Version 1
: Received: 3 April 2019 / Approved: 4 April 2019 / Online: 4 April 2019 (12:26:30 CEST)
How to cite:
Hager, M.; Ott, J.; Wenzl, R.; Roethlin, S.; Gschwantler-Kaulich, D.; van Trotsenburg, M.; Haslik, W.; Kurz, C.; Kaufmann, U. Combined Hysterectomy/Salpingo-oophorectomy and Mastectomy for Female-to-Male Transgender Persons: A Retrospective Update. Preprints2019, 2019040051
Hager, M.; Ott, J.; Wenzl, R.; Roethlin, S.; Gschwantler-Kaulich, D.; van Trotsenburg, M.; Haslik, W.; Kurz, C.; Kaufmann, U. Combined Hysterectomy/Salpingo-oophorectomy and Mastectomy for Female-to-Male Transgender Persons: A Retrospective Update. Preprints 2019, 2019040051
Hager, M.; Ott, J.; Wenzl, R.; Roethlin, S.; Gschwantler-Kaulich, D.; van Trotsenburg, M.; Haslik, W.; Kurz, C.; Kaufmann, U. Combined Hysterectomy/Salpingo-oophorectomy and Mastectomy for Female-to-Male Transgender Persons: A Retrospective Update. Preprints2019, 2019040051
APA Style
Hager, M., Ott, J., Wenzl, R., Roethlin, S., Gschwantler-Kaulich, D., van Trotsenburg, M., Haslik, W., Kurz, C., & Kaufmann, U. (2019). Combined Hysterectomy/Salpingo-oophorectomy and Mastectomy for Female-to-Male Transgender Persons: A Retrospective Update. Preprints. https://doi.org/
Chicago/Turabian Style
Hager, M., Christine Kurz and Ulrike Kaufmann. 2019 "Combined Hysterectomy/Salpingo-oophorectomy and Mastectomy for Female-to-Male Transgender Persons: A Retrospective Update" Preprints. https://doi.org/
Abstract
Mastectomy and hysterectomy with bilateral salpingo-oophorectomy are the first steps in surgical female-to-male (FtM) gender affirmation. We aimed to critically review our experience with the combined approach of hysterectomy/salpingo-oophorectomy and bilateral mastectomy and to focus on intra- and postoperative complications. In a retrospective cohort study, 108 consecutive patients were included who underwent combined hysterectomy, bilateral salpingo-oophorectomy, and bilateral mastectomy in a single operating session, between November 1998 and December 2017. Main outcome measures were operating times and intra- and postoperative courses, including major and minor adverse events. Patients were 28.9 ± 6.7 years of age and revealed a mean BMI of 24.4 ± 4.1 kg/m2. The median total operating time for patients without additional procedures was 237.6 ± 110.3 minutes. Taking all intra- and postoperative complications together, there were eight (7.4%) and 21 (19.4%) patients with major and minor complications, respectively. The most frequent complication was breast hematoma (18/108, 16.7%). There was a completely uneventful intra- and postoperative course in 82 cases (75.9%). In conclusion, for FtM reassignment surgery, the combined hysterectomy / salpingo-oophorectomy and bilateral mastectomy in a single operating session seems to be feasible and safe.
Keywords
transsexuals; hysterectomy; mastectomy; reassignment surgery
Subject
Medicine and Pharmacology, Surgery
Copyright:
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.