title: [Male-to-female transsexualism. Sex reassignment surgery from a biopsychosocial perspective].
abstract: Many man-to-female-transsexuals prefer sex reassignment surgery. Surgical complications are common, most frequently a stenosis of the vagina as well as the urethral ostium. In up to 24% of patients secondary corrective surgery is necessary. Regret and feelings of doubt can occur in up to 8% of the cases. In the setting of an interdisciplinary team the postoperative somatic, psychological and socio-economic situation can be improved. This review is based on a Medline literature search and summarizes the pertinent literature of the last 22 years.
authors.affiliation: Universitätsklinik für Psychiatrie der Medizinischen Universität Graz, Graz, Austria. Andreas.Baranyi@klinikum-graz.at
authors.forename: Andreas
authors.initials: A
authors.lastname: Baranyi
authors.forename: Dominique
authors.initials: D
authors.lastname: Piber
authors.forename: Hans-Bernd
authors.initials: HB
authors.lastname: Rothenhäusler
mesh_terms: D000328:Adult; D004414:Dyspareunia / Q000209:etiology / Q000523:psychology; D005500:Follow-Up Studies; D005783:Gender Identity; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D010413:Penis / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology* / Q000523:psychology; D019651:Plastic Surgery Procedures / Q000379:methods*; D012725:Sexual Behavior; D014189:Transsexualism / Q000523:psychology / Q000601:surgery*