Bordeaux, France From the Plastic Surgery and Burns Unit, Centre FX Michelet, Bordeaux University Hospital; and CHU de Bordeaux, Pôle de Santé Publique, Service d'Information Médicale.
Plast Reconstr Surg. 2013 Dec;132(6):1421-1429. doi: 10.1097/01.prs.0000434415.70711.49.
Satisfaction with breasts, sexual well-being, psychosocial well-being, and physical well-being are essential outcome factors following breast augmentation surgery in male-to-female transsexual patients. The aim of this study was to measure change in patient satisfaction with breasts and sexual, physical, and psychosocial well-being after breast augmentation in male-to-female transsexual patients.
All consecutive male-to-female transsexual patients who underwent breast augmentation between 2008 and 2012 were asked to complete the BREAST-Q Augmentation module questionnaire before surgery, at 4 months, and later after surgery. A prospective cohort study was designed and postoperative scores were compared with baseline scores. Satisfaction with breasts and sexual, physical, and psychosocial outcomes assessment was based on the BREAST-Q.
Thirty-five male-to-female transsexual patients completed the questionnaires. BREAST-Q subscale median scores (satisfaction with breasts, +59 points; sexual well-being, +34 points; and psychosocial well-being, +48 points) improved significantly (p < 0.05) at 4 months postoperatively and later. No significant change was observed in physical well-being.
In this prospective, noncomparative, cohort study, the current results suggest that the gains in breast satisfaction, psychosocial well-being, and sexual well-being after male-to-female transsexual patients undergo breast augmentation are statistically significant and clinically meaningful to the patient at 4 months after surgery and in the long term.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
乳房满意度、性健康、心理社会健康和身体健康是男性变女性跨性别患者乳房增大手术后的重要结果因素。本研究的目的是测量男性变女性跨性别患者乳房增大手术后患者对乳房以及性、身体和心理社会健康的满意度变化。
所有在 2008 年至 2012 年间接受乳房增大手术的连续男性变女性跨性别患者在手术前、术后 4 个月以及之后被要求填写 BREAST-Q 增大模块问卷。设计了前瞻性队列研究，并将术后评分与基线评分进行比较。乳房满意度以及性、身体和心理社会结局评估基于 BREAST-Q。
35 名男性变女性跨性别患者完成了问卷。BREAST-Q 亚量表的中位数评分（乳房满意度，+59 分；性健康，+34 分；心理社会健康，+48 分）在术后 4 个月时显著改善（p < 0.05），并在之后一直保持改善。身体状况无显著变化。
在这项前瞻性、非对照队列研究中，目前的结果表明，男性变女性跨性别患者乳房增大手术后，在 4 个月时以及长期来看，乳房满意度、心理社会健康和性健康的改善在统计学上和临床上对患者都具有重要意义。
临床问题/证据水平：治疗性，IV。
