Working Paper Article Version 1 This version is not peer-reviewed

Combined Hysterectomy/Salpingo-oophorectomy and Mastectomy for Female-to-Male Transgender Persons: A Retrospective Update

Version 1 : Received: 3 April 2019 / Approved: 4 April 2019 / Online: 4 April 2019 (12:26:30 CEST)

How to cite: Hager, M.; Ott, J.; Wenzl, R.; Roethlin, S.; Gschwantler-Kaulich, D.; van Trotsenburg, M.; Haslik, W.; Kurz, C.; Kaufmann, U. Combined Hysterectomy/Salpingo-oophorectomy and Mastectomy for Female-to-Male Transgender Persons: A Retrospective Update. Preprints 2019, 2019040051 Hager, M.; Ott, J.; Wenzl, R.; Roethlin, S.; Gschwantler-Kaulich, D.; van Trotsenburg, M.; Haslik, W.; Kurz, C.; Kaufmann, U. Combined Hysterectomy/Salpingo-oophorectomy and Mastectomy for Female-to-Male Transgender Persons: A Retrospective Update. Preprints 2019, 2019040051

Abstract

Mastectomy and hysterectomy with bilateral salpingo-oophorectomy are the first steps in surgical female-to-male (FtM) gender affirmation. We aimed to critically review our experience with the combined approach of hysterectomy/salpingo-oophorectomy and bilateral mastectomy and to focus on intra- and postoperative complications. In a retrospective cohort study, 108 consecutive patients were included who underwent combined hysterectomy, bilateral salpingo-oophorectomy, and bilateral mastectomy in a single operating session, between November 1998 and December 2017. Main outcome measures were operating times and intra- and postoperative courses, including major and minor adverse events. Patients were 28.9 ± 6.7 years of age and revealed a mean BMI of 24.4 ± 4.1 kg/m2. The median total operating time for patients without additional procedures was 237.6 ± 110.3 minutes. Taking all intra- and postoperative complications together, there were eight (7.4%) and 21 (19.4%) patients with major and minor complications, respectively. The most frequent complication was breast hematoma (18/108, 16.7%). There was a completely uneventful intra- and postoperative course in 82 cases (75.9%). In conclusion, for FtM reassignment surgery, the combined hysterectomy / salpingo-oophorectomy and bilateral mastectomy in a single operating session seems to be feasible and safe.

Subject Areas

transsexuals; hysterectomy; mastectomy; reassignment surgery

Comments (0)

We encourage comments and feedback from a broad range of readers. See criteria for comments and our diversity statement.

Leave a public comment
Send a private comment to the author(s)
Views 0
Downloads 0
Comments 0
Metrics 0


×
Alerts
Notify me about updates to this article or when a peer-reviewed version is published.