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Research: Journal Articles About FTM Hysterectomy

NEW! Robot-assisted laparoscopic colpectomy in female-to-male transgender patients; technique and outcomes of a prospective cohort study [Full text]
Freek Groenman, Charlotte Nikkels, Judith Huirne, Mick van Trotsenburg, Hans Trum
Surgical Endoscopy, August 2017, Volume 31, Issue 8, pp 3363–3369.
Study results show that [robot-assisted laparoscopic Vaginectomy] combined with [robot-assisted laparoscopic Hysterectomy] is feasible as a single-step surgical procedure in FtM transgender surgery.

Laparoscopic Vaginal-Assisted Hysterectomy With Complete Vaginectomy for Female-To-Male Genital Reassignment Surgery.
Gomes da Costa A, Valentim-Lourenço A, Santos-Ribeiro S, Carvalho Afonso M, Henriques A, Ribeirinho AL, Décio Ferreira J. J Minim Invasive Gynecol. 2016 Mar-Apr;23(3):404-9.
This study suggests the feasibility of laparoscopic vaginectomy in genital reassignment surgery. The procedure can be executed as a continuation of the hysterectomy with the potential advantage of the laparoscopy providing better exposure of the anatomic structures with low blood losses (less than 500 mL) and few complications. Furthermore, using this approach, adequate-sized vaginal mucosa flaps were obtained for the urethral reconstruction.

Gynecologic malignancies in female-to-male transgender patients: the need of original gender surveillance.
Urban RR, Teng NN, Kapp DS. Am J Obstet Gynecol. 2011 May;204(5):e9-e12.
We report a case of uterine cancer and invasive cervical cancer, detected incidentally during the female-to-male sex reassignment surgery. The management of these patients is presented. Such individuals may not be receiving regular gynecologic care appropriate to their remaining genital organs; symptoms of malignant disease may be missed.

Gynaecological aspects of the treatment and follow-up of transsexual men and women.
Weyers S, De Sutter P, Hoebeke S, et al. Facts, Views & Vision in ObGyn. 2010;2(1):35-54.
This article gives an overview of the specific role of the gynaecologist in the care of transsexual individuals.

IMPORTANT: Hysterectomy and Oophorectomy Experiences of Female-to-Male Transgender Individuals
Katherine Rachlin, Griffin Hansbury, Seth T. Pardo. International Journal of Transgenderism, Vol. 12, Iss. 3, 2010.
This study surveyed 134 female-to-male transgendered individuals (FtMs) in order to obtain information about theire xperience of hysterectomy and oophorectomy.The survey was designed to explore motivation for undergoing surgery, access to care, surgical complications, post-operative changes, and use of standards of care.

Gynecological Aspects of Transgender Healthcare
Michael A. A. van Trotsenburg. International Journal of Transgenderism, Vol. 11, Iss. 4, 2009.
The role of gynecology for transgender healthcare has traditionally been limited to hysterectomy and oophorectomy in female-to-male transsexuals (FtM). But much more health issues within the broad spectrum of gynecology are relevant for transsexuals of both sexes. From procreation to cancer prevention, from genital health maintenance to pelvic floor disorders, from dyspareunia to libido loss, gynecology may play a major role for healthcare maintenance of the transgender population. In this article several gynecological aspects are highlighted with special attention to the context of transsexualism. The lack of knowledge of gynecologists about the special needs of this population, and in many countries a reserved attitude of doctors toward transgender persons, still is a limiting factor of gynecological care for transgender persons.

Laparoscopic hysterectomy as the method of choice for hysterectomy in female-to-male gender dysphoric individuals
Weyers, S., Monstrey, S., Hoebeke, P. et al. Gynecol Surg (2008) 5: 269.
In FTM transsexual individuals, hysterectomy is an essential part of SRS. Since 2003, we have performed laparoscopic hysterectomy in conjunction with a subcutaneous mastectomy as a first step in SRS in FTM transsexual patients, thus, facilitating the transition for the patient and improving the operative planning for the different surgical teams. Laparoscopic hysterectomy has undoubtedly proven to be superior to abdominal hysterectomy regarding postoperative pain and recuperation, while it is as safe as the vaginal or abdominal route. We think that laparoscopic hysterectomy is the most appropriate method for hysterectomy in FTM transsexual patients.

Gynecologic care of the female-to-male transgender man.
Dutton L, Koenig K, Fennie K. J Midwifery Womens Health. 2008 Jul-Aug;53(4):331-7.
This qualitative study, conducted through face-to-face interviews of a convenient sample, was a three-part interview containing a demographic and health questionnaire, the Norbeck Social Support Questionnaire, as well as the Health Care Relationship Trust Scale. Audio recordings and written notes were reviewed and common themes were identified via content analysis. Six self-identified transgender men between the ages of 19 and 45 years were enrolled in the study. Participants were at varying degrees of social and medical transition. Four major themes were identified: 1) receiving gynecologic care was perceived to be important; 2) breasts caused the most gender identity conflict; 3) transgender men struggle with revealing their gender identity to health care providers; and 4) the male/female boxes on health intake forms, as well as pronoun usage by medical staff, were barriers to receiving health care. This gynecologic health care needs assessment of transgender men begins to characterize the barriers transgender men face when seeking health care.

IMPORTANT: Total Laparoscopic Hysterectomy for Female-to-Male Transsexuals [pdf]
Katherine A.O'Hanlan, MD, Suzanne L. Dibble, DNSc, RN, and Mindy Young-Spint, MD
Obstetrics & Gynecology, vol. 110, no. 5, November, 2007.
To compare the results of laparoscopic hysterectomy, salpingo-oophorectomy, and incidental appendectomy for female-to-male transsexuals with those of female patients.

Vaginectomy and laparoscopically assisted vaginal hysterectomy as adjunctive surgery for female-to-male transsexual reassignment: preliminary report.
Ergeneli MH, Duran EH, Ozcan G, Erdogan M. Eur J Obstet Gynecol Reprod Biol. 1999 Nov;87(1):35-7.
Laparoscopy seems to be useful in female-to-male transsexual surgery in allowing the preservation of structures vital for phallic construction, such as inferior epigastric vessels and the rectus abdominis muscle.


Last updated: 08/04/17

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