title: Sex conversion surgery in a man with severe gender dysphoria. A tragic outcome.
abstract: Although hundreds of "sex transformation" operations have been performed, little is known about the long-term postoperative adjustment. Available outcome data suggest that sex reassignment surgery in male patients is followed by a better social as well as inner adjustment in the vast majority, at least for the first several years after surgery. Surprisingly, only a handful of cases with poor outcomes have been reported. This report concerns a 53-year-old biological male with a life-long gender dysphoria who, although subjectively pleased with the surgery, developed a paranoid psychosis five years after sex conversion surgery.
mesh_terms: D005783:Gender Identity; D006801:Humans; D007062:Identification, Psychological; D008297:Male; D008875:Middle Aged; D010259:Paranoid Disorders / Q000209:etiology*; D011183:Postoperative Complications; D014189:Transsexualism / Q000601:surgery*