Hysterectomy and Bilateral Adnexectomy by Laparoscopic Single Port Access for Female to Male Transsexualism

Lazard, A.; Cravello, L.; Poizac, S.; Gorin-Lazard, Audrey; Gamerre, M.; Agostini, Aubert

doi:10.1111/jsm.12091

Cited by 12 publications

(8 citation statements)

References 5 publications

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“…Recently, sexual function and quality of life following hysterectomy have become a focus of research. For instance, previous study groups have attempted to further elucidate sexual function and quality of life in patients undergoing radical hysterectomy for cervical cancer [8,9] and in the context of female‐to‐male transsexual surgery [10]. However, the selection of valid and reproducible methods of assessing these target variables constitutes a major challenge.…”

Section: Introductionmentioning

confidence: 99%

Influences of Different Hysterectomy Techniques on Patients' Postoperative Sexual Function and Quality of Life

Radosa

Meyberg-Solomayer

Kastl

et al. 2014

The Journal of Sexual Medicine

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Introduction Hysterectomy ranks among the most frequently performed gynecological surgical procedures. At the time of operation, the majority of patients are premenopausal and sexually active. Hence, detailed counseling about the effects of hysterectomy on postoperative sexuality and quality of life can be regarded as an integral part of preoperative counseling. However, available data on these subjects are limited and contradictory. Aim The aim of this study was to assess quality of life and sexuality following three common hysterectomy procedures—total laparoscopic hysterectomy (TLH), supracervical laparoscopic hysterectomy (SLH), and vaginal hysterectomy (VH)—in premenopausal patients using the European Quality of Life Five-Dimension Scale (EQ-5D) and Female Sexual Function Index (FSFI). Main Outcome Measures Preoperative and postoperative EQ-5D and FSFI scores were compared using the Wilcoxon signed-rank test. Kruskal–Wallis analysis and Mann–Whitney U-test with post hoc Bonferroni correction were used to assess differences among the three subgroups. Methods All premenopausal patients who underwent TLH, SLH, or VH without adnexectomy due to benign uterine disorders between April 2011 and June 2013 at the Department of Gynaecology and Obstetrics of Saarland University Hospital were enrolled in this observational cohort study. Sexuality and quality of life status were assessed preoperatively and 6 months postoperatively using two standardized validated questionnaires: the FSFI, a multidimensional, self-reported instrument for the assessment of female sexual function, and the EQ-5D, a standardized, validated instrument to measure an individual's health status. Results Of 402 eligible patients, 237 completed the study. Patient characteristics and preoperative FSFI and EQ-5D scores did not differ among the three hysterectomy subgroups. Postoperative FSFI and EQ-5D scores were significantly higher (P ≤ 0.01) than preoperative scores for all procedures but did not differ among the groups. Conclusions In this cohort of premenopausal women, hysterectomy without adnexectomy performed due to benign uterine pathologies had significant positive effects on postoperative sexual function and quality of life, regardless of the surgical technique used.

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Section: Introductionmentioning

confidence: 99%

Influences of Different Hysterectomy Techniques on Patients' Postoperative Sexual Function and Quality of Life

Radosa

Meyberg-Solomayer

Kastl

et al. 2014

The Journal of Sexual Medicine

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“…Of these, 11 studies were selected based on their relevance for this case in terms of the performance of hysterectomy in male transsexual individuals using different techniques, emphasizing the laparoscopic technique (Figure 1). The studies included 1 controlled clinical trial (16), 4 retrospective cohorts (8,9,17,18), 2 prospective cohorts (19,20), 1 case report (14), and 3 case series (20)(21)(22). The studies were conducted in the United States (8,9) Czech Republic (15)(16)(17), Italy (14,19), France (18), The Netherlands (23), Germany (20), and Belgium (21).…”

Section: Resultsmentioning

confidence: 99%

“…Laparoscopic hysterectomy: In a prospective study of 10 male transsexual patients, Lazard et al (19) report that single point access offers advantages over conventional laparoscopic technique because of reduced postoperative pain, faster return to normal activity and better cosmetic results. On the other hand, Bogliolo et al (23) performed robotic laparoscopic hysterectomy in a case series that included 10 patients.…”

Section: Resultsmentioning

confidence: 99%

Histerectomía por laparoscopia en un transexual masculino: reporte de caso y revisión de la literatura

Contreras

Sepúlveda-Agudelo

Wandurraga-Barón

2018

Rev. Colomb. Obstet. Ginecol.

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Objetivo: reportar un caso de histerectomía por laparoscopia convencional en cambio de sexo female-to-male en Colombia, en un paciente diagnosticado como transexual, y realizar una revisión de la literatura respecto a las distintas alternativas de histerectomía en el contexto de esta condición.Materiales y métodos: paciente de 35 años, transexual, en tratamiento hormonal con undecanoato de testosterona, sometido a histerectomía laparoscópica como parte de reasignación de sexo, en una institución de III nivel de complejidad, con evolución posoperatoria favorable. Se realizó búsqueda en las bases de datos de Medline vía PubMed, Embase y Lilacs, con los términos MESH: “hysterectomy”, “laparoscopy”, “transsexualism”, en inglés, español y checo, sin limitación de tiempo.Resultados: la investigación incluyó 11 estudios: 3 estudios de serie de casos, 6 cohortes, 1 ensayo clínico controlado y 1 reporte de caso. La histerectomía laparoscópica es la más utilizada para la reasignación de sexo en transexuales masculinos. La histerectomía vaginal es una alternativa por considerar si se requiere musculatura abdominal para futura faloplastia.Conclusiones: la histerectomía por laparoscopia surge como una alternativa a la histerectomía vaginal en pacientes transexuales masculinos sometidos a cirugía de reasignación de sexo. Se requieren ensayos controlados aleatorizados para una mejor evaluación comparativa de las alternativas quirúrgicas disponibles.

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“…Recently in 2013 Lazard et al reported a series of ten patients who underwent single-point access laparoscopic hysterectomy for sex reassignment with no conversion to standard laparoscopy or laparotomy [ 17 ].…”

Section: Resultsmentioning

confidence: 99%

Robotic Single-Site Surgery for Female-to-Male Transsexuals: Preliminary Experience

Bogliolo

Cassani

Babilonti

et al. 2014

The Scientific World Journal

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Hysterectomy with bilateral salpingo-oophorectomy is a part of gender reassignment surgery for the treatment of female-to-male transsexualism. Over the last years many efforts were made in order to reduce invasiveness of laparoscopic and robotic surgery such as the introduction of single-site approach. We report our preliminary experience on single-site robotic hysterectomy for cross-sex reassignment surgery. Our data suggest that single-site robotic hysterectomy is feasible and safe in female-to-male transsexualism with some benefits in terms of postoperative pain and aesthetic results.

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Hysterectomy and Bilateral Adnexectomy by Laparoscopic Single Port Access for Female to Male Transsexualism

Cited by 12 publications

References 5 publications

Influences of Different Hysterectomy Techniques on Patients' Postoperative Sexual Function and Quality of Life

Influences of Different Hysterectomy Techniques on Patients' Postoperative Sexual Function and Quality of Life

Histerectomía por laparoscopia en un transexual masculino: reporte de caso y revisión de la literatura

Robotic Single-Site Surgery for Female-to-Male Transsexuals: Preliminary Experience

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