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Feasibility, Safety, and Satisfaction of Combined Hysterectomy with Bilateral Salpingo-Oophorectomy and Chest Surgery in Transgender and Gender Non-Conforming Individuals

Bibliographic Data

ID15465211
AuthorsIlaria Mancini (0000-0002-6285-8382, Azienda USL di Bologna, corresponding author), Davide Tarditi (0009-0007-2205-0614, Azienda USL di Bologna), Giulia Gava (0000-0001-9232-312X, Azienda USL di Bologna), Stefania Alvisi (Azienda USL di Bologna), Luca Contu (0000-0002-0149-233X, Azienda USL di Bologna), Paolo G Morselli (Azienda USL di Bologna), Giulia Giacomelli (0000-0001-8890-0190, Azienda USL di Bologna), Alessandra Lami (0000-0001-6283-6530, Azienda USL di Bologna), Renato Seracchioli (0000-0001-7487-1333, Azienda USL di Bologna), Maria Cristina Meriggiola (0000-0003-0061-9834, Azienda USL di Bologna)
Year2021
Volume18
Issue13
Pages7133-7133
Publication date2021-07-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18137133
PMID34281069
OpenAlexW3182057980
LanguageEN
Citations received1
References cited3

The demand for masculinizing breast surgery and hysterectomy with bilateral salpingo-oophorectomy (HBSO) from transmen has increased. With a multidisciplinary approach, these surgeries can be performed in a single session. The objective of this study was to retrospectively evaluate the feasibility, safety, and satisfaction of HBSO and chest surgery in transmen. A cohort of 142 subjects who underwent HBSO alone or combined with chest surgery at Sant'Orsola Hospital was analyzed. Intra and post operation events were evaluated. Subjective post-intervention satisfaction, acceptability, and impact of intervention were assessed via a semi-structured interview. Nineteen transmen underwent HBSO alone and 123 underwent combined surgery. HBSO was performed laparoscopically in 96.5% of transmen (137/142). As expected, length of hospital stay and blood loss were significantly higher in the combined surgery group. A total of 13 intra or post-operative complications occurred in the combined surgery group (10.5%) with thoracic hematoma being the most frequent complication (7.6%). Only one rare complication occurred in the HBSO group (omental herniation through a laparoscopic breach). The overall subjective satisfaction score was 9.9 out of 10 for both groups. Positive changes in all areas of life were reported, with no significant differences. We found that the combined surgery appears to be well tolerated, safe, and feasible in transmen and satisfaction with the combined procedure was high in all subjects

Family medicine · General surgery · Gynecology · Hysterectomy · Obstetrics · Oophorectomy · Transgender · Transgender Person · Transgender women · LGBTQ Health, Identity, and Policy · Medicine · Psychology · Reproductive Health and Technologies · Uterine Myomas and Treatments · Surgery

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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