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Impact of sex reassignment surgery on lower urinary tract function
Piet Hoebeke1, Gennaro Selvaggi, Peter Ceulemans
1Department of Urology, Ghent University Hospital, De Pintelaan 185, B 9000 Ghent, Belgium. piet.hoebeke@ugent.be
European Urology
|February 18, 2005
Summary
Sex reassignment surgery (SRS) can lead to minor urinary habit changes. Female-to-male patients commonly experience post-void dribbling, while male-to-female patients may report incontinence, necessitating pre-operative counseling.
Area of Science:
- Urology
- Gender-affirming care
Background:
- Sex reassignment surgery (SRS) involves complex procedures like phalloplasty and vaginoplasty.
- Understanding the impact of SRS on lower urinary tract function is crucial for patient care.
Purpose of the Study:
- To investigate the effects of sex reassignment surgery (SRS) on lower urinary tract function in transsexual individuals.
Main Methods:
- Questionnaires on voiding habits and lower urinary tract symptoms were administered to 24 female-to-male (FTM) and 31 male-to-female (MTF) transsexuals.
- Uro-flowmetry data from 92 FTM transsexuals were also reviewed.
- The study included only Dutch-speaking patients.
Main Results:
- No significant changes in general voiding patterns were observed post-SRS.
- Post-void dribbling was reported by 79% of FTM individuals.
- 16% of MTF individuals reported some form of incontinence.
- Uro-flowmetry showed a non-significant mean decrease of 2 ml/s in maximum flow rate (Qmax) in FTM patients.
Conclusions:
- SRS can result in minor alterations to urinary habits.
- Transsexual individuals should be informed about potential post-operative urinary discomforts, even if they do not necessitate medical intervention.