Combined hysterectomy/salpingo-oophorectomy and mastectomy is a safe and valuable procedure for female-to-male transsexuals.
BACKGROUND
Sex reassignment surgery is an important step for transsexuals, since it is known to help the patients to live more easily in their gender role and to significantly increase quality of life.


OBJECTIVE
To critically evaluate our experience with the combined procedure of hysterectomy, bilateral salpingo-oophorectomy, and bilateral mastectomy for female-to-male (FtM) transsexual patients.


METHODS
Thirty-two FtM transsexuals who underwent hysterectomy, bilateral salpingo-oophorectomy, and bilateral mastectomy in one single operative setting.


METHODS
Operating time and complications, both intra-and postoperatively.


RESULTS
Patients were 30.0 ± 5.8 years of age, with a body mass index of 24.8 ± 3.5 kg/m(2). The majority of patients underwent hysterectomy and bilateral salpingo-oophorectomy by laparoscopy (31/32, 96.9%). The median operating time was 222.5 minutes (inter-quartile range [IQR] 190-270 minutes). The median postoperative stay was eight days (IQR, 7-9 days). Postoperative adverse events were found in five patients (15.6%), including breast hematomas as the most frequent complication (4/32, 12.5%). In one patient (1/32; 3.1%), conversion from laparoscopy to laparotomy was necessary, which was considered an adverse event. None of our patients required reoperation or readmission to the hospital.


CONCLUSIONS
Combined hysterectomy/salpingo-oophorectomy, and bilateral mastectomy in a single operating session seems a safe, feasible, and valuable procedure for FtM transsexuals.
Department of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria.
Johannes
J
Ott
Center for Gender Dysphoria, VU University Medical Center, Amsterdam, the Netherlands.
Michael
M
van Trotsenburg
Department of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria.
Ulrike
U
Kaufmann
Department of Plastic Surgery, Medical University of Vienna, Vienna, Austria.
Klaus
K
Schrögendorfer
Department of Plastic Surgery, Medical University of Vienna, Vienna, Austria.
Werner
W
Haslik
Department of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria.
Johannes C
JC
Huber
Department of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria. Electronic address: rene.wenzl@meduniwien.ac.at.
René
R
Wenzl
D000328:Adult; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy; D010535:Laparoscopy; D008408:Mastectomy; D010052:Ovariectomy; D010348:Patient Care Team; D011183:Postoperative Complications / Q000209:etiology*; D058994:Salpingectomy; D057830:Gender-Affirming Surgery; D014189:Transsexualism / Q000601:surgery*; D055815:Young Adult