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Surgery in transsexuals.

S M Lim

    Annals of the Academy of Medicine, Singapore
    |January 1, 1986
    PubMed
    Summary
    This summary is machine-generated.

    This review of 154 gender affirmation surgery patients found that while most complications were manageable, rectovaginal fistula was the most serious. Surgical outcomes for female-to-male and male-to-female transitions varied.

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    Area of Science:

    • Medical Sciences
    • Surgical Procedures
    • Gender Affirmation

    Background:

    • Transsexual patients require specialized surgical interventions for gender affirmation.
    • A review of patient data was conducted to analyze surgical outcomes and complications.

    Purpose of the Study:

    • To review the surgical procedures and outcomes for transsexual patients undergoing gender affirmation surgery.
    • To identify common complications and their management.

    Main Methods:

    • A retrospective review of 154 transsexual patients (16 female-to-male, 138 male-to-female) over six years.
    • Detailed description of surgical techniques for both female-to-male and male-to-female transitions.
    • Documentation of complications encountered during and after surgery.

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    Main Results:

    • Female-to-male procedures included mastectomy, hysterectomy, and phalloplasty with prosthesis.
    • Male-to-female procedures involved orchidectomy, vaginoplasty using penile and scrotal skin flaps, and urethral translocation.
    • The most severe complication was rectovaginal fistula; other complications included vaginal and urethral stenosis, and labial abscess.

    Conclusions:

    • Gender affirmation surgery involves complex, multi-staged procedures with potential for serious complications.
    • Careful patient selection, surgical technique, and post-operative monitoring are crucial for managing outcomes and complications in transsexual patients.