scholarly journals The role of penile reconstruction in gender affirmation surgery

2021 ◽  
Vol 12 (6) ◽  
pp. 11-14
Author(s):  
Wai Gin Lee ◽  
David Ralph
2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Marta R. Bizic ◽  
Milos Jeftovic ◽  
Slavica Pusica ◽  
Borko Stojanovic ◽  
Dragana Duisin ◽  
...  

Gender affirmation surgery remains one of the greatest challenges in transgender medicine. In recent years, there have been continuous discussions on bioethical aspects in the treatment of persons with gender dysphoria. Gender reassignment is a difficult process, including not only hormonal treatment with possible surgery but also social discrimination and stigma. There is a great variety between countries in specified tasks involved in gender reassignment, and a complex combination of medical treatment and legal paperwork is required in most cases. The most frequent bioethical questions in transgender medicine pertain to the optimal treatment of adolescents, sterilization as a requirement for legal recognition, role of fertility and parenthood, and regret after gender reassignment. We review the recent literature with respect to any new information on bioethical aspects related to medical treatment of people with gender dysphoria.


2021 ◽  
Vol 79 ◽  
pp. S1588
Author(s):  
W.G. Lee ◽  
V. Li ◽  
D. Ralph ◽  
N. Christopher

2017 ◽  
Vol 14 (6) ◽  
pp. 857-864 ◽  
Author(s):  
Josephine Jacobsson ◽  
My Andréasson ◽  
Lars Kölby ◽  
Anna Elander ◽  
Gennaro Selvaggi

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Marc H Hohman ◽  
Meghan E Jastrzembski ◽  
Nicholas Choe ◽  
Michael J Nuara ◽  
Jeffrey C Teixeira ◽  
...  

2021 ◽  
Author(s):  
Sudipta Sen ◽  
Johanna B de Haan ◽  
Grace Guvernator ◽  
Andrzej P Kwater ◽  
Xuan T Langridge ◽  
...  

Aim: Feminizing genital gender affirmation surgery (fgGAS) is increasing in prevalence in the USA. Management of postoperative pain following fgGAS is challenging. We report a series of patients where post-fgGAS pain was adequately controlled with paraspinal blocks. Materials & methods: This is a case series of three patients who received bilateral lumbar and sacral erector spinae plane blocks after fgGAS. Block techniques, medications administered, opioid requirements and pain scores were reviewed. Results: Erector spinae plane blocks provided adequate analgesia for 24–48 h following the block. Conclusion: Currently, there are two regional anesthetic techniques described for the treatment of postoperative pain after fgGAS. We describe two additional approaches as options for improved pain management in this patient population.


2021 ◽  
Vol 12 ◽  
Author(s):  
Dhiordan Cardoso Silva ◽  
Leonardo Romeira Salati ◽  
Anna Paula Villas-Bôas ◽  
Karine Schwarz ◽  
Anna Martha Fontanari ◽  
...  

This study aimed to examine psychosocial factors and medical history as well as symptoms of depression, anxiety, and stress associated with ruminative thinking in transgender people with gender dysphoria (GD) before undergoing gender affirmation surgery (GAS). This study evaluated 189 participants with GD (111 trans women and 78 trans men) from a specialized service for GAS in southern Brazil. Semi-structured interviews were conducted, and participants were asked to complete self-report questionnaires. We recovered participants' sociodemographic and psychosocial data (e.g., history of sexual abuse, expulsion from home, and history of drug use) and data regarding their clinical history (e.g., medication, history of suicidal ideation and attempted suicide, and HIV status). Further, we implemented the Depression, Anxiety and Stress Scale (DASS-21) to examine participants' psychological state, as well as the Ruminative Response Scale (RRS) to assess ruminative thinking, which includes brooding and reflection. The predictor variables were those that exhibited a minimum level of significance of p ≤ 0.05 in multivariate linear regression. The ruminative thinking scores for trans women were higher than those of trans men (Brooding p = 0.014; Reflection p = 0.052).In the multivariate model, suicidal ideation, moderate depression, and severe/very severe anxiety were associated with both brooding and reflection. Feminine gender identity and stress symptoms moderated only brooding, while anxiety symptoms moderated only reflection. Our findings show that trans women had the highest ruminative thinking scores, and that depression, anxiety, stress, and suicidal ideation were associated with ruminative thinking in total sample. Psychological symptoms should be examined in the context of gender affirmation surgery to minimize the possibility of adverse mental health outcomes. Follow-up studies are required to measure ruminative thinking levels more accurately and to identify its predictors.


2021 ◽  
Vol 9 (3) ◽  
pp. e3477
Author(s):  
Valeria P. Bustos ◽  
Samyd S. Bustos ◽  
Andres Mascaro ◽  
Gabriel Del Corral ◽  
Antonio J. Forte ◽  
...  

2019 ◽  
Vol 143 (1) ◽  
pp. 254e-256e ◽  
Author(s):  
Jacson K. Shen ◽  
Nicole A. Seebacher ◽  
Shane D. Morrison

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