Gender-Affirming Mastectomy: Psychosocial and Surgical Outcomes in Transgender Adults.

Autor:	Bertrand AA; From the Division of Plastic and Reconstructive Surgery (Bertrand, DeLong, McCleary, Nahabet, Slack, DaLio, Rudkin), University of California, Los Angeles, Los Angeles, CA., DeLong MR; From the Division of Plastic and Reconstructive Surgery (Bertrand, DeLong, McCleary, Nahabet, Slack, DaLio, Rudkin), University of California, Los Angeles, Los Angeles, CA., McCleary SP; From the Division of Plastic and Reconstructive Surgery (Bertrand, DeLong, McCleary, Nahabet, Slack, DaLio, Rudkin), University of California, Los Angeles, Los Angeles, CA., Nahabet EH; From the Division of Plastic and Reconstructive Surgery (Bertrand, DeLong, McCleary, Nahabet, Slack, DaLio, Rudkin), University of California, Los Angeles, Los Angeles, CA., Slack GC; From the Division of Plastic and Reconstructive Surgery (Bertrand, DeLong, McCleary, Nahabet, Slack, DaLio, Rudkin), University of California, Los Angeles, Los Angeles, CA., DaLio AL; From the Division of Plastic and Reconstructive Surgery (Bertrand, DeLong, McCleary, Nahabet, Slack, DaLio, Rudkin), University of California, Los Angeles, Los Angeles, CA., Weimer AK; Departments of Internal Medicine (Weimer, Bernacki), University of California, Los Angeles, Los Angeles, CA., Kwan L; Urology (Kwan), University of California, Los Angeles, Los Angeles, CA., Bernacki J; Departments of Internal Medicine (Weimer, Bernacki), University of California, Los Angeles, Los Angeles, CA., Rudkin GH; From the Division of Plastic and Reconstructive Surgery (Bertrand, DeLong, McCleary, Nahabet, Slack, DaLio, Rudkin), University of California, Los Angeles, Los Angeles, CA.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Surgeons [J Am Coll Surg] 2024 May 01; Vol. 238 (5), pp. 890-899. Date of Electronic Publication: 2024 Jan 31.
DOI:	10.1097/XCS.0000000000000940
Abstrakt:	Background: Limited literature exists examining the effects of gender-affirming mastectomy on transmasculine and nonbinary patients that is prospective and uses validated survey instruments. Study Design: The psychosocial functioning of transmasculine and nonbinary patients was compared between patients who underwent gender-affirming mastectomy and those who had not yet undergone surgery. Participants were enrolled in a single-site, combined study of surgical and psychosocial outcomes, including a cross-sectional cohort of preoperative and postoperative patients, as well as separate prospective cohort. Participants completed the BREAST-Q psychosocial and sexual well-being modules, the BODY-Q satisfaction with chest and nipples modules, the Body Image Quality of Life Inventory, the Transgender Congruence Scale, the Patient Health Questionnaire-9, and the Generalized Anxiety Disorder-7 scale before and after surgery. We also examined how patient demographic factors correlated with postoperative surgical and psychosocial outcomes. Results: A total of 111 transmasculine and nonbinary patients 18 to 63 years of age (mean ± SD 26.5 ± 8) underwent mastectomy and were included in the study. All were included in the cross-sectional cohort, and 20 were enrolled in the prospective cohort. More than one-third (34.2%) of patients were nonbinary. After surgery, psychosocial and sexual well-being, satisfaction, body image-related quality of life, and gender congruence were increased (p < 0.001) in both cohorts, and depression (p < 0.009 cross-sectional), and anxiety (p < 0.001 cross-sectional) were decreased. The most common adverse event was hypertrophic scarring, which occurred in 41 (36.9%) participants. Conclusions: In this study of transmasculine and nonbinary adults, gender-affirming mastectomy was followed by substantial improvements in psychosocial functioning. (Copyright © 2024 by the American College of Surgeons. Published by Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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