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Male-to-Female Gender-Affirming Surgery: 20-Year Review of Technique and Surgical Results

Purpose: Gender dysphoria (GD) is an incompatibility between biological sex and personal gender identity; individuals harbor an unalterable conviction that they were born in the wrong body, which causes personal suffering. In this context, surgery is imperative to achieve a successful gender transit...

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Autores principales: Moisés da Silva, Gabriel Veber, Lobato, Maria Inês Rodrigues, Silva, Dhiordan Cardoso, Schwarz, Karine, Fontanari, Anna Martha Vaitses, Costa, Angelo Brandelli, Tavares, Patric Machado, Gorgen, Antonio Rebello Horta, Cabral, Renan Desimon, Rosito, Tiago Elias
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131861/
https://www.ncbi.nlm.nih.gov/pubmed/34026813
http://dx.doi.org/10.3389/fsurg.2021.639430
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author Moisés da Silva, Gabriel Veber
Lobato, Maria Inês Rodrigues
Silva, Dhiordan Cardoso
Schwarz, Karine
Fontanari, Anna Martha Vaitses
Costa, Angelo Brandelli
Tavares, Patric Machado
Gorgen, Antonio Rebello Horta
Cabral, Renan Desimon
Rosito, Tiago Elias
author_facet Moisés da Silva, Gabriel Veber
Lobato, Maria Inês Rodrigues
Silva, Dhiordan Cardoso
Schwarz, Karine
Fontanari, Anna Martha Vaitses
Costa, Angelo Brandelli
Tavares, Patric Machado
Gorgen, Antonio Rebello Horta
Cabral, Renan Desimon
Rosito, Tiago Elias
author_sort Moisés da Silva, Gabriel Veber
collection PubMed
description Purpose: Gender dysphoria (GD) is an incompatibility between biological sex and personal gender identity; individuals harbor an unalterable conviction that they were born in the wrong body, which causes personal suffering. In this context, surgery is imperative to achieve a successful gender transition and plays a key role in alleviating the associated psychological discomfort. In the current study, a retrospective cohort, we report the 20-years outcomes of the gender-affirming surgery performed at a single Brazilian university center, examining demographic data, intra and postoperative complications. During this period, 214 patients underwent penile inversion vaginoplasty. Results: Results demonstrate that the average age at the time of surgery was 32.2 years (range, 18–61 years); the average of operative time was 3.3 h (range 2–5 h); the average duration of hormone therapy before surgery was 12 years (range 1–39). The most commons minor postoperative complications were granulation tissue (20.5 percent) and introital stricture of the neovagina (15.4 percent) and the major complications included urethral meatus stenosis (20.5 percent) and hematoma/excessive bleeding (8.9 percent). A total of 36 patients (16.8 percent) underwent some form of reoperation. One hundred eighty-one (85 percent) patients in our series were able to have regular sexual intercourse, and no individual regretted having undergone GAS. Conclusions: Findings confirm that it is a safety procedure, with a low incidence of serious complications. Otherwise, in our series, there were a high level of functionality of the neovagina, as well as subjective personal satisfaction.
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spelling pubmed-81318612021-05-20 Male-to-Female Gender-Affirming Surgery: 20-Year Review of Technique and Surgical Results Moisés da Silva, Gabriel Veber Lobato, Maria Inês Rodrigues Silva, Dhiordan Cardoso Schwarz, Karine Fontanari, Anna Martha Vaitses Costa, Angelo Brandelli Tavares, Patric Machado Gorgen, Antonio Rebello Horta Cabral, Renan Desimon Rosito, Tiago Elias Front Surg Surgery Purpose: Gender dysphoria (GD) is an incompatibility between biological sex and personal gender identity; individuals harbor an unalterable conviction that they were born in the wrong body, which causes personal suffering. In this context, surgery is imperative to achieve a successful gender transition and plays a key role in alleviating the associated psychological discomfort. In the current study, a retrospective cohort, we report the 20-years outcomes of the gender-affirming surgery performed at a single Brazilian university center, examining demographic data, intra and postoperative complications. During this period, 214 patients underwent penile inversion vaginoplasty. Results: Results demonstrate that the average age at the time of surgery was 32.2 years (range, 18–61 years); the average of operative time was 3.3 h (range 2–5 h); the average duration of hormone therapy before surgery was 12 years (range 1–39). The most commons minor postoperative complications were granulation tissue (20.5 percent) and introital stricture of the neovagina (15.4 percent) and the major complications included urethral meatus stenosis (20.5 percent) and hematoma/excessive bleeding (8.9 percent). A total of 36 patients (16.8 percent) underwent some form of reoperation. One hundred eighty-one (85 percent) patients in our series were able to have regular sexual intercourse, and no individual regretted having undergone GAS. Conclusions: Findings confirm that it is a safety procedure, with a low incidence of serious complications. Otherwise, in our series, there were a high level of functionality of the neovagina, as well as subjective personal satisfaction. Frontiers Media S.A. 2021-05-05 /pmc/articles/PMC8131861/ /pubmed/34026813 http://dx.doi.org/10.3389/fsurg.2021.639430 Text en Copyright © 2021 Moisés da Silva, Lobato, Silva, Schwarz, Fontanari, Costa, Tavares, Gorgen, Cabral and Rosito. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Surgery
Moisés da Silva, Gabriel Veber
Lobato, Maria Inês Rodrigues
Silva, Dhiordan Cardoso
Schwarz, Karine
Fontanari, Anna Martha Vaitses
Costa, Angelo Brandelli
Tavares, Patric Machado
Gorgen, Antonio Rebello Horta
Cabral, Renan Desimon
Rosito, Tiago Elias
Male-to-Female Gender-Affirming Surgery: 20-Year Review of Technique and Surgical Results
title Male-to-Female Gender-Affirming Surgery: 20-Year Review of Technique and Surgical Results
title_full Male-to-Female Gender-Affirming Surgery: 20-Year Review of Technique and Surgical Results
title_fullStr Male-to-Female Gender-Affirming Surgery: 20-Year Review of Technique and Surgical Results
title_full_unstemmed Male-to-Female Gender-Affirming Surgery: 20-Year Review of Technique and Surgical Results
title_short Male-to-Female Gender-Affirming Surgery: 20-Year Review of Technique and Surgical Results
title_sort male-to-female gender-affirming surgery: 20-year review of technique and surgical results
topic Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131861/
https://www.ncbi.nlm.nih.gov/pubmed/34026813
http://dx.doi.org/10.3389/fsurg.2021.639430
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