Behandlungverläufe transsexueller Patienten Eine katamnestische Untersuchung

Abstract

In a retrospective study, 33 transsexual patients, 22 male-to-female transsexual (MF-TS), and 11 female-to-male transsexuals (FM-TS), were interviewed 53-121 months after their first referral to the psychiatric department of a university hospital. Social integration proved to be satisfactory and relatively stable. Twenty-five patients had gone through surgical sex reassignment, while 29 were currently undergoing hormonal treatment. Regarding the course of treatment, the FM-TS were a more homogeneous group than the MF-TS group. Overall, physical and psychosocial well-being was satisfactory. Psychometric measures yielded remarkably normal values, with some pathological findings regarding personality traits. In the majority of patients, self- and observer-rating appraisals of gender-specific physical appearance were equally positive. The results suggest a three-step procedure for the treatment of transsexual patients, as is practiced in other centers within German speaking continental Europe.

Satisfaction With Male-to-Female Gender Reassignment Surgery

“…Of these, 33.9% of patients reported high satisfaction and 48.2% Ability to achieve orgasm following male-to-female gender reassignment surgery (by number of study participants) good to medium satisfaction (21). A similar value was obtained in the survey by Hepp et al (22). Löwenberg (19) found higher values (94%) for satisfaction with aesthetic outcome of surgery.…”

“…It depends essentially on the functionality of the neovagina. Figures for satisfaction with functional outcome range from 56% to 84% (16,19,20,22,23). In the authors' population, satisfaction with function was 72% ("very satisfied" and "satisfied") or 91.4% (including also "mostly satisfied").…”

Long-Term Follow-Up of Transsexual Persons Undergoing Sex Reassignment Surgery: Cohort Study in Sweden

“…Second, transsexualism is rare [20] and many follow-ups are hampered by small numbers of subjects [5], [8], [21], [22], [23], [24], [25], [26], [27], [28]. Third, many sex reassigned persons decline to participate in follow-up studies, or relocate after surgery, resulting in high drop-out rates and consequent selection bias [6], [9], [12], [21], [24], [28], [29], [30]. Forth, several follow-up studies are hampered by limited follow-up periods [7], [9], [21], [22], [26], [30].…”

Transsexualität

“…Die ebenfalls aus der Schweiz stammende Untersuchung von Hepp et al (2002) aus der Psychiatrischen Universitätsklinik Zürich konnte diese alarmierenden Ergebnisse nicht bestätigen: In die Stichprobe wurden 47 Patienten aufgenommen, die zwischen 1990 und 1995 erstmals die Universitätspoliklinik aufgesucht hatten und die diagnostischen Kriterien für das Vorliegen von Transsexualität erfüllten; von diesen konnten 33 Patienten nachuntersucht werden. Die soziale Integration erwies sich mehrheitlich als gut und relativ stabil.…”