Self-performed bilateral orchiectomy in transsexuals

Area of Science:

• Medical Case Reviews
• Surgical Procedures
• Transgender Healthcare

Background:

• This review focuses on male-to-female transsexual patients undergoing self-performed bilateral orchiectomy.
• It examines three such cases within a two-year period at a single institution.

Observation:

• All three patients were identified as male-to-female transsexuals.
• Psychiatric consultation did not identify psychosis, though two patients had prior suicide attempts and psychiatric treatment.

Findings:

• The study details the histories and management of these unique cases.
• It underscores the complexities in diagnosing and treating individuals pursuing self-surgical interventions.

Implications:

• The findings suggest a need for improved protocols in managing gender dysphoria and self-harm behaviors.
• Recommendations are provided for diagnosis, management, and treatment planning in similar clinical scenarios.
• This review contributes to understanding patient motivations and healthcare needs in transgender populations.