scholarly journals Gender reassignment surgery: male to female, a short-term analysis of post-operative outcome

2017 ◽  
Vol 4 (10) ◽  
pp. 3288
Author(s):  
Saravanakumar Subbaraj ◽  
. Srinivasan ◽  
. Nivethaa

Background: The term gender dysphoria describes a heterogenous group of individuals who express varying degree of dissatisfaction with their anatomical gender and the desire to possess the secondary sexual characteristics of the opposite sex. For these individuals, gender reassignment surgery (GRS) plays a pivotal role in relieving their psychological discomfort. The literature is limited in terms of the outcome of surgery. In this study, we present surgical outcome and post-operative complications in Male to Female GRS.Methods: This is a retrospective cohort study on consecutive patients who underwent male to female (MtF) GRS at the Department of General Surgery, Mahatma Gandhi Medical College and Research Institute, Puducherry, India from March 2015 to July 2017 and demographic profile along with surgical complications were registered and analysed.Results: During the study period, a total of 59 MtF GRS were performed. The median age of the patients was 25.4 years (range 19-39). Major complications like rectovaginal fistula and pulmonary embolisms and deep venous thrombosis were not observed. The most common complications were wound infection and reactionary bleeding from the urethra.Conclusions: Gender reassignment surgery plays a pivotal role in relieving the psychological discomfort of Gender Dysphoria individuals. MtF GRS can be performed with a low rate of complications. The collaborative effort between the surgeon, behavioural scientist, and a medical physician responsible for hormonal therapy is recommended. Our short-term analysis revealed the low rate of complications. Surgical experience is the key factor to minimize the complication rate.

2021 ◽  
pp. 1321-1332
Author(s):  
Oliver Fenton

This chapter deals with the definitions, history, incidence, and background to both gender dysphoria as a whole and male-to-female gender reassignment surgery specifically. Other chapters deal with surgical procedures for female to male reassignment that are within the scope of this textbook.


2020 ◽  
Vol 7 (9) ◽  
pp. 2903
Author(s):  
Nivethaa . ◽  
Saravanakumar Subbaraj ◽  
Tirou A. Tirougnanassambandamourty

Background: Gender dysphoria is a condition in which there is discrepancy between a person's gender identity and that person's sex assigned at birth. Gender reassignment surgery (GRS) has an important role in alleviating the distress caused by gender dysphoria and it is medically necessary. The literature on quality of life (QoL) of transgenders post-GRS is limited in India.Methods: This is a prospective study on transgender women who volunteered to undergo male to female (MtF) GRS from March 2015 to August 2017. The demographic details and the surgical complications were registered. The Quality of life using the WHOQOL-BREF questionnaire was measured both before and a year after the surgery. The data were compared and presented.Results: A total of 62 GRS were performed during the study period. In that, 43 patients are literate (69.35%) and only 31.93% are employed in a socially respectable position. Our study shows significant improvement in physical, psychological and social health domains after the Surgery. Highest improvement was observed in the psychological health domain. There were no major complications observed in our study group.Conclusions: The surgical management improved the QOL in the first three domains of WHOQOL-BREF instrument namely physical health, psychological health and social relationship. Among these three domains, there is a significant improvement in psychological health. Hence, GRS has an important role in relieving the psychological distress caused by gender dysphoria and significantly improves the quality of life postoperatively.


2002 ◽  
Vol 61 (1) ◽  
pp. 1-52
Author(s):  
Andrew Bainham

ARE sex or gender crucial components of modern marriage? In Bellinger v. Bellinger [2001] EWCA Civ 1140, [2001] 2 F.L.R. 1048, the Court of Appeal returned to the question of the relevance of biological sex to the validity of marriage, first considered thirty years ago by Ormrod J. in Corbett v. Corbett (otherwise Ashley) [1971] P. 83. Both cases involved male-to-female transsexuals who had undergone gender reassignment surgery but in Bellinger, Mrs. Bellinger sought a declaration under section 55 of the Family Law Act 1986 that her marriage to Mr. Bellinger was valid at its inception and still subsisting (unlike Corbett, which involved a nullity petition). The Court, by a majority, upheld the decision of Johnson J. refusing the declaration.


2018 ◽  
Vol 79 (2) ◽  
pp. 314-338 ◽  
Author(s):  
David Albert Jones

There is no explicit authoritative Catholic teaching on gender reassignment surgery (GRS). Catholic bioethicists have debated the origin of gender dysphoria and the effectiveness of GRS. A further ethical question is whether some forms of GRS involve “mutilation in the strict sense.” The principle of totality does not apply to GRS as the reproductive organs are a cause of distress only because the object of distress. This analysis leaves open the status of GRS which does not compromise biological function.


2014 ◽  
Vol 38 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Kamyar Tavakkoli Tabassi ◽  
Bob Djavan ◽  
Jalil Hosseini ◽  
Alireza Ghoreifi ◽  
Mohadese Ershadi ◽  
...  

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