Female-to-Male Transgender Undergoing Laparoscopic Hysterectomy and Bilateral Oophorectomy: A Cohort Study on Epidemiology, Surgery and Outcomes

Nouri, Behnaz; Ajori, Ladan; Arab, Maliheh; Sattarzad Fathi, Sepideh

doi:10.30699/jogcr.9.2.154

Document Type : Original Research Article

Authors

¹ Department of Obstetrics and Gynecology, The Preventative Gynecology Research Center, Shahid Beheshti Transgender Laparoscopic Hysterectomy and Oophorectomy University of Medical Sciences, Tehran, Iran

² Department of Obstetrics and Gynecology, Shahid Beheshti University of Medical Sciences, Tehran, Iran

³ Department of Gynecology-Oncology, Imam Hossein Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

⁴ Shahid Beheshti University of Medical Sciences, Tehran, Iran

https://doi.org/10.30699/jogcr.9.2.154

Abstract

Background & Objective: The aim of this study was to describe the female to male (FTM)transgenders demographic, epidemiologic characteristics and outcomes after laparoscopic hysterectomy and bilateral oophorectomy surgery by one surgeon in FTM transgender people.
Materials & Methods: This retrospective cohort study on FTM patients that referred to one of the referral centers for transgender surgeries in the capital of Iran (Tehran) since 2016 and 2022. Consecutive method used for sampling method. Data analyzing was done by SPSS, descriptive statistical, Pearson correlation coefficient and t-test.
Results: We identified 105 FTM transgender patients undergoing laparoscopic hysterectomy and bilateral oophorectomy. The mean age was 24.74±5.41 years, and the mean age of first experience of transgender was10.51±3.68 years. There was a significant correlation between transgender and marital status (P<0.04, r= 0.2) and unemployment (P<0.05, r= 0.5). There was a significant correlation between age of first experiences of transgender and educational status (P<0.05, r= -0.1).49.5%of patients have complications after surgery.
Conclusion: Hysterectomy and bilateral oophorectomy by laparoscopic approach may have appropriate outcomes for reassignment surgery. Also, this study suggests that probably less educational, occupational problems occur for transgender patients if they undergo gender reassignment surgery at a younger age.

Keywords

Main Subjects

General surgery

References

1. Morrison SD, Chen ML, Crane CN. An overview of female-to-male gender-confirming surgery. Nat Rev Urol. 2017;14(8):486-500. [DOI:10.1038/nrurol.2017.64] [PMID]

2. Leinung MC, Joseph J. Changing demographics in transgender individuals seeking hormonal therapy: are trans women more common than trans men? Transgend Health. 2020;5(4):241-5. [DOI:10.1089/trgh.2019.0070] [PMID] [PMCID]

3. Alimohammadzadeh K, Akhlaghdoust M, Bahrainian SA, Mirzaei A. Survey on Mental Health of Iranian Medical Students: A Cross- sectional Study in Islamic Azad University. Shiraz E-Med J. 2017;18(7):e14929. [DOI:10.5812/semj.14929]

4. Meerwijk EL, Sevelius JM. Transgender population size in the United States: a meta-regression of population-based probability samples. Am J Public Health. 2017;107(2):e1-e8. [DOI:10.2105/AJPH.2016.303578] [PMID] [PMCID]

5. Nouri B, Amini FG, Arab M, Ali-abad NR. Comparison of the Outcomes of Direct Trocar Insertion with Modified Open Entry in Laparoscopic Surgery. Indian J Gynecol Oncol. 2021;19(4):78. [DOI:10.1007/s40944-021-00576-y]

6. Petruzzelli P, Tavassoli E, Zizzo R, Fiorio Tin MC, Petruzzelli L, Benedetto M, et al. Single center experience of laparoscopic hysteroannessiectomy and histopathological outcomes in transgender men. Int J Impot Res. 2021;33(7):733-6. [DOI:10.1038/s41443-021-00408-9] [PMID]

7. Chen I, Nguyen V, Hodge M, Mallick R, Gagné H, Singh SS, et al. Surgical outcomes for transgender men undergoing hysterectomy. J Obstet Gynaecol Can. 2020;42(1):25-30. [DOI:10.1016/j.jogc.2019.05.009] [PMID]

8. Naeimi S, Akhlaghdoust M, Chaichian S, Moradi Y, Zarbati N, Jafarabadi M. Quality of Life changes in Iranian patients undergoing female-to-male transsexual surgery: A prospective study. Arch Iran Med. 2019;22(2):71-5.

9. Abboud S, Veldhuis C, Ballout S, Nadeem F, Nyhan K, Hughes T. Sexual and gender minority health in the Middle East and North Africa Region: A scoping review. Int J Nurs Stud Adv. 2022;4:100085. [DOI:10.1016/j.ijnsa.2022.100085]

10. Swan J, Phillips TM, Sanders T, Mullens AB, Debattista J, Brömdal A. Mental health and quality of life outcomes of gender-affirming surgery: A systematic literature review. J Gay Lesbian Ment Health. 2023;27(1):2-45. [DOI:10.1080/19359705.2021.2016537]

11. Nikfar B, Moazzami B, Chaichian S, Ghalichi L, Ekhlasi-Hundrieser M, Chashmyazdan M, et al. Sleep quality and its main determinants among staff in a Persian private hospital. Arch Iran Med. 2018;21(11):524-9.

12. Emdadi R, Chaichian S, Mahboubi M, Moradi Y, Akhlaghdoust M, Basharkhah A. Prevalence of Vitamin D Deficiency Among Women of Reproductive Age: A Multi Centric Study in Tehran. Shiraz E-Med J. 2016;17(11):e40745. [DOI:10.17795/semj40745]

13. Davoodi P, J. Ghadimi D, Rezaei M, Khazei Tabari MA, Shirani A, Nouri B, et al. Endometriosis and COVID-19: Clinical Presentation and Quality of Life, a Systematic Review. J Obstet Gynaecol Can Res. 2023;8(4):315-26. [DOI:10.30699/jogcr.8.4.315]

14. Sarbazi F, Akbari E, Karimi A, Nouri B, Noori Ardebili SH. The Clinical Outcome of Laparoscopic Surgery for Endometriosis on Pain, Ovarian Reserve, and Cancer Antigen 125 (CA-125): A Cohort Study. Int J Fertil Steril. 2021;15(4):275-9.

15. Nouri B, Roshandel S. Is Artificial Intelligence a New Diagnostic Approach for Patients with Endometriosis? Interv Pain Med Neuromod. 2022;2(1):e128720. [DOI:10.5812/ipmn-128720]

16. Nouri B, Arab M, Lotfpour S. Efficacy of Intraperitoneal Dexamethasone Infusion in Reduction of Shoulder Pain and Nausea/Vomiting After Gynecological Laparoscopy. Fertil Gynecol Androl. 2021;1(1):e115089. [DOI:10.5812/fga.115089]

17. Groenman F, Nikkels C, Huirne J, van Trotsenburg M, Trum H. Robot-assisted laparoscopic colpectomy in female-to-male transgender patients; technique and outcomes of a prospective cohort study. Surg Endosc. 2017;31(8):3363-9. [DOI:10.1007/s00464-016-5333-8] [PMID] [PMCID]

18. Bretschneider CE, Sheyn D, Pollard R, Ferrando CA. Complication Rates and Outcomes After Hysterectomy in Transgender Men. Obstet Gynecol. 2018;132(5):1265-73. [DOI:10.1097/AOG.0000000000002936] [PMID]

19. Elfering L, van de Grift TC, Bouman M-B, van Mello NM, Groenman FA, Huirne JA, et al. Combining total laparoscopic hysterectomy and bilateral salpingo-oophorectomy with subcutaneous mastectomy in trans men: The effect on safety outcomes. Int J Transgend Health. 2020;21(2):138-46. [DOI:10.1080/26895269.2020.1751014] [PMID] [PMCID]

20. Jeftovic M, Stojanovic B, Bizic M, Stanojevic D, Kisic J, Bencic M, Djordjevic ML. Hysterectomy with Bilateral Salpingo-Oophorectomy in Female-to-Male Gender Affirmation Surgery: Comparison of Two Methods. Biomed Res Int. 2018;2018:3472471. [DOI:10.1155/2018/3472471] [PMID] [PMCID]

21. Ozceltik G, Hortu I, Itil IM, Yeniel AO. Vaginal approach versus laparoscopy for hysterectomy in transgender men. J Gynecol Obstet Hum Reprod. 2022;51(2):102286. [DOI:10.1016/j.jogoh.2021.102286] [PMID]

22. Nikkels C, van Trotsenburg M, Huirne J, Bouman M-B, de Leeuw R, van Mello N, et al. Vaginal Colpectomy in Transgender Men: A Retrospective Cohort Study on Surgical Procedure and Outcomes. J Sex Med. 2019;16(6):924-33. [DOI:10.1016/j.jsxm.2019.03.263] [PMID]

23. Hawkins M, Deutsch MB, Obedin-Maliver J, Stark B, Grubman J, Jacoby A, Jacoby VL. Endometrial findings among transgender and gender nonbinary people using testosterone at the time of gender-affirming hysterectomy. Fertil Steril. 2021;115(5):1312-7. [DOI:10.1016/j.fertnstert.2020.11.008] [PMID]

24. Dowers E, White C, Kingsley J, Swenson R. Transgender experiences of occupation and the environment: A scoping review. J Occup Sci. 2019;26(4):496-510. [DOI:10.1080/14427591.2018.1561382]

25. Nouri B, Baghestani AR, Pooransari P. Evening Primrose versus Misoprostol for Cervical Dilatation before Gynecologic Surgeries; a Double-blind Randomized Clinical Trial. Indian J Obstet Gynecol Res. 2021;6(2):87-94. [DOI:10.30699/jogcr.6.2.87]

Journal of Obstetrics, Gynecology and Cancer Research

Female-to-Male Transgender Undergoing Laparoscopic Hysterectomy and Bilateral Oophorectomy: A Cohort Study on Epidemiology, Surgery and Outcomes

References

References

Volume 9, Issue 2 - Serial Number 37
March and April 2024
Pages 154-160

Female-to-Male Transgender Undergoing Laparoscopic Hysterectomy and Bilateral Oophorectomy: A Cohort Study on Epidemiology, Surgery and Outcomes

References

References

Volume 9, Issue 2 - Serial Number 37March and April 2024Pages 154-160

Volume 9, Issue 2 - Serial Number 37
March and April 2024
Pages 154-160