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Mann-zu-Frau-Transsexualismus. Ergebnisse geschlechtsangleichender Operationen in einer biopsychosozialen Perspektive

Male-to-female transsexualism. Sex reassignment surgery from a biopsychosocial perspective

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Summary

Many man-to-female-transsexuals prefer sex reassignment surgery. Surgical complications are common, most frequently a stenosis of the vagina as well as the urethral ostium. In up to 24% of patients secondary corrective surgery is necessary. Regret and feelings of doubt can occur in up to 8% of the cases. In the setting of an interdisciplinary team the postoperative somatic, psychological and socio-economic situation can be improved. This review is based on a Medline literature search and summarizes the pertinent literature of the last 22 years.

Zusammenfassung

Operative Geschlechtsangleichungen werden trotz hoher Komplikationsraten von vielen Mann-zu-Frau-Transsexuellen angestrebt. Die häufigsten postoperativen Komplikationen sind Vaginal- und Urethrastenosen. In bis zu 24 % der Fälle werden korrigierende Zweitoperationen nötig und bis zu 8 % der Patienten entwickeln postoperativ Gefühle des Bedauern oder des Zweifels. Unter Einsatz eines multidisziplinären Behandlungsteams verbessert sich postoperativ bei vielen Patienten die psychische, somatische und sozioökonomische Gesamtsituation. Die vorliegende Übersichtsarbeit fasst die Medline-gelisteten Arbeiten zum Transsexualismus der letzten 22 Jahre zusammen.

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Authors and Affiliations

  1. Universitätsklinik für Psychiatrie der Medizinischen Universität Graz, Graz, Austria

    Andreas Baranyi, Dominique Piber & Hans-Bernd Rothenhäusler

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  1. Andreas Baranyi
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  2. Dominique Piber
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  3. Hans-Bernd Rothenhäusler
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Correspondence to Andreas Baranyi.

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Baranyi, A., Piber, D. & Rothenhäusler, HB. Mann-zu-Frau-Transsexualismus. Ergebnisse geschlechtsangleichender Operationen in einer biopsychosozialen Perspektive. Wien Med Wochenschr 159, 548–557 (2009). https://doi.org/10.1007/s10354-009-0693-5

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  • DOI: https://doi.org/10.1007/s10354-009-0693-5

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