Quality of life 15 years after sex reassignment surgery for transsexualism

Kühn, Annette; Bodmer, Christine; Stadlmayr, Werner; Kühn, Peter; Mueller, Michael D.; Birkhäuser, Martin

doi:10.1016/j.fertnstert.2008.08.126

Cited by 83 publications

(78 citation statements)

References 18 publications

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“…Kuhn et al [13 ] reported a case-control study that evaluated QoL and patients' satisfaction in 55 transsexuals after SRS and compared it with 20 of those in healthy controls. Current study shows that QoL 15 years after surgery is similar to the QoL of controls except in the domains of general health, role limitation, and physical and personal limitations.…”

Section: Surgical Resultsmentioning

confidence: 99%

Genitoplasty in male-to-female transsexuals

Perović

Djinovic²

2009

Current Opinion in Urology

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Section: Surgical Resultsmentioning

confidence: 99%

Genitoplasty in male-to-female transsexuals

Perović

Djinovic²

2009

Current Opinion in Urology

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“…There were no differences between subgroups. Conversely, Kuhn et al (2009) used the King's Health Questionnaire and Visual Analogue Scale to measure quality of life in 52 MTF adults and 3 FTMs, recruited from a Swiss tertiary medical center gender program. All subjects were 15 or more years post-gender reassignment surgery.Overallqualityoflifeandlifesatisfactionlevelswerelower thanmatchedcontrols,particularlyinthedomainsofgeneralhealth, role limitation, physical limitation, and personal limitation.…”

Section: Evidence Regarding Effectiveness Of Treatment For Gender Dysmentioning

confidence: 99%

Report of the American Psychiatric Association Task Force on Treatment of Gender Identity Disorder

et al. 2012

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Both the diagnosis and treatment of Gender Identity Disorder (GID) are controversial. Although linked, they are separate issues and the DSM does not evaluate treatments. The Board of Trustees (BOT) of the American Psychiatric Association (APA), therefore, formed a Task Force charged to perform a critical review of the literature on the treatment of GID at different ages, to assess the quality of evidence pertaining to treatment, and to prepare a report that included an opinion as to whether or not sufficient credible literature exists for development of treatment recommendations by the APA. The literature on treatment of gender dysphoria in individuals with disorders of sex development was also assessed. The completed report was accepted by the BOT on September 11, 2011. The quality of evidence pertaining to most aspects of treatment in all subgroups was determined to be low; however, areas of broad clinical consensus were identified and were deemed sufficient to support recommendations for treatment in all subgroups. With subjective improvement as the primary outcome measure, current evidence was judged sufficient to support recommendations for adults in the form of an evidence-based APA Practice Guideline with gaps in the empirical data supplemented by clinical consensus. The report recommends that the APA take steps beyond drafting treatment recommendations. These include issuing position statements to clarify the APA's position regarding the medical necessity of treatments for GID, the ethical bounds of treatments of gender variant minors, and the rights of persons of any age who are gender variant, transgender or transsexual.

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“…The authors explain that the majority of the no-GAS group was receiving psychological counseling and planning surgical procedures in the (near) future. A less positive picture comes from a study by Kuhn et al (2009); compared to matched controls, transgender people report a lower QoL 15 years after GAS, mostly relating to social and sexual domains. Despite the positive effects of surgery, the average QoL of people who received GAS may thus still be lower than the general population.…”

Section: Introductionmentioning

confidence: 99%