial. SETTING: Academic medical center. PATIENT(S): Transgender women with penile hypoplasia or with a failed primary vaginoplasty and biological women with either acquired or congenital absence of a functional vagina. INTERVENTION(S): An original technique for total laparoscopic sigmoid vaginoplasty is shown on video...
September 22, 2016: Fertility and Sterility
T Kalle Lundgren, Josef Isung, Johan Rinder, Cecilia Dhejne, Stefan Arver, Lars-Erik Holm, Filip Farnebo
No abstract text is available yet for this article.
November 2016: Archives of Sexual Behavior
Britt Colebunders, Sam Brondeel, Salvatore D'Arpa, Piet Hoebeke, Stan Monstrey
INTRODUCTION: As gender dysphoria is becoming increasingly accepted in the general population, the number of patients seeking gender reassignment surgery is increasing. Although not every patient with gender dysphoria requires surgery, medical practitioners taking care of these individuals should be aware of the different surgical options. AIM: To review current gender reassignment surgical techniques and update the clinician. METHODS: A review of the literature was performed focusing on the most recent techniques of gender reassignment surgery...
September 10, 2016: Sexual Medicine Reviews
J-T Bachelet, B Souchere, A Mojallal, A Gleizal, F Boucher
The authors present the upper third of the facial feminization techniques in the context of transgender surgery. These techniques adapted to patients "male to female" are proposed to strong masculine facial features of the patients and for the upper third of the face, based on transfer of adipose tissue, fronto-orbital remodeling and correction of the hairline by scalp advance.
August 20, 2016: Annales de Chirurgie Plastique et Esthétique
Farnoosh Safavifar, Mehrdad Eftekhar, Kaveh Alavi, Reza Negarandeh, Amir Hossein Jalali, Maryam Eftekhar
BACKGROUND: Gender identity disorder and its treatment with sex reassignment surgery is a profound experience, which can affect the mental, interpersonal, social and religious aspects of one's life. METHODS: This was a qualitative content analysis study focusing on the various dimensions of the experiences of seven patients suffering from gender identity disorder in a female-to-male subgroup. This study presents a report concerning the religious aspects of their experience...
2016: Medical Journal of the Islamic Republic of Iran
Sven C Mueller, Lionel Landré, Katrien Wierckx, Guy T'Sjoen
BACKGROUND: To date, research findings are inconsistent about whether neuroanatomy in transgender persons resembles that of their natal sex or their gender identity. Moreover, few studies have examined the effects of long-term, cross-sex hormonal treatment on neuroanatomy in this cohort. The purpose of the present study was to examine neuroanatomical differences in transgender persons after prolonged cross-sex hormone therapy. METHODS: Eighteen transgender men (female-to-male), 17 transgender women (male-to-female), 30 non-transgender men (natal men), and 27 non-transgender women (natal women) completed a high-resolution structural MRI scan at 3Tesla...
August 5, 2016: Neuroendocrinology
Mark-Bram Bouman, Wouter B van der Sluis, Leonora E van Woudenberg Hamstra, Marlon E Buncamper, Baudewijntje P C Kreukels, Wilhelmus J H J Meijerink, Margriet G Mullender
INTRODUCTION: Puberty-suppressing hormonal treatment may result in penoscrotal hypoplasia in transgender women, making standard penile inversion vaginoplasty not feasible. For these patients, intestinal vaginoplasty is a surgical alternative, but knowledge on patient-reported postoperative outcomes and quality of life is lacking. AIMS: To assess patient-reported functional and esthetic outcomes, quality of life, satisfaction, and sexual well-being after primary total laparoscopic intestinal vaginoplasty in transgender women...
September 2016: Journal of Sexual Medicine
Silke Van Damme, Marjan Cosyns, Sofie Deman, Zoë Van den Eede, John Van Borsel
OBJECTIVES: This study aimed to review the evidence of the effectiveness of pitch-raising surgery performed in male-to-female transsexuals. METHODS: A search for studies was performed in PubMed, Web of Science, Science Direct, EBSCOhost, Google Scholar, and the references in retrieved manuscripts, using as keywords "transsexual" or "transgender" combined with terms related to voice surgery. We included eight studies using cricothyroid approximation, six studies using anterior glottal web formation, and six studies using other surgery types or a combination of surgical techniques, leading to 20 studies in total...
July 28, 2016: Journal of Voice: Official Journal of the Voice Foundation
Robert M Grant, Jae M Sevelius, Juan V Guanira, Jana Villayzan Aguilar, Suwat Chariyalertsak, Madeline B Deutsch
Lessons were learned with trans women who participated (as volunteers and investigators) in trials of HIV pre-exposure prophylaxis (PrEP). Trans women are not men. Compared with men who have sex with men, trans women trial participants were more likely to be involved with transactional sex, had more sexual partners, and were less likely to have PrEP medications detected in blood. Trans women define themselves differently in different cultures. One best practice is to ask at least 2 gender questions: sex assigned at birth and current gender...
August 15, 2016: Journal of Acquired Immune Deficiency Syndromes: JAIDS
Wouter B van der Sluis, Marlon E Buncamper, Mark-Bram Bouman, Lian Elfering, Müjde Özer, Martijn Bogaarts, Renske D M Steenbergen, Daniëlle A M Heideman, Margriet G Mullender
BACKGROUND: Worldwide, transgender women are a high burden population for sexually transmitted diseases. Neovaginal high-risk human papillomavirus (hrHPV) infection has been documented among transgender women, but its prevalence remains unclear. The objective of this study was to determine the prevalence of neovaginal hrHPV in a sample of transgender women in The Netherlands. METHODS: Between June 2015 and December 2015, neovaginal samples were obtained from all transgender women who underwent vaginoplasty and attended our outpatient clinic for postoperative follow-up at least 1 year after surgery...
August 2016: Sexually Transmitted Diseases
Christopher J Salgado, Ajani G Nugent, Alison M Moody, Harvey Chim, Alejandra M Paz, Hung-Chi Chen
BACKGROUND AND AIM: Radial forearm phalloplasty is accompanied by high rates of fistula formation. We examined the effect of placing a pedicled gracilis myofascial flap around the urethral anastomosis at the time of radial forearm flap transfer on the development of postoperative urethrocutaneous fistula. METHODS: Fifteen patients underwent phalloplasty with urethroplasty between June 2012 and October 2015, and they met the inclusion and exclusion criteria for the study...
June 2, 2016: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
Jonas Meister, Heike Kühn, Wafaa Shehata-Dieler, Rudolf Hagen, Norbert Kleinsasser
OBJECTIVES/HYPOTHESIS: The aim of this investigation was to quantify gender perception in telephone communication as a situation of everyday life. STUDY DESIGN: Matched control study. METHODS: Speech samples were recorded of 18 male to female (MtF) after Wendler's glottoplasty, 18 male, and 18 female persons. After adaption of the frequency to the limited frequency transmission on the telephone (300-3,400 Hz), the speech samples were judged by 50 male and 50 female listeners...
June 23, 2016: Laryngoscope
Kevan Wylie, Gail Knudson, Sharful Islam Khan, Mireille Bonierbale, Suporn Watanyusakul, Stefan Baral
The World Professional Association for Transgender Health (WPATH) standards of care for transsexual, transgender, and gender non-conforming people (version 7) represent international normative standards for clinical care for these populations. Standards for optimal individual clinical care are consistent around the world, although the implementation of services for transgender populations will depend on health system infrastructure and sociocultural contexts. Some clinical services for transgender people, including gender-affirming surgery, are best delivered in the context of more specialised facilities; however, the majority of health-care needs can be delivered by a primary care practitioner...
July 23, 2016: Lancet
Roberto Luzzati, Marta Zatta, Nicola Pavan, Maurizia Serafin, Cristina Maurel, Carlo Trombetta, Fabio Barbone
INTRODUCTION: The burden of human immunodeficiency virus (HIV), hepatitis B virus (HBV), and hepatitis C virus (HCV) infections in transgender population is an underestimated issue. We performed a study to evaluate the prevalence of such infections in transgender persons addressed our center for total sex reassignment surgery (SRS). MATERIALS AND METHODS: All transgender persons undergoing SRS from 2000 to 2014 were evaluated retrospectively. Participant characteristics and results of HIV, HBV, and HCV testing were collected...
July 2016: Sexually Transmitted Diseases
Shane D Morrison, H Jonathan Chong, Geolani W Dy, David W Grant, Stelios C Wilson, Jonathan P Brower, Nicholas B Vedder, Jens U Berli, Jeffrey B Friedrich
BACKGROUND: Gender dysphoria is estimated to occur in up to 0.9 percent of the U.S. POPULATION: With increasing awareness and decreasing stigma surrounding transgender issues, it is predicted that more patients will begin to seek medical and surgical transition. This study aims to determine the current state of transgender-related education in U.S. plastic surgery residency programs and to evaluate trainee perceptions regarding the importance of such training. METHODS: Plastic surgery trainees from a representative sample of 21 U...
October 2016: Plastic and Reconstructive Surgery
Ann-Christin von Vogelsang, Camilla Milton, Ingrid Ericsson, Lars Strömberg
AIMS AND OBJECTIVES: To describe transsexual persons' experiences of encounters with healthcare professionals during the sex reassignment process. BACKGROUND: Transsexual persons are individuals who use varying means to alter their natal sex via hormones and/or surgery. Transsexual persons may experience stigma, which increases the risk of psychological distress. Mistreatments by healthcare professionals are common. Qualitative studies addressing transsexual persons' experiences of healthcare are scarce...
June 6, 2016: Journal of Clinical Nursing
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