Medical Requirements and Consequences of Sex Reassignment Surgery

  title={Medical Requirements and Consequences of Sex Reassignment Surgery},
  author={J. Joris Hage},
  journal={Medicine, Science and the Law},
  pages={17 - 24}
  • J. Hage
  • Published 1 January 1995
  • Medicine
  • Medicine, Science and the Law
Prior to considering surgical reassignment, the key issue for the surgeon is to establish beyond reasonable doubt that the gender dysphoria or transsexual feeling is genuine and that surgical reassignment will be beneficial. For this he will need the expertise of a reputable behavioural scientist. To determine whether the patient is physically fit for surgery, the surgeon may lean on the expertise of an endocrinologist with substantial personal experience in the field of hormonal treatment of… 
Medical Advances in Transsexualism and the Legal Implications
  • D. Harish, B. Sharma
  • Psychology, Medicine
    The American journal of forensic medicine and pathology
  • 2003
Although many advances have been made in the reassignment surgery techniques, phalloplasty still remains a major challenge; to date, no ideal technique has been developed.
Augmentation mammaplasty in male-to-female transsexuals.
The basic anatomic and surgical considerations of augmentation mammaplasty for 201 male-to-female transsexuals who were operated on from 1979 to 1997 are reviewed and discussed.
Care of the Patient Undergoing Sex Reassignment Surgery
Primary care providers who are already familiar with routine transgender care to understand the specialized processes involved in SRS are intended to help.
Sexual functioning in transsexuals following hormone therapy and genital surgery: a review.
Based on the available literature, transsexuals appear to have adequate sexual functioning and/or high rates of sexual satisfaction following SRS, and transsexualism does not appear to be associated with a hyposexual condition.
The Reported Sex and Surgery Satisfactions of 28 Postoperative Male-to-Female Transsexual Patients
There is a strong case for making a change in the Harry Benjamin Standards of Care to include a period of postoperative psychotherapy for male-to-female gender transformation surgeries.
The case for bilateral mastectomy and male chest contouring for the female-to-male transsexual
The literature showed that BLM is necessary for trans men to live safely and effectively in their reassigned gender role, and further that it acts as a prophylaxis against distress, ameliorates extant distress as well as providing improved quality of life and global functioning for this patient group.
What urologists need to know about male to female genital confirmation surgery (vaginoplasty): techniques, complications and how to deal with them.
  • J. Drinane, R. Santucci
  • Medicine
    Minerva urologica e nefrologica = The Italian journal of urology and nephrology
  • 2020
Vaginoplasty is the most commonly performed genital surgery for gender affirmation, and when performed correctly in excellent surgical candidates by skilled surgeons, vaginoplasty can be a rewarding surgical endeavor for the patient and surgeon.
Secondary Corrections of the Vulva in Male-to-Female Transsexuals
From December of 1980 to May of 1998, 390 male-to-female transsexuals underwent vaginoplasty by inversion of the penile skin and a triangular perineoscrotal flap, and the authors have been unable to develop a satisfactory method for primary construction of the labia minora.
Gender identity disorder and its medico-legal considerations
  • B. R. Sharma
  • Medicine, Psychology
    Medicine, science, and the law
  • 2007
The historical perspective, genesis and management of gender identity disorder, or transsexualism, is examined, and attention is drawn to the medico-legal considerations.
Sparing a Testis during Vaginoplasty in Maleto‐Female Transsexuals: Does It Benefit Our Patients?
Because there are multiple reasons for castration, it is advised that bilateral orchidectomy be performed in the course of sex reassignment surgery for male‐to‐female transsexuals.


The Role of Surgery in the Treatment of Transsexualism
The author concludes that further study of surgical treatment is justified, but that it should be limited to established multidisciplinary teams working in academic settings.
Creation of a Male Chest in Female Transsexuals
The indications for operation, the choice of operation, and the results in 9 patients evaluated by a gender identity clinic and referred for breast removal and construction of a male chest are described.
Sculpturing the Neoclitoris in Vaginoplasty for Male‐to‐Female Transsexuals
From the review of the literature and from the experience one may conclude that the technique presents hardly any complications and leads to acceptable results, both functionally and cosmetically.
The Importance of Near Total Resection of the Corpus Spongiosum and Total Resection of the Corpora Cavernosa in the Surgery of Male to Female Transsexuals
From 1980 to 1989, 13 male to female transsexuals underwent surgery for resection of the corpus spongiosum, performed at the Department of Plastic and Reconstructive Surgery of the Free University
Penis Construction in Female-to-Male Transsexuals
The challenge for the reconstructive genitourinary surgeon in the 1980s is the formation of a penis with (a) sensitivity, (b) ability to urinate in a standing position, (c) passable to good appearance, and (d) ability for intromission in sexual intercourse.
Surgical Depilation for the Treatment of Pseudofolliculitis or Local Hirsutism of the Face: Experience in the First 40 Patients
Although it is not the treatment of choice, this operation is very useful when other therapy has not been successful, this seems especially true in male-to-female transsexuals.
Vaginoplasty for gender confirmation.
Male-to-female surgery for properly diagnosed gender dysphoria, conducted as an interdisciplinary rehabilitation program, may be a valid endeavor in many cases. Successful surgical results have been
Transsexualismus, 2nd ed
  • 1992
From Peniplastica Totalis to Reassignment Surgery of the External Genitalia in Female-to-male Transsexuals
  • 1992
Transseksu - aliteit . IV . Chirurgische mogelijkheden
  • Ned . Tijdschr . Geneeskd .
  • 1992