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Surgical satisfaction, quality of life, and their association after gender-affirming surgery : a follow-up study

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Abstract
We assessed the outcomes of gender-affirming surgery (GAS, or sex reassignment surgery) 4 to 6 years after first clinical contact, and the associations between postoperative (dis)satisfaction and quality of life (QoL). Our multicenter, cross-sectional follow-up study involved persons diagnosed with gender dysphoria (DSNI-IV-TR) who applied for medical interventions from 2007 until 2009. Of 546 eligible persons, 201 (37%) responded, of whom 136 had undergone GAS (genital, chest, facial, vocal cord and/or thyroid cartilage surgery). Main outcome measures were procedure performed, self-reported complications, and satisfaction with surgical outcomes (standardized questionnaires), QoL (Satisfaction With Life Scale, Subjective Happiness Scale, Cantril Ladder), gender dysphoria (Utrecht Gender Dysphoria Scale), and psychological symptoms (Symptom Checklist-90). Postoperative satisfaction was 94% to 100%, depending on the type of surgery performed. Eight;(6%) of the participants reported dissatisfaction and/or regret, which was associated with preoperative psychological symptoms or self-reported surgical complications (OR = 6.07). Satisfied respondents' QoL scores were similar to reference values; dissatisfied or regretful respondents scores were lower. Therefore, dissatisfaction after GAS may be viewed as indicator of unfavorable psychological and QoL outcomes.
Keywords
SEX REASSIGNMENT SURGERY, TO-FEMALE TRANSSEXUALS, FUNCTIONAL OUTCOMES, PATIENT SATISFACTION, TRANSGENDER, PREDICTORS, HEALTH, VAGINOPLASTY, DEPRESSION, ADOLESCENT

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Chicago
van de Grift, Tim C, Els Elaut, Susanne C Cerwenka, Peggy T Cohen-Kettenis, and Baudewijntje PC Kreukels. 2018. “Surgical Satisfaction, Quality of Life, and Their Association After Gender-affirming Surgery : a Follow-up Study.” Journal of Sex & Marital Therapy 44 (2): 138–148.
APA
van de Grift, T. C., Elaut, E., Cerwenka, S. C., Cohen-Kettenis, P. T., & Kreukels, B. P. (2018). Surgical satisfaction, quality of life, and their association after gender-affirming surgery : a follow-up study. JOURNAL OF SEX & MARITAL THERAPY, 44(2), 138–148.
Vancouver
1.
van de Grift TC, Elaut E, Cerwenka SC, Cohen-Kettenis PT, Kreukels BP. Surgical satisfaction, quality of life, and their association after gender-affirming surgery : a follow-up study. JOURNAL OF SEX & MARITAL THERAPY. 2018;44(2):138–48.
MLA
van de Grift, Tim C, Els Elaut, Susanne C Cerwenka, et al. “Surgical Satisfaction, Quality of Life, and Their Association After Gender-affirming Surgery : a Follow-up Study.” JOURNAL OF SEX & MARITAL THERAPY 44.2 (2018): 138–148. Print.
@article{8519626,
  abstract     = {We assessed the outcomes of gender-affirming surgery (GAS, or sex reassignment surgery) 4 to 6 years after first clinical contact, and the associations between postoperative (dis)satisfaction and quality of life (QoL). Our multicenter, cross-sectional follow-up study involved persons diagnosed with gender dysphoria (DSNI-IV-TR) who applied for medical interventions from 2007 until 2009. Of 546 eligible persons, 201 (37\%) responded, of whom 136 had undergone GAS (genital, chest, facial, vocal cord and/or thyroid cartilage surgery). Main outcome measures were procedure performed, self-reported complications, and satisfaction with surgical outcomes (standardized questionnaires), QoL (Satisfaction With Life Scale, Subjective Happiness Scale, Cantril Ladder), gender dysphoria (Utrecht Gender Dysphoria Scale), and psychological symptoms (Symptom Checklist-90). Postoperative satisfaction was 94\% to 100\%, depending on the type of surgery performed. Eight;(6\%) of the participants reported dissatisfaction and/or regret, which was associated with preoperative psychological symptoms or self-reported surgical complications (OR = 6.07). Satisfied respondents' QoL scores were similar to reference values; dissatisfied or regretful respondents scores were lower. Therefore, dissatisfaction after GAS may be viewed as indicator of unfavorable psychological and QoL outcomes.},
  author       = {van de Grift, Tim C and Elaut, Els and Cerwenka, Susanne C and Cohen-Kettenis, Peggy T and Kreukels, Baudewijntje PC},
  issn         = {0092-623X},
  journal      = {JOURNAL OF SEX \& MARITAL THERAPY},
  keyword      = {SEX REASSIGNMENT SURGERY,TO-FEMALE TRANSSEXUALS,FUNCTIONAL OUTCOMES,PATIENT SATISFACTION,TRANSGENDER,PREDICTORS,HEALTH,VAGINOPLASTY,DEPRESSION,ADOLESCENT},
  language     = {eng},
  number       = {2},
  pages        = {138--148},
  title        = {Surgical satisfaction, quality of life, and their association after gender-affirming surgery : a follow-up study},
  url          = {http://dx.doi.org/10.1080/0092623x.2017.1326190},
  volume       = {44},
  year         = {2018},
}

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