title: 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.
authors.affiliation: Gender Identity Disorder/Transsexualism Program-PROTIG, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Porto Alegre, Brazil. mlupo@pro.via-rs.com.br
authors.forename: Maria Inês Inês
authors.initials: MI
authors.lastname: Lobato
authors.forename: Walter José
authors.initials: WJ
authors.lastname: Koff
authors.forename: Carlo
authors.initials: C
authors.lastname: Manenti
authors.forename: Débora
authors.initials: D
authors.lastname: da Fonseca Seger
authors.forename: Jaqueline
authors.initials: J
authors.lastname: Salvador
authors.forename: Maria
authors.initials: M
authors.lastname: da Graça Borges Fortes
authors.forename: Analídia Rodolpho
authors.initials: AR
authors.lastname: Petry
authors.forename: Esalba
authors.initials: E
authors.lastname: Silveira
authors.forename: Alexandre Annes
authors.initials: AA
authors.lastname: Henriques
mesh_terms: D000328:Adult; D001938:Brazil; D015331:Cohort Studies; D005195:Family Relations; D005260:Female; D005500:Follow-Up Studies; D005783:Gender Identity; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D010549:Personal Satisfaction; D012649:Self Concept; D012917:Social Adjustment; D012944:Social Support; D011795:Surveys and Questionnaires; D014189:Transsexualism / Q000523:psychology* / Q000601:surgery*