Interdisciplinary concepts of surgical
sex transformation in transsexual patients
Sohn M, Bosinski H,
Gouzoulis-Mayfrank E,
Ebel H, van Saldern S, Loffler D, Jakse G
Urologische Klinik, Klinikum der RWTH Aachen.
Abstract [Full Text] [PDF]
Abstract [Article in German]
From the introduction of the law on
recognition of transsexuals (TSG) in 1980, over 1400 decisions were made by
German regional district judges up to 1990. In over 90% of the cases the
desired gender was accepted and attested officially. In the near future, a
growing number of requests has to be expected.
Generally, transsexual patients desire
surgery to achieve a complete sex change. Since the foundation of an
interdisciplinary gender dysphoria identity committee at our institution in
1989, we have developed criteria on indications, operative techniques and
follow-up, which would overtax a urology department, but which can be
managed by an interdisciplinary team. Operative techniques may be regarded
as well standardized in male-to-female transsexuals and may be performed by
the urologist alone; in female-to-male transsexuals sex transformation
remains complex interdisciplinary challenge to urologists and plastic
surgeons, mainly due to urethral complications.
Continuous psychiatric guidance and
endocrinological monitoring of the patients facilitates indications for
surgery and perioperative management.
Citation:
Urologe A 1996 Jan;35(1):26-34 an article
published on the Internet by PubMed <http://www.ncbi.nlm.nih.gov/>
