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Assessing Quality of Life and Patient-Reported Satisfaction with Masculinizing Top Surgery: A Mixed-Methods Descriptive Survey Study.
- Source :
-
Plastic and reconstructive surgery [Plast Reconstr Surg] 2019 Jan; Vol. 143 (1), pp. 272-279. - Publication Year :
- 2019
-
Abstract
- Background: Masculinizing top surgery (bilateral mastectomy with chest wall reconstruction) is an important gender-affirming procedure sought by many transmasculine and nonbinary individuals. Current literature is focused primarily on details of surgical technique and complication rates, with limited data available on how top surgery affects subjective quality-of-life measures.<br />Methods: An anonymous online survey was distributed to 81 of the senior author's former top-surgery patients. The survey response rate was 72 percent (58 respondents). Responses were analyzed to investigate quality of life, sexual confidence, mental health, satisfaction with top surgery, and patient attitudes toward top surgery's role in gender affirmation.<br />Results: Following top surgery, measures of quality of life and sexual confidence improved significantly (p < 0.001). In addition, 86 percent reported improvement in gender dysphoria-related mental health conditions. All but one respondent reported that top surgery had an overall positive impact on their life.<br />Conclusions: Top surgery had major positive effects on all mental health and quality-of-life metrics. The authors' findings contribute to a much-needed body of evidence that top surgery markedly improves the daily lives and functioning of transgender and nonbinary individuals who choose to undergo it.
- Subjects :
- Female
Follow-Up Studies
Humans
Male
Patient Reported Outcome Measures
Personal Satisfaction
Plastic Surgery Procedures methods
Sex Reassignment Surgery methods
Time Factors
Treatment Outcome
Mastectomy methods
Quality of Life
Surveys and Questionnaires
Thoracic Wall surgery
Transsexualism surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1529-4242
- Volume :
- 143
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Plastic and reconstructive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 30286047
- Full Text :
- https://doi.org/10.1097/PRS.0000000000005113