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Do transsexuals have micturition disorders?

Annette Kuhn1, Rahel Hiltebrand, Martin Birkhäuser

  • 1Frauenklinik, Inselspital Bern, Effingerstr. 102, CH-3010 Bern, Switzerland. annette.kuhn@insel.ch

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|May 9, 2006
PubMed
Summary

Transsexual individuals face a higher risk of developing micturition disorders, including stress urinary incontinence and overactive bladder. Preoperative counseling is recommended due to potential surgical and hormonal factors.

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Area of Science:

  • Urology
  • Endocrinology
  • Gender Affirming Care

Background:

  • Transsexualism has a notable prevalence, with male-to-female (MTF) and female-to-male (FTM) individuals undergoing significant medical interventions.
  • Sex reassignment surgery and lifelong hormone therapy may impact urinary function.
  • Understanding potential micturition disorders is crucial for this population.

Purpose of the Study:

  • To investigate the prevalence and types of micturition disorders in transsexual individuals.
  • To determine if transsexuals exhibit an increased risk for urinary dysfunction.

Main Methods:

  • A cohort of 25 transsexuals (18 MTF, 7 FTM) was assessed between January and July 2003.
  • Utilized King's Health Questionnaire, visual analogue scale, ultrasound, urine dipstick, and uroflowmetry.

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  • Evaluated patient well-being and specific urinary parameters.

    • Main Results:

    • 17 out of 25 patients reported high satisfaction.
    • MTF transsexuals commonly experienced diverted urinary streams, overactive bladder, and stress urinary incontinence.
    • Reduced urinary flow was observed in MTF individuals, though no significant residual urine or UTIs were detected.

    Conclusions:

    • Transsexual individuals demonstrate an elevated risk of micturition disorders, specifically stress urinary incontinence and overactive bladder, compared to controls.
    • Potential contributing factors include surgical trauma (e.g., pudendal nerve damage), hormonal influences, and aging.
    • Preoperative counseling regarding these risks is essential for transsexual patients.