Sex reassignment of adolescent transsexuals: A follow-up study

Sex reassignment of adolescent transsexuals: A follow-up study
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DOI:
10.1097/00004583-199702000-00017
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发表时间:
1997-02-01
影响因子:
13.3
通讯作者:
vanGoozen, SHM
vanGoozen, SHM
中科院分区:
医学1区
文献类型:
--
作者:
CohenKettenis, PT;vanGoozen, SHM

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目的:调查的第一个22个连续的青少年变性患者的性别诊所谁接受了sex reassignment surgery.Method的术后功能:受试者进行了采访,由一个独立的心理学家,并填写了一个测试电池,其中包括问卷调查,他们的心理,社会和性功能。所有受试者在研究开始前至少1年接受了手术。12名受试者在16至18岁之间开始激素治疗。每个病人的治疗后的数据进行了比较,他或她自己的pretreatmentdatas.Results:术后组不再是性别焦虑,他们得分在正常范围内的一些不同的心理措施,他们的社会功能相当不错。没有一个单一的主题表示遗憾的决定,接受sexreassignment.Conclusions:在成年期前开始的性别重置程序的结果在良好的术后功能,提供了仔细的诊断发生在一个专门的性别团队,并开始早期程序的标准是严格的。
Objective: To investigate postoperative functioning of the first 22 consecutive adolescent transsexual patients of our gender clinic who underwent sex reassignment surgery.Method: The subjects were interviewed by an independent psychologist and filled out a test battery containing questionnaires on their psychological, social, and sexual functioning. All subjects had undergone surgery no less than 1 year before the study took place. Twelve subjects had started hormone treatment between 16 and 18 years of age. The posttreatment data of each patient were compared with his or her own pretreatment data.Results: Postoperatively the group was no longer gender-dysphoric; they scored in the normal range with respect to a number of different psychological measures and they were socially functioning quite well. Not a single subject expressed feelings of regret concerning the decision to undergo sex reassignment.Conclusions: Starting the sex reassignment procedure before adulthood results in favorable postoperative functioning, provided that careful diagnosis takes place in a specialized gender team and that the criteria for starting the procedure early are stringent.