Hysterectomy and Bilateral Salpingoovariectomy in a Transsexual Subject without Visible Scaring

Abstract

Objective. To report on the use of laparoendoscopic single-site surgery (LESS) for the management of total hysterectomy (TH) with bilateral salpingoovariectomy (BSO) in a subject affected by gender identity disorder. Design. Case report. Setting. University Hospital. Patient(s). A 27-year-old affected by Gender Identity Disorder underwent a hysterectomy and BSO as part of surgical sex reassignment. Intervention(s). Laparoendoscopic single-site surgery access for TH and BSO. Main Outcome Measure(s). The procedure was performed without incident. The trocar placement was easy and safe, without inadvertent port removal. No vascular or visceral injuries, loss of pneumoperitoneum, or intraoperative port site bleeding occurred. Result(s). A detailed description of the technique of a single-site surgery for management of hysterectomy and BSO. Conclusion. Our case presents the first report of single-site surgery for surgical treatment of subjects affected by GID.

A Prospective Study on Sexual Function and Mood in Female-to-Male Transsexuals During Testosterone Administration and After Sex Reassignment Surgery

“…All subjects included in this study underwent surgery, which consisted of hysterectomy, ovariectomy, and reductive mammoplasty (Perrone et al, 2010;. None of the subjects included in this study had metaidoplasty or phalloplasty performed at the time of the third interview.…”

Some criticism about laparoendoscopic single-site surgery (LESS) in gynecological surgery for benign and malignant diseases

“…In our experience, we have found the same advantages with the use of LESS in patients affected by gender identity disorders and submitted to endoscopic hysterectomy with bilateral salpingovariectomy (2). The scar hidden deep in the umbilical fold may represent a great advancement in sex reassignment surgery, leading to psychological advantages.…”

“…In such pathologies, a single-access site can provide three principal advantages: [1] reduced risk of ascites spillage from laparoscopy breaches and greater comfort for the patient; [2] reduction of risk of port-site metastasis; and [3] earlier start of chemotherapy due to faster patient recovery.…”

Status of sex reassignment surgery for gender identity disorder in Japan

“…SRS for the FtM patients includes hysterectomy, ovariectomy, metoidioplasty (metaidoioplasty) and phalloplasty 49,51–56 . Although hysterectomy and ovariectomy are usually carried out by an open procedure using midline or horizontal skin incision of the lower abdomen, a laparoscopic technique was recently introduced to minimize the invasiveness and the wound scar 57,58 . There are two methods of phallic construction, metoidioplasty and phalloplasty.…”