PMID- 20233279 OWN - NLM STAT- MEDLINE DCOM- 20110131 LR - 20220321 IS - 1743-6109 (Electronic) IS - 1743-6095 (Linking) VI - 7 IP - 6 DP - 2010 Jun TI - Combined hysterectomy/salpingo-oophorectomy and mastectomy is a safe and valuable procedure for female-to-male transsexuals. PG - 2130-2138 LID - S1743-6095(15)33039-3 [pii] LID - 10.1111/j.1743-6109.2010.01719.x [doi] AB - INTRODUCTION: Sex reassignment surgery is an important step for transsexuals, since it is known to help the patients to live more easily in their gender role and to significantly increase quality of life. AIMS: To critically evaluate our experience with the combined procedure of hysterectomy, bilateral salpingo-oophorectomy, and bilateral mastectomy for female-to-male (FtM) transsexual patients. METHODS: Thirty-two FtM transsexuals who underwent hysterectomy, bilateral salpingo-oophorectomy, and bilateral mastectomy in one single operative setting. MAIN OUTCOME MEASURES: Operating time and complications, both intra-and postoperatively. RESULTS: Patients were 30.0 +/- 5.8 years of age, with a body mass index of 24.8 +/- 3.5 kg/m(2). The majority of patients underwent hysterectomy and bilateral salpingo-oophorectomy by laparoscopy (31/32, 96.9%). The median operating time was 222.5 minutes (inter-quartile range [IQR] 190-270 minutes). The median postoperative stay was eight days (IQR, 7-9 days). Postoperative adverse events were found in five patients (15.6%), including breast hematomas as the most frequent complication (4/32, 12.5%). In one patient (1/32; 3.1%), conversion from laparoscopy to laparotomy was necessary, which was considered an adverse event. None of our patients required reoperation or readmission to the hospital. CONCLUSION: Combined hysterectomy/salpingo-oophorectomy, and bilateral mastectomy in a single operating session seems a safe, feasible, and valuable procedure for FtM transsexuals. FAU - Ott, Johannes AU - Ott J AD - Department of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria. FAU - van Trotsenburg, Michael AU - van Trotsenburg M AD - Center for Gender Dysphoria, VU University Medical Center, Amsterdam, the Netherlands. FAU - Kaufmann, Ulrike AU - Kaufmann U AD - Department of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria. FAU - Schrogendorfer, Klaus AU - Schrogendorfer K AD - Department of Plastic Surgery, Medical University of Vienna, Vienna, Austria. FAU - Haslik, Werner AU - Haslik W AD - Department of Plastic Surgery, Medical University of Vienna, Vienna, Austria. FAU - Huber, Johannes C AU - Huber JC AD - Department of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria. FAU - Wenzl, Rene AU - Wenzl R AD - Department of Gynecologic Endocrinology and Reproductive Medicine, Medical University of Vienna, Vienna, Austria. Electronic address: rene.wenzl@meduniwien.ac.at. LA - eng PT - Journal Article DEP - 20100303 PL - Netherlands TA - J Sex Med JT - The journal of sexual medicine JID - 101230693 SB - IM MH - Adult MH - Combined Modality Therapy MH - Female MH - Follow-Up Studies MH - Humans MH - *Hysterectomy MH - Laparoscopy MH - *Mastectomy MH - *Ovariectomy MH - Patient Care Team MH - Postoperative Complications/*etiology MH - *Salpingectomy MH - *Sex Reassignment Surgery MH - Transsexualism/*surgery MH - Young Adult EDAT- 2010/03/18 06:00 MHDA- 2011/02/01 06:00 CRDT- 2010/03/18 06:00 PHST- 2010/03/18 06:00 [entrez] PHST- 2010/03/18 06:00 [pubmed] PHST- 2011/02/01 06:00 [medline] AID - S1743-6095(15)33039-3 [pii] AID - 10.1111/j.1743-6109.2010.01719.x [doi] PST - ppublish SO - J Sex Med. 2010 Jun;7(6):2130-2138. doi: 10.1111/j.1743-6109.2010.01719.x. Epub 2010 Mar 3.