Gender Affirmation Surgery, Transfeminine

Elyaguov, Jason; Schardein, Jessica; Sterling, Joshua; Nikolavsky, Dmitriy

doi:10.1016/j.ucl.2022.05.001

Cited by 6 publications

(5 citation statements)

References 55 publications

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“…Among those who do not out-grow such explorative behaviour and get distressed by their body changes at the time of puberty start facing problems with activities of daily living and lack a full potential of further growth and development. [10][11][12]…”

Section: Discussionmentioning

confidence: 99%

Need for gender affirming clinics-a case report on gender dysphoria in India

Sood,

Pal,

Chamola

et al. 2023

Int J Community Med Public Health

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Evidence suggests that individuals with gender dysphoria/gender incongruence often experience a disproportionately high burden of disease, including in the domains of mental, sexual and reproductive health. Very few of the Lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ) population seek medical or surgical treatments, others do not speak up for their condition because of the societal taboo and suffer from illnesses which fully impact the potential and well-being of the individual. We present a case of a 24-year old boy who never got treated for gender dysphoria and was ignored by the family, was made fun of by the society and ended up having Paranoid disorder secondary to gender dysphoria. This clearly indicates the need specialist health care professionals who can identify the individual for proper treatment and connect him to support groups, who can guide and educate the family and the society on the need to accept the individual in a way in which he wants to be accepted.

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Section: Discussionmentioning

confidence: 99%

Need for gender affirming clinics-a case report on gender dysphoria in India

Sood,

Pal,

Chamola

et al. 2023

Int J Community Med Public Health

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“…This shared decision-making framework should also be incorporated into RT consent discussions. The chest, genitals, and face are the most common sites of gender-affirming surgery (5,(21)(22)(23). For RT to a site of prior gender-affirming surgery, consent should include discussion of possible effects on the appearance or function of reconstructed tissues.…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of radiation therapy for transgender and gender-expansive people with cancer

Mansur,

Kempf,

Bitterman

et al. 2023

Front. Oncol.

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IntroductionApproximately 1.6 million people in the US identify as transgender, many of whom undergo gender-affirming medical or surgical therapies. While transgender individuals are diagnosed with cancer at similar rates as those who are cisgender, the impacts of radiation therapy on outcomes of gender-affirming care in transgender, nonbinary, and gender-expansive people with cancer are understudied. We report on the experiences and outcomes of transgender and gender-expansive patients receiving radiation therapy for cancer treatment.MethodsThis study is a multi-institutional retrospective review of patients evaluated from 2005-2019 identified as transgender or gender-expansive in the medical record and treated with radiation therapy.ResultsWe identified 23 patients who received radiation to 32 sites, including 12 (38%) to the brain, head, or neck, 8 (25%) to the thorax, and 7 (22%) to the pelvis. Seventeen patients (74%) received gender-affirming hormone therapy and 13 patients (57%) underwent gender-affirming surgery. Four patients had pelvic radiation before or after gender-affirming pelvic surgery, including two trans women who had pelvic radiation after vaginoplasty. Four patients had radiation to the chest or thorax and gender-affirming chest or breast surgery, including two trans men with breast cancer. Two pediatric patients developed hypopituitarism and hypogonadism secondary to radiation therapy and, as adults, changed their hormone replacement therapy to affirm their transgender identities.DiscussionTransgender people with cancer undergo radiation therapy for a wide range of cancers. Understanding their prior gender-affirming medical or surgical treatments and future gender affirmation goals may identify important considerations for their oncologic care.

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“…The Davydov procedure offered several advantages, including reduced donor site morbidity, minimized risk of graft rejection, and improved outcomes in terms of anatomical correction and sexual functionality. Its minimally invasive nature, combined with the use of the body's natural tissues, made it a preferred option for many surgeons and patients alike [4]. The evolution from initial vaginoplasty techniques to the Davydov procedure represents a significant advancement in the treatment of MRKH syndrome and underscores a shift towards more anatomically and functionally satisfactory outcomes, which paved the way for its adaptation to robotic-assisted peritoneal vaginoplasty in the genital gender affirming surgical world.…”

Section: Introductionmentioning

confidence: 99%

Peritoneal Vaginoplasty in Gender Diverse Patients

Haile,

Agrawal,

Fascelli

2024

Curr Obstet Gynecol Rep

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Purpose of Review To describe robotic-assisted peritoneal vaginoplasty in the genital gender affirming surgical setting and demonstrate existing surgical outcomes. Recent Findings Robotic peritoneal vaginoplasty is similar to a posterior approach to a robotic-assisted laparoscopic prostatectomy and can be done utilizing both multi-port and single port robotic platforms. Neovaginal canal depths and widths of 14 ± 0.7 cm by 3.6 ± 0.2 cm respectively can be obtained. Peritoneal flaps can also augment neovaginal depth by approximately 5 cm beyond the length of a skin graft or flap, proving advantageous in cases of genital hypoplasia or canal depth loss requiring revision. Patients typically report high sexual satisfaction following vaginoplasty. Summary The robotic peritoneal vaginoplasty as a genital gender affirming surgery offers additional neovaginal depth, with reported low complication rates, acceptable cosmesis, and satisfactory sexual function. Ongoing research in alternative grafts and revision remain to be studied.

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Gender Affirmation Surgery, Transfeminine

Cited by 6 publications

References 55 publications

Need for gender affirming clinics-a case report on gender dysphoria in India

Need for gender affirming clinics-a case report on gender dysphoria in India

Clinical outcomes of radiation therapy for transgender and gender-expansive people with cancer

Peritoneal Vaginoplasty in Gender Diverse Patients

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