Surgical treatment of male-to-female transsexuals: a ten-year experience assessment

Annales de chirurgie plastique et esthétique
M RevolP Banzet

Abstract

From May 1995 to March 2005 sixty-three consecutive male-to-female gender transformation surgeries were performed at our university center by one author. Our retrospective study collected data from medical records, questionnaire and physical examination. Fifty-nine percent of patients had autologous blood transfusion. Histological examination of testicles found beginning cancer in 1 case. After a-8-year initial period where secondary bilateral Z-plasties were systematically performed, this procedure was abandoned because it left unnatural visible scars. Excluding haematomas (9 cases), we found 8 major complications (12,6%): 1 rectal lesion, 1 leg compression, 5 skin necrosis of the vaginoplasty (total necrosis in 2 cases, partial necrosis in 2 cases, necrosis of full-thickness skin graft in 1 case), and 1 secondary post-traumatic rectovaginal fistula. The questionnaire was completed by 22 patients with a-45-month mean follow-up. Results were graded on a 0 to 10 scale. Mean grades were global satisfaction: 7.6, life quality: 8.4, genitalia appearance: 8.0, clitoris sensitivity: 8.4, urinary function: 8.3, vaginal function: 7.2, sexual function: 7.0. Rate of general satisfaction was high. In a few cases however, patients expresse...Continue Reading

References

Jul 1, 1973·British Journal of Plastic Surgery·N J Pandya, O H Stuteville
Jan 1, 1970·Plastic and Reconstructive Surgery·M T EdgertonJ R Callison
Aug 18, 2000·Plastic and Reconstructive Surgery·J J HageR C Kanhai

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Citations

Jun 10, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·M SarrauR Weigert
Feb 1, 2018·Aesthetic Plastic Surgery·Kamal Seyed-ForootanNazilla-Sadat Seyed-Forootan
Jan 22, 2019·AIDS·Jean-David PommierPatrick Yeni
Aug 11, 2012·Techniques in Coloproctology·D F AltomareM Di Lena
Oct 4, 2017·Expert Review of Pharmacoeconomics & Outcomes Research·Justine DefreyneGuy T'sjoen
Aug 28, 2019·Annales de chirurgie plastique et esthétique·S Cristofari, M Revol
Apr 22, 2021·Andrology·Carmen KloerRachel Bluebond-Langner

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