Operative Genitalangleichung bei Mann-zu-Frau-Transsexualität: Gibt es Leitlinien oder Standards?

Sohn, Michael; Hatzinger, Martin; Wirsam, K.

doi:10.1055/s-0033-1343427

Cited by 17 publications

(5 citation statements)

References 6 publications

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“…A detailed sexual history is thus of utmost importance during the preoperative assessment and physical exam of new patients presenting for GAS. An interdisciplinary approach with psychiatrists and endocrinologists is not only recommended but—in Germany—even mandated to obtain treatment coverage by public and private insurers 32 …”

Section: Discussionmentioning

confidence: 99%

Age-Related Differences for Male-to-Female Transgender Patients Undergoing Gender-Affirming Surgery

et al. 2019

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Introduction It has been theorized that there are 2 subgroups within the male-to-female (MtF) transgender population: individuals who are predominantly androphilic and those who are predominantly gynephylic or interested in both male and female partners. Aim To explore the role of a dichotomous distribution of age at dysphoria onset in individuals diagnosed with MtF gender dysphoria. Methods 40 patients who presented to a surgical clinic in Germany for gender-affirming surgery (GAS) were included in this study. Their age distribution was plotted as a histogram and the population was then divided at the median self-reported age of onset of gender dysphoria—that is, those 17 years and younger and those 18 years and older. The 2 groups were then compared with regard to demographic data, partnership history, various quality of life parameters, as well as sexual orientation and sexual history. Main Outcome Measure Self-designed questionnaires for demographics and sexuality, Questions on Life Satisfaction and Body Image (FLZ M ), Freiburg Personality Inventory, Rosenberg Self-Esteem Scale, and Patient Health Questionnaire were used. Results Early-onset, gender-dysphoric MtF patients underwent GAS at a much younger age (mean 32.7 vs 43.8 years, P = .004), but had similar characteristics regarding weight, height, body mass index, marital status, and living situation to individuals who reported later onset of gender dysphoria. Preoperatively, they showed greater depressive symptoms (4.6 vs 3.3 points, P = .045), which disappeared after GAS. Following surgery, the younger MtFs were predominantly attracted to men (52.6%), whereas individuals who were diagnosed with late-onset of gender dysphoria preferred women or both men and women (85.7%) as sexual partners ( P = .010). Younger trans individuals were more frequently sexually active (73.7% vs 42.9%, P = .049). Conclusion Our findings suggest that there are 2 MtF populations that differ in age of dysphoria onset, sexual history, and multiple personal details including sexual orientation. These data may be used to improve care to transgender individuals by providing treatment reflecting their sexual interests. Zavlin D, Wassersug RJ, Chegireddy V, et al. Age-Related Differences for Male-to-Female Transgender Patients Undergoing Gender-Affirming Surgery. Sex Med 2019;7:86–93.

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Section: Discussionmentioning

confidence: 99%

Age-Related Differences for Male-to-Female Transgender Patients Undergoing Gender-Affirming Surgery

et al. 2019

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“…According to Sohn, Hatzinger, & Wirsam (2013), 80% subjective satisfaction rate can be expected following gender reassignment surgery. Löwenberg et al (2010) reported 92% general satisfaction after SRS.…”

Section: Discussionmentioning

confidence: 99%

Comparing Sexual Satisfaction and Function in Operated vs. Non-Operated Patients of Gender Identity Disorder

Asadpour

Behzadipuor

Zarenejad

2019

Pract. Clin. Psychol.

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Gender Dysphoria is one of the most important psychiatric disorders whose complications include the problems occurring after sex reassignment surgery. Methods: This study investigates sexual function and satisfaction in patients with Gender Dysphoria, both operated and non-operated patients, from 2011 to 2013. We used a crosssectional analysis, and by referring to the Legal Medicine Center in the province of Fars, 70 patients with Gender Dysphoria (including 35-operated male to female and 35 non-operated male to female) were selected using the non-probability sampling method. The study data were collected by sexual satisfaction standard questionnaires, sexual function index, and Beck scale for suicidal ideation were used. The results were analyzed using SPSS V. 22. Results: According to the results, no significant difference was observed between the operated and non-operated groups in terms of sexual satisfaction. However, there was a significant difference in terms of sexual function among operated group compared to the non-operated group, at the significance level of 0.05. Conclusion: Based on our finding, the patients with sex reassignment surgery have found their identity, mental relaxation, and coordinated behavior with their genders. New sexual identity heals patients' relationship with society, presents individual in community with suitable social status and reasonable sexual function for achieving normal life.

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“…Den Abschluss bildete ein Gast aus der Urologie -Prof. Michael Sohn aus Frankfurt a. M. diskutierte die Frage: "Operative Genitalangleichung bei Mann-zu-Frau-Transsexualität -Gibt es Leitlinien oder Standards?" [7]. Die Sitzung war sehr gut besucht und die Black Box im Gasteig hatte einen ganz besonderen Charme.…”

Section: Hamipla Best Paper Sitzung Bei Der Dgpräc Jahrestagung In Müunclassified

HaMiPla Best Paper Sitzung bei der DGPRÄC Jahrestagung in München – Ihre Favoriten 2013

2015

Handchir Mikrochir plast Chir

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Operative Genitalangleichung bei Mann-zu-Frau-Transsexualität: Gibt es Leitlinien oder Standards?

Cited by 17 publications

References 6 publications

Age-Related Differences for Male-to-Female Transgender Patients Undergoing Gender-Affirming Surgery

Age-Related Differences for Male-to-Female Transgender Patients Undergoing Gender-Affirming Surgery

Comparing Sexual Satisfaction and Function in Operated vs. Non-Operated Patients of Gender Identity Disorder

HaMiPla Best Paper Sitzung bei der DGPRÄC Jahrestagung in München – Ihre Favoriten 2013

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