University Federico II, Department of Urology, Naples, Italy.
J Sex Med. 2009 Oct;6(10):2736-45. doi: 10.1111/j.1743-6109.2009.01379.x. Epub 2009 Jul 10.
Gender identity disorder or transsexualism is a complex clinical condition, and prevailing social context strongly impacts the form of its manifestations. Sex reassignment surgery (SRS) is the crucial step of a long and complex therapeutic process starting with preliminary psychiatric evaluation and culminating in definitive gender identity conversion.
The aim of our study is to arrive at a clinical and psychosocial profile of male-to-female transsexuals in Italy through analysis of their personal and clinical experience and evaluation of their postsurgical satisfaction levels SRS.
From January 1992 to September 2006, 163 male patients who had undergone gender-transforming surgery at our institution were requested to complete a patient satisfaction questionnaire.
The questionnaire consisted of 38 questions covering nine main topics: general data, employment status, family status, personal relationships, social and cultural aspects, presurgical preparation, surgical procedure, and postsurgical sex life and overall satisfaction.
Average age was 31 years old. Seventy-two percent had a high educational level, and 63% were steadily employed. Half of the patients had contemplated suicide at some time in their lives before surgery and 4% had actually attempted suicide. Family and colleague emotional support levels were satisfactory. All patients had been adequately informed of surgical procedure beforehand. Eighty-nine percent engaged in postsurgical sexual activities. Seventy-five percent had a more satisfactory sex life after SRS, with main complications being pain during intercourse and lack of lubrication. Seventy-eight percent were satisfied with their neovagina's esthetic appearance, whereas only 56% were satisfied with depth. Almost all of the patients were satisfied with their new sexual status and expressed no regrets.
Our patients' high level of satisfaction was due to a combination of a well-conducted preoperative preparation program, competent surgical skills, and consistent postoperative follow-up.
性别认同障碍或易性癖是一种复杂的临床病症，当前的社会环境对其表现形式有很大影响。性别重置手术（SRS）是一个漫长而复杂的治疗过程的关键步骤，该过程始于初步的精神评估，最终完成明确的性别认同转换。
通过分析意大利男性跨性别者的个人和临床经验，并评估他们的性别重置手术后的满意度，我们旨在得出他们的临床和社会心理特征。
从 1992 年 1 月至 2006 年 9 月，在我们机构接受过性别转换手术的 163 名男性患者被要求填写一份患者满意度问卷。
问卷包括 38 个问题，涵盖九个主要主题：一般资料、就业状况、家庭状况、个人关系、社会和文化方面、术前准备、手术过程以及术后性生活和总体满意度。
平均年龄为 31 岁。72%的人受教育程度较高，63%的人稳定就业。一半的患者在手术前的某个时候曾考虑过自杀，4%的人实际上曾试图自杀。家庭和同事的情感支持水平令人满意。所有患者都事先充分了解了手术过程。89%的患者在手术后进行了性活动。75%的患者在 SRS 后有更满意的性生活，主要并发症是性交时疼痛和缺乏润滑。78%的患者对新阴道的美观外观感到满意，而只有 56%的患者对深度感到满意。几乎所有患者都对自己的新性别状态感到满意，没有表示后悔。
我们的患者满意度高是由于术前准备计划良好、手术技能熟练以及术后持续随访的综合作用。
