title: Quality of life 15 years after sex reassignment surgery for transsexualism.
abstract: OBJECTIVE
  To evaluate quality of life and patients' satisfaction in transsexual patients (TS) after sex reassignment operation compared with healthy controls.
  
  
  METHODS
  A case-control study.
  
  
  METHODS
  A tertiary referral center.
  
  
  METHODS
  Patients after sex reassignment operation were compared with a similar group of healthy controls in respect to quality of life and general satisfaction.
  
  
  METHODS
  For quality of life we used the King's Health Questionnaire, which was distributed to the patients and to the control group. Visual analogue scale was used for the determination of satisfaction.
  
  
  METHODS
  Main outcome measures were quality of life and satisfaction.
  
  
  RESULTS
  Fifty-five transsexuals participated in this study. Fifty-two were male-to-female and 3 female-to-male. Quality of life as determined by the King's Health Questionnaire was significantly lower in general health, personal, physical and role limitations. Patients' satisfaction was significantly lower compared with controls. Emotions, sleep, and incontinence impact as well as symptom severity is similar to controls. Overall satisfaction was statistically significant lower in TS compared with controls.
  
  
  CONCLUSIONS
  Fifteen years after sex reassignment operation quality of life is lower in the domains general health, role limitation, physical limitation, and personal limitation.
authors.affiliation: Frauenklinik, University Hospital and University of Bern, Bern, Switzerland. annette.kuhn@insel.ch
authors.forename: Annette
authors.initials: A
authors.lastname: Kuhn
authors.forename: Christine
authors.initials: C
authors.lastname: Bodmer
authors.forename: Werner
authors.initials: W
authors.lastname: Stadlmayr
authors.forename: Peter
authors.initials: P
authors.lastname: Kuhn
authors.forename: Michael D
authors.initials: MD
authors.lastname: Mueller
authors.forename: Martin
authors.initials: M
authors.lastname: Birkhäuser
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D012734:Disorders of Sex Development; D004644:Emotions; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects / Q000523:psychology* / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications / Q000453:epidemiology; D011788:Quality of Life; D014189:Transsexualism / Q000453:epidemiology / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery*; D014549:Urinary Incontinence / Q000453:epidemiology / Q000209:etiology