Gender-affirming surgical procedures and their psychosocial impacts: an integrative review
Procedimentos cirúrgicos de afirmação de gênero e seus impactos psicossociais: uma revisão integrativa
Resumo
Objective: Identify the main gender affirmation surgery techniques related to the construction of a neovagina and a neopenis and the consequent impact of these procedures on the mental issues of transgender people. Methods: This is an integrative literature review with an electronic survey of articles selected between August and September 2023, using MEDLINE (International Literature in Health Sciences) and LILACS (Latin American and Caribbean Literature in Health Sciences) via the Virtual Health Library (VHL) portal and PubMed (U.S. National Library of Medicine), portraying the main surgical procedures for gender reassignment and their psychosocial impacts on the transsexual community. Results: 21 articles were obtained that made up the final sample of the present study. Final considerations: Studies point to the satisfaction of transgender individuals after gender affirmation surgeries and consequent improvement in the mental health of this community despite the lack of standardization in measurement methods related to quality of life aspects, which impacts and limits the comparison between Works.
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Referências
American Psychiatric Association. Manual diagnóstico e estatístico de transtornos mentais: DSM-5. (5a ed.; M.I.C. Nascimento, Trad.). Porto Alegre. RS: Artmed. 2013.
ARDEBILI, Mehrdad Eftekhar, et al. Quality of life in people with transsexuality after surgery: a systematic review and meta-analysis. Health and quality of life outcomes, v. 18, n.1, p. 264, 2020.
BAUBACK, Safa, et al. Current Concepts in Masculinizing Gender Surgery. Plastic and reconstructive surgery, v. 143, n. 4, p 857e-871e, abr. 2019
BOCZAR, Daniel, et al. Surgical techniques of phalloplasty in transgender patients: a systematic review. Annals of translational medicine, v. 9, n. 7, p. 607, abr. 2021.
CARBONNEL, Marie, et al. The uterus in transgender men. Fertility and sterility, v. 116, n. 4, p. 931-935, out. 2021.
GENTIL, Giorgio, et al. Penile-scrotal flap vaginoplasty versus inverted penile skin flap expanded with spatulated urethra: A multidisciplinary single-centre analysis. Archivio italiano di urologia, andrologia: organo ufficiale [di] Societa italiana di ecografia urologica e nefrologica, v. 92, n. 3, p.186-192, out. 2020.
GRIFT, Tim C van de. Masculinizing and defeminizing gender-affirming surgery. Best practice & research. Clinical obstetrics & gynaecology, v. 88, p. 1-10, jun. 2023.
HASSAN, Omar; SUN, Derek; JHA, Priyanka. Imaging in Gender Affirmation Surgery. Current urology reports, v. 22, n. 2, p.14, 2021.
IBOR, Belén Crespo; CAMPO, Laura Almudever. Personas con reasignación de sexo: un reto para la enfermería. Index Enferm, Granada, v. 29, n. 1-2, p. 33-36, jun. 2020.
KOEHLER, Andreas, et al. (De-)centralized health care delivery, surgical outcome, and psychosocial health of transgender and gender-diverse people undergoing vaginoplasty: results of a retrospective, single-center study. World journal of urology, v. 41, n. 7, p. 1775–1783. jul. 2023.
LI, Joy S.; CRANE, Curtis N.; SANTUCCI, Richard A. Vaginoplasty tips and tricks. International braz j urol: official journal of the Brazilian Society of Urology, v. 47, n. 2, p. 263–273, mar-abr. 2021.
MACGREGOR, Jennifer L.; CHANG, Yunyoung C. Minimally Invasive Procedures for Gender Affirmation. Dermatologic clinics, v. 38, n. 2, p. 249-260, abr. 2020.
MAÑERO, Ivan, et al. Cosmetic Revision Surgeries after Transfeminine Vaginoplasty. Aesthetic plastic surgery, v. 47, n. 1, p. 430–441, ago. 2023.
NIMITPANYA, Panachi, et al. Evaluation of Mental Health and Satisfaction Following Transfeminine Gender-Affirming Surgery in Thailand. Transgender health, v.7, n.1, p.61-67, Fev. 2022.
PATEL, Darshan P., et al. Masculinizing gender-affirming surgery for trans men and non-binary individuals: what you should know. Fertility and sterility, v. 116, n. 4, p 924-930, Out., 2021
SAFER, Josuha D.; TANGPRICHA, Vin. Care of Transgender Persons. The New England journal of medicine. v. 381, n. 25, p 2451-2460, dez. 2019
SCHMIDT Megan, et al. Surgical management and gynecologic care of the transgender patient. Current opinion in obstetrics & gynecology, v. 31, n. 4, p. 228-234, ago. 2019
SLUIS, Wouter B van der, et al. Genital gender-affirming surgery for transgender women. Best practice & research. Clinical obstetrics & gynaecology, v. 86, p. 1-11, fev. 2023.
WATANABE, Shino, et al., Genital Feminizing Surgery without Vaginoplasty as a Safe, Aesthetic, and Cost-Effective Option for Gender-Affirming Surgery for Transwomen. Acta medica Okayama, v. 76, n.5, p. 597-603, out. 2022
WEINFORTH, Géraldine, et al. Quality of Life Following Male-To-Female Sex Reassignment Surgery. Deutsches Arzteblatt international, v. 116, n.15, p. 253-260, abr. 2019
WIEPJES, Chantal M. et al. The Amsterdam Cohort of Gender Dysphoria Study (1972-2015): Trends in Prevalence, Treatment, and Regrets. The journal of sexual medicine, v. 15, n.4, p. 582-590, abr. 2018
ZIEGLER, Dominique de; SUTTER, Petra de. Transgender men: clinical care and implications in reproductive medicine: introduction. Fertility and sterility, v. 116, n. 4, p. 919-921, out. 2021.
ZIMMERMANN, Guilherme dos Santos; SIQUEIRA, Luciola Demery; BOHOMOL, Elena. Aplicação da metodologia Lean Seis Sigma nos cenários de assistência à saúde: revisão integrativa. Revista brasileira de enfermagem, v. 73, supl 5, p. 1-9, jul. 2020