Followup observations of operated male-to-female transsexuals.
We performed an in-depth interview to ascertain the psychosocial and functional status in 10 of 22 male-to-female transsexuals who underwent vaginoplasty from May 1985 to December 1988. Followup from 5 to 48 months was available for 14 patients. Our patients comprised a well educated, mostly employed, law abiding group with a low incidence of drug use. Most patients were able to develop strong support systems and showed a marked decrease in suicidal tendencies postoperatively. Functionally, the majority of the patients were able to lubricate the neovagina and have painless intercourse with a potential for orgasm. The cosmetic result was judged to be good, with no patient reporting being discovered of having had a prior operation by the sexual partner. We experienced a 21% rate of vaginal stenosis with 40% of these patients fully functional after a corrective operation.
Stein
M
M
Department of Urology, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, New York.
Tiefer
L
L
Melman
A
A
D000223:Adaptation, Psychological; D000328:Adult; D003258:Consumer Behavior; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007406:Interview, Psychological; D008297:Male; D010549:Personal Satisfaction; D012944:Social Support; D013405:Suicide / Q000523:psychology; D013518:Surgery, Plastic; D013997:Time Factors; D014189:Transsexualism / Q000523:psychology* / Q000601:surgery; D014621:Vagina / Q000601:surgery