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Gender identity disorder: general overview and surgical treatment for vaginoplasty in male-to-female transsexuals

Gennaro Selvaggi UGent, Peter Ceulemans, GRETA DE CUYPERE, Koenraad Van Landuyt UGent, Phillip Blondeel UGent, Moustapha Hamdi, Cameron Bowman and Stan Monstrey UGent (2005) PLASTIC AND RECONSTRUCTIVE SURGERY. 116(6). p.135E-145E
abstract
Background: Gender identity disorder (previously "transsexualism") is the term used for individuals who show a strong and persistent cross-gender identification and a persistent discomfort with their anatomical sex, as manifested by a preoccupation with getting rid of one's sex characteristics, or the belief of being born in the wrong sex. Since 1978, the Harry Benjamin International Gender Dysphoria Association (in honor of Dr. Harry Benjamin, one of the first physicians who made many clinicians aware of the potential benefits of sex reassignment surgery) has played a major role in the research and treatment of gender identity disorder, publishing the Standards of Care for Gender Dysphoric Persons. Methods: The authors performed an overview of the terminology related to male-to-female gender identity disorder; the different theories regarding cause, epidemiology, and treatment; the goals expected; and the surgical technique available for sex reassignment surgery in male-to-female transsexualism. Results: Surgical techniques available for sex reassignment surgery in male- to-female transsexualism, with advantages and disadvantages offered by each technique, are reviewed. Other feminizing nongenital operative interventions are also examined. Conclusions: This review describes recent etiopathogenetic theories and actual guidelines on the treatment of the gender identity disorder in male-to-female transsexuals; the penile-scrotal skin flap technique is considered the state of the art for vaginoplasty in male-to-female transsexuals, whereas other techniques (rectosigmoid flap, local flaps, and isolated skin grafts) should be considered only in secondary cases. As techniques in vaginoplasty become more refined, more emphasis is being placed on aesthetic outcomes by both surgeons and patients. (Plast. Reconstr. Surg. 116: 135e, 2005.)
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (original)
publication status
published
subject
journal title
PLASTIC AND RECONSTRUCTIVE SURGERY
Plast. Reconstr. Surg.
volume
116
issue
6
pages
135E - 145E
Web of Science type
Article
Web of Science id
000207675100004
JCR category
SURGERY
JCR impact factor
1.692 (2005)
JCR rank
43/138 (2005)
JCR quartile
2 (2005)
ISSN
0032-1052
DOI
10.1097/01.prs.0000185999.71439.06
language
English
UGent publication?
yes
classification
A1
id
332617
handle
http://hdl.handle.net/1854/LU-332617
date created
2006-04-25 15:46:00
date last changed
2016-12-19 15:44:10
@article{332617,
  abstract     = {Background: Gender identity disorder (previously {\textacutedbl}transsexualism{\textacutedbl}) is the term used for individuals who show a strong and persistent cross-gender identification and a persistent discomfort with their anatomical sex, as manifested by a preoccupation with getting rid of one's sex characteristics, or the belief of being born in the wrong sex. Since 1978, the Harry Benjamin International Gender Dysphoria Association (in honor of Dr. Harry Benjamin, one of the first physicians who made many clinicians aware of the potential benefits of sex reassignment surgery) has played a major role in the research and treatment of gender identity disorder, publishing the Standards of Care for Gender Dysphoric Persons. Methods: The authors performed an overview of the terminology related to male-to-female gender identity disorder; the different theories regarding cause, epidemiology, and treatment; the goals expected; and the surgical technique available for sex reassignment surgery in male-to-female transsexualism. Results: Surgical techniques available for sex reassignment surgery in male- to-female transsexualism, with advantages and disadvantages offered by each technique, are reviewed. Other feminizing nongenital operative interventions are also examined. Conclusions: This review describes recent etiopathogenetic theories and actual guidelines on the treatment of the gender identity disorder in male-to-female transsexuals; the penile-scrotal skin flap technique is considered the state of the art for vaginoplasty in male-to-female transsexuals, whereas other techniques (rectosigmoid flap, local flaps, and isolated skin grafts) should be considered only in secondary cases. As techniques in vaginoplasty become more refined, more emphasis is being placed on aesthetic outcomes by both surgeons and patients. (Plast. Reconstr. Surg. 116: 135e, 2005.)},
  author       = {Selvaggi, Gennaro and Ceulemans, Peter and DE CUYPERE, GRETA and Van Landuyt, Koenraad and Blondeel, Phillip and Hamdi, Moustapha and Bowman, Cameron and Monstrey, Stan},
  issn         = {0032-1052},
  journal      = {PLASTIC AND RECONSTRUCTIVE SURGERY},
  language     = {eng},
  number       = {6},
  pages        = {135E--145E},
  title        = {Gender identity disorder: general overview and surgical treatment for vaginoplasty in male-to-female transsexuals},
  url          = {http://dx.doi.org/10.1097/01.prs.0000185999.71439.06},
  volume       = {116},
  year         = {2005},
}

Chicago
Selvaggi, Gennaro, Peter Ceulemans, GRETA DE CUYPERE, Koenraad Van Landuyt, Phillip Blondeel, Moustapha Hamdi, Cameron Bowman, and Stan Monstrey. 2005. “Gender Identity Disorder: General Overview and Surgical Treatment for Vaginoplasty in Male-to-female Transsexuals.” Plastic and Reconstructive Surgery 116 (6): 135E–145E.
APA
Selvaggi, G., Ceulemans, P., DE CUYPERE, G., Van Landuyt, K., Blondeel, P., Hamdi, M., Bowman, C., et al. (2005). Gender identity disorder: general overview and surgical treatment for vaginoplasty in male-to-female transsexuals. PLASTIC AND RECONSTRUCTIVE SURGERY, 116(6), 135E–145E.
Vancouver
1.
Selvaggi G, Ceulemans P, DE CUYPERE G, Van Landuyt K, Blondeel P, Hamdi M, et al. Gender identity disorder: general overview and surgical treatment for vaginoplasty in male-to-female transsexuals. PLASTIC AND RECONSTRUCTIVE SURGERY. 2005;116(6):135E–145E.
MLA
Selvaggi, Gennaro, Peter Ceulemans, GRETA DE CUYPERE, et al. “Gender Identity Disorder: General Overview and Surgical Treatment for Vaginoplasty in Male-to-female Transsexuals.” PLASTIC AND RECONSTRUCTIVE SURGERY 116.6 (2005): 135E–145E. Print.