High Self-Reported Satisfaction After Top Surgery in Gender-Affirming Surgery: A Single-Center Study

Purpose: Top surgery, or masculinization of the chest, is often the first and sometimes only procedure in gender-affirming surgery for transgender- and gender-diverse persons assigned female at birth. In recent years, there has been improved access to care for transgender individuals and increased d...

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Veröffentlicht in:Transgender health 2023-04, Vol.8 (2), p.124-129
Hauptverfasser: Day, Deborah-Leigh, Klit, Anders, Lang, Christian Lyngsaa, Mejdahl, Mathias Kvist, Holmgaard, Rikke
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container_end_page 129
container_issue 2
container_start_page 124
container_title Transgender health
container_volume 8
creator Day, Deborah-Leigh
Klit, Anders
Lang, Christian Lyngsaa
Mejdahl, Mathias Kvist
Holmgaard, Rikke
description Purpose: Top surgery, or masculinization of the chest, is often the first and sometimes only procedure in gender-affirming surgery for transgender- and gender-diverse persons assigned female at birth. In recent years, there has been improved access to care for transgender individuals and increased demand for top surgery. Our aim was to investigate the degree of satisfaction with the postoperative outcome after top surgery in transgender men. Methods: Ninety transgender men who underwent top surgery between September 1, 2013 and August 31, 2018 were included. Patients were surveyed from 5 to 62 months after surgery. Participants' files were evaluated for complications, and 84 (response rate 93.3%) participants answered a questionnaire evaluating patient satisfaction postoperatively. Results: Patients were either satisfied or partially satisfied with the overall experience of undergoing surgery and the postoperative result in 90.5% of responses. Patients were very satisfied with their clothed appearance in 89.3% of responses, whereas only 44.1% were very satisfied with their nonclothed appearance and 46.4% partially satisfied. Patients were also very satisfied with postoperative scars in 47.6% of responses and nipple reconstruction in 48.8%. Only two patients expressed their regret. Conclusion: Satisfaction outcomes after top surgery are generally positive, especially in respect of clothed appearance, self-confidence, and self-acceptance.
doi_str_mv 10.1089/trgh.2021.0091
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In recent years, there has been improved access to care for transgender individuals and increased demand for top surgery. Our aim was to investigate the degree of satisfaction with the postoperative outcome after top surgery in transgender men. Methods: Ninety transgender men who underwent top surgery between September 1, 2013 and August 31, 2018 were included. Patients were surveyed from 5 to 62 months after surgery. Participants' files were evaluated for complications, and 84 (response rate 93.3%) participants answered a questionnaire evaluating patient satisfaction postoperatively. Results: Patients were either satisfied or partially satisfied with the overall experience of undergoing surgery and the postoperative result in 90.5% of responses. Patients were very satisfied with their clothed appearance in 89.3% of responses, whereas only 44.1% were very satisfied with their nonclothed appearance and 46.4% partially satisfied. Patients were also very satisfied with postoperative scars in 47.6% of responses and nipple reconstruction in 48.8%. Only two patients expressed their regret. Conclusion: Satisfaction outcomes after top surgery are generally positive, especially in respect of clothed appearance, self-confidence, and self-acceptance.</description><identifier>ISSN: 2688-4887</identifier><identifier>EISSN: 2380-193X</identifier><identifier>DOI: 10.1089/trgh.2021.0091</identifier><identifier>PMID: 37013096</identifier><language>eng</language><publisher>United States: Mary Ann Liebert, Inc., publishers</publisher><subject>Antibiotics ; Body mass index ; Confidence ; Gender dysphoria ; Gender identity ; Gender reassignment surgery ; Gender-affirming care ; Hematoma ; Mastectomy ; Original ; Original Article ; Pain ; Patients ; Plastic surgery ; Questionnaires ; Scars ; Transgender persons</subject><ispartof>Transgender health, 2023-04, Vol.8 (2), p.124-129</ispartof><rights>2021, Mary Ann Liebert, Inc., publishers</rights><rights>Copyright 2023, Mary Ann Liebert, Inc., publishers.</rights><rights>Copyright Mary Ann Liebert, Inc. Apr 2023</rights><rights>Copyright 2023, Mary Ann Liebert, Inc., publishers 2023 Mary Ann Liebert, Inc., publishers</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c424t-99d95ef4bd176f3696a6dea79cce0c24f37cca397307ae40aff12ff5147148e03</citedby><cites>FETCH-LOGICAL-c424t-99d95ef4bd176f3696a6dea79cce0c24f37cca397307ae40aff12ff5147148e03</cites><orcidid>0000-0002-0124-1469</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066763/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10066763/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27922,27923,53789,53791</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37013096$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Day, Deborah-Leigh</creatorcontrib><creatorcontrib>Klit, Anders</creatorcontrib><creatorcontrib>Lang, Christian Lyngsaa</creatorcontrib><creatorcontrib>Mejdahl, Mathias Kvist</creatorcontrib><creatorcontrib>Holmgaard, Rikke</creatorcontrib><title>High Self-Reported Satisfaction After Top Surgery in Gender-Affirming Surgery: A Single-Center Study</title><title>Transgender health</title><addtitle>Transgend Health</addtitle><description>Purpose: Top surgery, or masculinization of the chest, is often the first and sometimes only procedure in gender-affirming surgery for transgender- and gender-diverse persons assigned female at birth. In recent years, there has been improved access to care for transgender individuals and increased demand for top surgery. Our aim was to investigate the degree of satisfaction with the postoperative outcome after top surgery in transgender men. Methods: Ninety transgender men who underwent top surgery between September 1, 2013 and August 31, 2018 were included. Patients were surveyed from 5 to 62 months after surgery. Participants' files were evaluated for complications, and 84 (response rate 93.3%) participants answered a questionnaire evaluating patient satisfaction postoperatively. Results: Patients were either satisfied or partially satisfied with the overall experience of undergoing surgery and the postoperative result in 90.5% of responses. Patients were very satisfied with their clothed appearance in 89.3% of responses, whereas only 44.1% were very satisfied with their nonclothed appearance and 46.4% partially satisfied. Patients were also very satisfied with postoperative scars in 47.6% of responses and nipple reconstruction in 48.8%. Only two patients expressed their regret. 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In recent years, there has been improved access to care for transgender individuals and increased demand for top surgery. Our aim was to investigate the degree of satisfaction with the postoperative outcome after top surgery in transgender men. Methods: Ninety transgender men who underwent top surgery between September 1, 2013 and August 31, 2018 were included. Patients were surveyed from 5 to 62 months after surgery. Participants' files were evaluated for complications, and 84 (response rate 93.3%) participants answered a questionnaire evaluating patient satisfaction postoperatively. Results: Patients were either satisfied or partially satisfied with the overall experience of undergoing surgery and the postoperative result in 90.5% of responses. Patients were very satisfied with their clothed appearance in 89.3% of responses, whereas only 44.1% were very satisfied with their nonclothed appearance and 46.4% partially satisfied. 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source Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central
subjects Antibiotics
Body mass index
Confidence
Gender dysphoria
Gender identity
Gender reassignment surgery
Gender-affirming care
Hematoma
Mastectomy
Original
Original Article
Pain
Patients
Plastic surgery
Questionnaires
Scars
Transgender persons
title High Self-Reported Satisfaction After Top Surgery in Gender-Affirming Surgery: A Single-Center Study
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