Follow-Up of Sex Reassignment Surgery in Transsexuals: A Brazilian Cohort

Abstract

This study examined the impact of sex reassignment surgery on the satisfaction with sexual experience, partnerships, and relationship with family members in a cohort of Brazilian transsexual patients. A group of 19 patients who received sex reassignment between 2000 and 2004 (18 male-to-female, 1 female-to-male) after a two-year evaluation by a multidisciplinary team, and who agreed to participate in the study, completed a written questionnaire. Mean age at entry into the program was 31.21+/-8.57 years and mean schooling was 9.2+/-1.4 years. None of the patients reported regret for having undergone the surgery. Sexual experience was considered to have improved by 83.3% of the patients, and became more frequent for 64.7% of the patients. For 83.3% of the patients, sex was considered to be pleasurable with the neovagina/neopenis. In addition, 64.7% reported that initiating and maintaining a relationship had become easier. The number of patients with a partner increased from 52.6% to 73.7%. Family relationships improved in 26.3% of the cases, whereas 73.7% of the patients did not report a difference. None of the patients reported worse relationships with family members after sex reassignment. In conclusion, the overall impact of sex reassignment surgery on this cohort of patients was positive.

The DSM Diagnostic Criteria for Gender Identity Disorder in Adolescents and Adults

“…Since the publication of the DSM-IV in 1994, five of these follow-up studies explicitly mention the use of DSM diagnoses (Bodlund & Kullgren, 1996, Lawrence, 2003Lobato et al, 2006;Rakic, Starcevic, Maric, & Kelin, 1996;Smith, van Goozen, Kuiper, & CohenKettenis, 2005). In these studies, the mean follow-up period ranged from 12 to 60 months; 976 participants were approached and 428 participated in the follow-up studies, a response rate of about 50%.…”

Using the Defensive Style Questionnaire to evaluate the impact of sex reassignment surgery on defensive mechanisms in transsexual patients

“…[16][17][18][19] The literature and clinical practice show that SRS significantly improves the lives of transsexual patients. 5,20,21 In an attempt to translate this improvement into objective parameters, we employed the DSQ to investigate whether there are changes in the defensive styles of patients following SRS.…”

Mann-zu-Frau-Transsexualismus. Ergebnisse geschlechtsangleichender Operationen in einer biopsychosozialen Perspektive

“…Als zufrieden stellend wird das Sexualleben jedoch nur von 54-83 % der Operierten empfunden [21][22]. übersicht Die operative Geschlechtsangleichung beeinträchtigt in einigen Fällen die Orgasmusfähigkeit und führt nicht selten zur Anorgasmie.…”

“…Nach einer operativen Geschlechtsangleichung leben deutlich mehr Betroffene in stabilen Partnerschaften (vor dem Eingriff 36 %, postoperativ zwischen 40-84 % [2, 18,22,25,28]). Die Eltern-KindBeziehungen verbessern sich nach einer geschlechtsangleichenden Operation häufig [16].…”