Abstract
Purpose: Mastectomy and hysterectomy with bilateral salpingo-oophorectomy are the first steps in surgical female-tomale (FtM) gender affirmation. We aimed to critically review our experience with the combined approach of hysterectomy/ salpingo-oophorectomy and bilateral mastectomy, focusing in particular on intra- and postoperative complications.
Methods: 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. The main outcome measures were operating times and intra- and postoperative courses, including major and minor adverse events.
Results: The patients were 28.9 ± 6.7 years of age and had 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%). The intra- and postoperative course was completely uneventful in 82 cases (75.9%).
Conclusions: For FtM reassignment surgery, the approach herein described, of combined hysterectomy/salpingo-oophorectomy and bilateral.
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Copyright (c) 2021 Daniel Mayrhofer, Johannes Ott, René Wenzl, Sabine Roethlin, Daphne Gschwantler-Kaulich, Mick van Trotsenburg , Werner Haslik, Marlene Hager, Ulrike Kaufmann