Patient-Reported Outcomes After Genital Gender-Affirming Surgery With Versus Without Urethral Lengthening in Transgender Men
| Autor: | H. Veerman, Margriet G. Mullender, Tim C. van de Grift, Garry L.S. Pigot, Mark-Bram Bouman, Brechje L. Ronkes, Muhammed Al-Tamimi, Wouter B. van der Sluis, Müjde Özer, Freek P. W. de Rooij |
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| Přispěvatelé: | Urology, Plastic, Reconstructive and Hand Surgery, Psychiatry, AMS - Rehabilitation & Development, AMS - Tissue Function & Regeneration, APH - Quality of Care, APH - Methodology, Other Research, APH - Mental Health, APH - Health Behaviors & Chronic Diseases |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Endocrinology Diabetes and Metabolism Urology 030232 urology & nephrology Metoidioplasty Prom Transgender Persons 03 medical and health sciences 0302 clinical medicine Endocrinology Patient satisfaction Quality of life Transgender Humans Medicine Sex organ Patient Reported Outcome Measures Retrospective Studies 030219 obstetrics & reproductive medicine Participation bias business.industry General surgery Retrospective cohort study Surgery Psychiatry and Mental health Cross-Sectional Studies Reproductive Medicine Quality of Life Phalloplasty business |
| Zdroj: | de Rooij, F P W, van de Grift, T C, Veerman, H, Al-Tamimi, M, van der Sluis, W B, Ronkes, B L, Özer, M J, Mullender, M G, Bouman, M-B & Pigot, G L S 2021, ' Patient-Reported Outcomes After Genital Gender-Affirming Surgery With Versus Without Urethral Lengthening in Transgender Men ', Journal of Sexual Medicine, vol. 18, no. 5, pp. 974-981 . https://doi.org/10.1016/j.jsxm.2021.03.002 Journal of Sexual Medicine, 18(5), 974-981. Wiley-Blackwell |
| ISSN: | 1743-6095 |
| DOI: | 10.1016/j.jsxm.2021.03.002 |
| Popis: | Background: In our institution, genital Gender-Affirming Surgery (gGAS;phalloplasty or metoidioplasty) in transgender men is offered with or without Urethral Lengthening (UL). Aim: The aim of this cross-sectional and retrospective study was to assess the effect of gGAS with or without UL on several Patient-Reported Outcomes (PROs), and to identify predictors of overall patient satisfaction at follow-up. Methods: A self-constructed Patient-Reported Outcome Measure (PROM) was sent to transgender men who were ≥1 year after gGAS. The survey comprises 25 questions divided into 5 domains: type of surgery, satisfaction with the appearance and functionality, quality of life, feelings of masculinity, and sexuality. Outcomes: Answers to the survey were compared between groups, and a linear regression analysis was conducted to identify predictors of overall patient satisfaction. Results: Of 154 eligible transgender men, the PROM was sent to 118 (77%) willing to participate, and 102 (66%) completed the survey. The majority previously underwent phalloplasty (n = 74;73%) compared to metoidioplasty (n = 28;27%). Urethral Lengthening was performed in 56/102 (55%) participants, 51/74 (69%) in phalloplasty, 5/28 (18%) in metoidioplasty. The mean number of complications and reoperations was significantly higher in the UL group (2.7vs1 and 1.6vs0.4 respectively, both P |
| Databáze: | OpenAIRE |
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