Frauenklinik, University Hospital and University of Berne, Berne, Switzerland.
Fertil Steril. 2011 Jun;95(7):2379-82. doi: 10.1016/j.fertnstert.2011.03.029. Epub 2011 Apr 2.
To evaluate the prevalence of prolapse and related bladder, bowel, and sexual problems in transsexual patients (TS) after sex reassignment surgery.
A cross-sectional study.
A tertiary referral center.
PATIENT(S): 55 transsexuals, comprising 52 male-to-female and 3 female-to-male patients.
INTERVENTION(S): Gynecologic examination with pelvic floor testing, measurements for pelvic organ prolapse applying International Continence Society pelvic organ prolapse (ICS-POP) staging, and the Sheffield prolapse questionnaire to assess prolapse symptoms, and bladder, bowel, and sexual function.
MAIN OUTCOME MEASURE(S): ICS-POP score and Sheffield prolapse questionnaire.
RESULT(S): Of the 55 transsexuals who participated in this study (52 male-to-female and 3 female to male), 7.5% showed a prolapse greater than or similar to ICS-POP stage 2, and 3.8% required surgical intervention. For bladder symptoms, 47% reported voiding difficulties, 24.6% urgency, 17% urge incontinence, and 23% stress incontinence. Fecal urgency and incomplete emptying of the bowel occurred in 9.4% and 7.6% of patients, respectively. In addition, 23% reported that they were never satisfied with their sexual function.
CONCLUSION(S): Pelvic floor symptoms may occur in transsexuals involving the bladder, bowel, and sexual function. Surgical corrective options should be determined on an individual basis as with other patients who have prolapse symptoms.
评估性别重置手术后跨性别患者（TS）脱垂及相关膀胱、肠道和性功能问题的患病率。
横断面研究。
三级转诊中心。
55 名跨性别者，包括 52 名男变女和 3 名女变男患者。
妇科检查包括盆底测试、应用国际尿控协会（ICS）盆腔器官脱垂（ICS-POP）分期进行盆腔器官脱垂测量，以及使用谢菲尔德脱垂问卷评估脱垂症状以及膀胱、肠道和性功能。
ICS-POP 评分和谢菲尔德脱垂问卷。
在参与本研究的 55 名跨性别者中（52 名男变女和 3 名女变男），7.5%的人脱垂程度大于或等于 ICS-POP 分期 2，3.8%需要手术干预。对于膀胱症状，47%的人报告排尿困难，24.6%的人有尿急，17%的人有急迫性尿失禁，23%的人有压力性尿失禁。9.4%的患者有粪便急迫感，7.6%的患者有不完全排空肠道的感觉。此外，23%的人报告说他们从未对自己的性功能感到满意。
跨性别者可能出现涉及膀胱、肠道和性功能的盆底症状。与其他有脱垂症状的患者一样，应根据个体情况确定手术矫正选择。
