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https://www.readbyqxmd.com/read/28508877/an-overview-of-female-to-male-gender-confirming-surgery
#1
REVIEW
Shane D Morrison, Mang L Chen, Curtis N Crane
Gender dysphoria is estimated to occur in approximately 25 million people worldwide, and can have severe psychosocial sequelae. Medical and surgical gender transition can substantially improve quality-of-life outcomes for individuals with gender dysphoria. Individuals seeking to undergo female-to-male (FtM) transition have various surgical options available for gender confirmation, including facial and chest masculinization, body contouring, and genital surgery. The World Professional Association for Transgender Health guidelines should be met before the patient undergoes surgery, to ensure that gender-confirming surgery is appropriate and indicated...
May 16, 2017: Nature Reviews. Urology
https://www.readbyqxmd.com/read/28492057/dermatologic-care-of-the-transgender-patient
#2
EDITORIAL
B A Ginsberg
Given the complexities of the transitioning process, transgender individuals may face unique dermatologic needs in addition to routine care. Exogenous hormones affect hair and sebum production, gender-confirming surgeries often require dermatologic pre- and postoperative interventions, and postoperative anatomy may show unique presentations of routine skin conditions. Aesthetic techniques that are often used for rejuvenation may have a role in facial feminization and masculinization and unfortunately are too frequently performed by nonmedical personnel with negative consequences...
March 2017: International Journal of Women's Dermatology
https://www.readbyqxmd.com/read/28479133/gender-confirmation-surgery-guiding-principles
#3
REVIEW
Loren S Schechter, Salvatore D'Arpa, Mimis N Cohen, Ervin Kocjancic, Karel E Y Claes, Stan Monstrey
BACKGROUND: At this time, no formal training or educational programs exist for surgeons or surgery residents interested in performing gender confirmation surgeries. AIM: To propose guiding principles designed to aid with the development of formal surgical training programs focused on gender confirmation surgery. METHODS: We use expert opinion to provide a "first of its kind" framework for training surgeons to care for transgender and gender nonconforming individuals...
May 3, 2017: Journal of Sexual Medicine
https://www.readbyqxmd.com/read/28468220/sinocutaneous-fistula-formation-after-forehead-recontouring-surgery-for-transgender-patients
#4
Kent Lam, Tang Ho, William C Yao
Forehead recontouring is a common part of facial feminization surgery. The procedure, which alters the shape and structure of the frontal bone, is regarded as safe and well tolerated by patients. The occurrence of delayed complications, however, is much less understood. The authors describe a patient involving the development of a sinocutaneous fistula as a delayed complication of forehead recontouring surgery. The clinical presentation and management of this patient are discussed. As facial feminization surgery expands as a cosmetic option for patients who desire more feminine facial features, practitioners should recognize the potential risk of sinonasal complications associated with forehead recontouring surgery...
May 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/28448757/prevalence-and-types-of-gender-affirming-surgery-among-a-sample-of-transgender-endocrinology-patients-prior-to-state-expansion-of-insurance-coverage
#5
Maya Kailas, Hsun Ming Simon Lu, Emily F Rothman, Joshua D Safer
OBJECTIVE: Transgender individuals now have many options for medical intervention, including gender affirmation surgeries. However, it is unknown how common it is for transgender individuals to undergo these surgeries. The purpose of this cross-sectional study was to assess the prevalence of gender affirming surgeries among transgender patients in 2015, which was immediately prior to insurance changes that made gender affirming surgery more affordable for Massachusetts residents. DESIGN: A retrospective chart review of 99 transgender patients was performed at the Endocrinology Clinic at Boston Medical Center, an urban safety net hospital...
April 27, 2017: Endocrine Practice
https://www.readbyqxmd.com/read/28445567/emergency-general-surgery-needs-for-lesbian-gay-bisexual-and-transgender-patients-are-we-prepared
#6
Ryan Shields, Brandyn Lau, Adil H Haider
No abstract text is available yet for this article.
April 26, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28442802/study-of-prevalence-of-sexually-transmitted-infections-human-immunodeficiency-virus-and-condom-use-among-male-to-female-transgender-a-retrospective-analysis-from-a-tertiary-care-hospital-in-chennai
#7
Subhash Dasarathan, S Kalaivani
CONTEXT: A "Transgender" person is one who dresses as, desires to be, has undergone surgery to become or identifies with opposite sex. They have a higher risk of sexually transmitted infection (STI) due to a combination of biological and social reasons. They have risky sexual behaviors but low-risk perception. AIMS: The aim of this study is to determine the prevalence of STI/human immunodeficiency virus (HIV) in transgender (TG) and association with condom use. SETTINGS AND DESIGN: A retrospective study of 82 male-to-female TGs attending our sexually transmitted disease (STD) clinic from 2011 to 2014 was undertaken...
January 2017: Indian Journal of Sexually Transmitted Diseases
https://www.readbyqxmd.com/read/28439350/transgender-related-education-in-plastic-surgery-and-urology-residency-programs
#8
Shane D Morrison, Geolani W Dy, H Jonathan Chong, Sarah K Holt, Nicholas B Vedder, Mathew D Sorensen, Byron D Joyner, Jeffrey B Friedrich
BACKGROUND: With increasing public awareness of and greater coverage for gender-confirming surgery by insurers, more transgender patients are likely to seek surgical transition. The degree to which plastic surgery and urology trainees are prepared to treat transgender patients is unknown. OBJECTIVE: We assessed the number of hours dedicated to transgender-oriented education in plastic surgery and urology residencies, and the impact of program director (PD) attitudes on provision of such training...
April 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/28382847/gender-identity-and-the-management-of-the-transgender-patient-a-guide-for-non-specialists
#9
REVIEW
Albert Joseph, Charlotte Cliffe, Miriam Hillyard, Azeem Majeed
In this review, we introduce the topic of transgender medicine, aimed at the non-specialist clinician working in the UK. Appropriate terminology is provided alongside practical advice on how to appropriately care for transgender people. We offer a brief theoretical discussion on transgenderism and consider how it relates to broader understandings of both gender and disease. In respect to epidemiology, while it is difficult to assess the exact size of the transgender population in the UK, population surveys suggest a prevalence of between 0...
April 2017: Journal of the Royal Society of Medicine
https://www.readbyqxmd.com/read/28372892/ovarian-tissue-cryopreservation-in-female-to-male-transgender-people-insights-into-ovarian-histology-and-physiology-after-prolonged-androgen-treatment
#10
Chloë De Roo, Sylvie Lierman, Kelly Tilleman, Karen Peynshaert, Kevin Braeckmans, Mirte Caanen, Cornelius B Lambalk, Steven Weyers, Guy T'Sjoen, Ria Cornelissen, Petra De Sutter
Female-to-male transgender people (trans men) are faced with the risk of losing their reproductive potential owing to gender-affirming hormone treatment and genital reconstructive surgery. This observational, prospective cohort study investigates the effect of prolonged androgen therapy on their ovarian histology and fertility preservation perspectives. Hormone serum levels, ovarian histology and cumulus-oocyte complexes (COC) of 40 transsexual men were analysed at the moment of hysterectomy with bilateral oophorectomy in the context of genital reconstructive surgery after testosterone treatment (58...
March 21, 2017: Reproductive Biomedicine Online
https://www.readbyqxmd.com/read/28368143/gender-confirming-medical-interventions-and-eating-disorder-symptoms-among-transgender-individuals
#11
Rylan J Testa, G Nicole Rider, Nancy A Haug, Kimberly F Balsam
OBJECTIVE: Studies indicate that transgender individuals may be at risk of developing eating disorder symptoms (EDS). Elevated risk may be attributed to body dissatisfaction and/or societal reactions to nonconforming gender expression, such as nonaffirmation of a person's gender identity (e.g., using incorrect pronouns). Limited research suggests that gender-confirming medical interventions (GCMIs) may prevent or reduce EDS among transgender people. METHOD: Participants included 154 transfeminine spectrum (TFS) and 288 transmasculine spectrum (TMS) individuals who completed the Trans Health Survey...
April 3, 2017: Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association
https://www.readbyqxmd.com/read/28350659/first-female-to-male-facial-confirmation-surgery-with-description-of-a-new-procedure-for-masculinization-of-the-thyroid-cartilage-adam-s-apple
#12
Jordan C Deschamps-Braly, Caitlin L Sacher, Jennifer Fick, Douglas K Ousterhout
Although male-to-female transgender patients commonly seek facial feminization surgery, facial masculinization surgery in the female-to-male transgender population is unreported in the literature. This report documents the first known female-to-male facial masculinization surgery, including a new technique for creating an "Adam's apple" to enhance the facial masculine appearance of a natal female. The authors "reversed" the methods typically used to feminize male facial features, and modified the forehead, nose, and chin to masculinize the patient's natal female facial features...
April 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28350658/top-surgery-in-transgender-men-how-far-can-you-push-the-envelope
#13
Rachel Bluebond-Langner, Jens U Berli, Jennifer Sabino, Karan Chopra, Devinder Singh, Beverly Fischer
BACKGROUND: The authors present their grading scale and the outcomes of the largest cohort of top surgery published to date. Application of this grading system can help determine which patients will benefit from a subcutaneous mastectomy with free nipple graft versus a circumareolar technique, with the primary endpoint being need for aesthetic revisions. METHODS: The authors reviewed their database of transgender males who underwent bilateral mastectomy between 2006 and 2015...
April 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28349733/transgender-phonosurgery-a-systematic-review-and-meta-analysis
#14
Tara Elena Song, Nancy Jiang
Objectives Different surgical techniques have been described in the literature to increase vocal pitch. The purpose of this study is to systematically review these surgeries and perform a meta-analysis to determine which technique increases pitch the most. Data Sources CINAHL, Cochrane, Embase, Medline, PubMed, and Science Direct. Review Methods A systematic review and meta-analysis of the literature was performed using the CINAHL, Cochrane, Embase, Medline, PubMed, and Science Direct databases. Studies were eligible for inclusion if they evaluated pitch-elevating phonosurgical techniques in live humans and performed pre- and postoperative acoustic analysis...
March 1, 2017: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/28329583/dermatologic-care-of-the-transgender-patient
#15
Timothy Hermosura Almazan, Filamer D Kabigting
Literature is limited regarding the medical and cosmetic dermatologic issues pertinent to transgender patients and the reasons why 19 transgender individuals seek care from dermatologists. Clinical management of this population has historically been limited to 20 mental health providers, endocrinologists, and select surgeons with expertise in sex reassignment surgery. The impact of hormonal 21 therapy on transgender skin has been well documented in endocrinology journals, but is underrepresented in dermatology 22 literature...
October 15, 2016: Dermatology Online Journal
https://www.readbyqxmd.com/read/28277339/clinical-dilemmas-in-the-management-of-transgender-men
#16
Michael S Irwig
PURPOSE OF REVIEW: To explore the medical and surgical clinical dilemmas in the management of trans (transgender) men, a growing population receiving more attention than in the past. RECENT FINDINGS: Testosterone therapy is commonly prescribed to trans men for masculinization. Nonetheless, the optimal formulations and doses of testosterone therapy for trans men have not been well established. Testosterone therapy has been associated with increased levels of hemoglobin and triglycerides, as well as diabetes...
June 2017: Current Opinion in Endocrinology, Diabetes, and Obesity
https://www.readbyqxmd.com/read/28272274/the-need-for-patient-reported-outcome-measures-in-gender-confirming-surgery-response-to-letter-to-the-editor-regarding-surgical-outcome-after-penile-inversion-vaginoplasty-a-retrospective-study-of-475-transgender-women-by-buncamper-et-al-massie-et-al
#17
Marlon E Buncamper, Wouter B Van der Sluis, Mark-Bram Bouman, Jan Maerten Smit, Mujde Ozer, Margriet G Mullender
No abstract text is available yet for this article.
March 7, 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28234856/an-update-on-genital-reconstruction-options-for-the-female-to-male-transgender-patient-a-review-of-the-literature
#18
Jordan D Frey, Grace Poudrier, Michael V Chiodo, Alexes Hazen
Although many transgender individuals are able to realize their gender identity without surgical intervention, a significant and increasing portion of the trans population is seeking gender-confirming surgery (alternatively, gender reassignment surgery, sexual reassignment surgery, or gender-affirming surgery). This review presents a robust overview of genital reconstruction in the female-to-male transgender patient-an operation that, historically, was seldom performed and has remained less surgically feasible than its counterpart (male-to-female genital reconstruction)...
March 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28234830/penile-inversion-vaginoplasty-with-or-without-additional-full-thickness-skin-graft-to-graft-or-not-to-graft
#19
Marlon E Buncamper, Wouter B van der Sluis, Max de Vries, Birgit I Witte, Mark-Bram Bouman, Margriet G Mullender
BACKGROUND: Penile inversion vaginoplasty is considered to be the gold standard for gender reassignment surgery in transgender women. The use of additional full-thickness skin graft as neovaginal lining is controversial. Some believe that having extra penile skin for the vulva gives better aesthetic results. Others believe that it gives inferior functional results because of insensitivity and skin graft contraction. METHODS: Transgender women undergoing penile inversion vaginoplasty were studied prospectively...
March 2017: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/28234823/facial-feminization-surgery-simultaneous-hair-transplant-during-forehead-reconstruction
#20
Luis Capitán, Daniel Simon, Teresa Meyer, Antonio Alcaide, Alan Wells, Carlos Bailón, Raúl J Bellinga, Thiago Tenório, Fermín Capitán-Cañadas
BACKGROUND: Reconstruction of the frontonaso-orbital complex is one of the best-described and most commonly used procedures in the field of facial feminization surgery. To a large extent, this complex determines the facial expression and plays a key role in the visual identification of facial gender. After the forehead, the hairline pattern is the second most important feature of gender identification within the upper third of the face. The combined evaluation of these two features should be a basic premise of facial feminization surgery...
March 2017: Plastic and Reconstructive Surgery
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