Hysterectomy for the Transgendered Male: Review of Perioperative Considerations and Surgical Techniques with Description of a Novel 2-Port Laparoscopic Approach

Document Type

Journal Article

Publication Date

11-1-2018

Journal

Journal of Minimally Invasive Gynecology

Volume

25

Issue

7

DOI

10.1016/j.jmig.2017.09.008

Keywords

2-port laparoscopy; Female-to-male hysterectomy; Gender confirmation surgery; Gender reassignment; Hysterectomy; Reduced-port laparoscopy; Transgender

Abstract

© 2017 American Association of Gynecologic Laparoscopists Transgendered individuals can suffer a significant amount of psychological distress that can be alleviated through hormonal treatments and/or gender-affirming surgery. The World Professional Association for Transgender Health considers a hysterectomy and bilateral salpingo-oophorectomy medically necessary gender-affirming procedures for the interested transgendered male. Several surgical approaches have been described in the literature, most of which endorse a laparoscopic approach. This review summarizes the available literature on surgical techniques in addition to reporting our institutional outcomes using a novel 2-port laparoscopic approach. Additional preoperative and perioperative considerations are needed when caring for this patient population and are reviewed.

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