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Article

Feasibility, Safety, and Satisfaction of Combined Hysterectomy with Bilateral Salpingo-Oophorectomy and Chest Surgery in Transgender and Gender Non-Conforming Individuals

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Dipartimento di Scienze Mediche e Chirurgiche, IRCCS Azienda Ospedaliero-Universitaria di Bologna University of Bologna, 40138 Bologna, Italy
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Gynecology and Physiopathology of Human Reproduction Department of Medical and Surgical Sciences (DIMEC), University of Bologna, 40138 Bologna, Italy
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Plastic Reconstructive and Aesthetic Surgery Department S. Orsola–Malpighi Hospital, Alma Mater Studiorum–University of Bologna, 40138 Bologna, Italy
*
Author to whom correspondence should be addressed.
Academic Editors: Cristiano Scandurra and Kimberly Balsam
Int. J. Environ. Res. Public Health 2021, 18(13), 7133; https://doi.org/10.3390/ijerph18137133
Received: 26 May 2021 / Revised: 28 June 2021 / Accepted: 29 June 2021 / Published: 3 July 2021
(This article belongs to the Special Issue Current Research Trends in Transgender Health)
The demand for masculinizing breast surgery and hysterectomy with bilateral salpingo-oophorectomy (HBSO) from transmen has increased. With a multidisciplinary approach, these surgeries can be performed in a single session. The objective of this study was to retrospectively evaluate the feasibility, safety, and satisfaction of HBSO and chest surgery in transmen. A cohort of 142 subjects who underwent HBSO alone or combined with chest surgery at Sant’Orsola Hospital was analyzed. Intra and post operation events were evaluated. Subjective post-intervention satisfaction, acceptability, and impact of intervention were assessed via a semi-structured interview. Nineteen transmen underwent HBSO alone and 123 underwent combined surgery. HBSO was performed laparoscopically in 96.5% of transmen (137/142). As expected, length of hospital stay and blood loss were significantly higher in the combined surgery group. A total of 13 intra or post-operative complications occurred in the combined surgery group (10.5%) with thoracic hematoma being the most frequent complication (7.6%). Only one rare complication occurred in the HBSO group (omental herniation through a laparoscopic breach). The overall subjective satisfaction score was 9.9 out of 10 for both groups. Positive changes in all areas of life were reported, with no significant differences. We found that the combined surgery appears to be well tolerated, safe, and feasible in transmen and satisfaction with the combined procedure was high in all subjects. View Full-Text
Keywords: transgender; gender affirming surgery; chest surgery; transmen transgender; gender affirming surgery; chest surgery; transmen
MDPI and ACS Style

Mancini, I.; Tarditi, D.; Gava, G.; Alvisi, S.; Contu, L.; Morselli, P.G.; Giacomelli, G.; Lami, A.; Seracchioli, R.; Meriggiola, M.C. Feasibility, Safety, and Satisfaction of Combined Hysterectomy with Bilateral Salpingo-Oophorectomy and Chest Surgery in Transgender and Gender Non-Conforming Individuals. Int. J. Environ. Res. Public Health 2021, 18, 7133. https://doi.org/10.3390/ijerph18137133

AMA Style

Mancini I, Tarditi D, Gava G, Alvisi S, Contu L, Morselli PG, Giacomelli G, Lami A, Seracchioli R, Meriggiola MC. Feasibility, Safety, and Satisfaction of Combined Hysterectomy with Bilateral Salpingo-Oophorectomy and Chest Surgery in Transgender and Gender Non-Conforming Individuals. International Journal of Environmental Research and Public Health. 2021; 18(13):7133. https://doi.org/10.3390/ijerph18137133

Chicago/Turabian Style

Mancini, Ilaria, Davide Tarditi, Giulia Gava, Stefania Alvisi, Luca Contu, Paolo Giovanni Morselli, Giulia Giacomelli, Alessandra Lami, Renato Seracchioli, and Maria Cristina Meriggiola. 2021. "Feasibility, Safety, and Satisfaction of Combined Hysterectomy with Bilateral Salpingo-Oophorectomy and Chest Surgery in Transgender and Gender Non-Conforming Individuals" International Journal of Environmental Research and Public Health 18, no. 13: 7133. https://doi.org/10.3390/ijerph18137133

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