Dy Geolani W, Nolan Ian T, Hotaling James, Myers Jeremy B
Department of Urology, New York University, New York, NY, USA.
School of Medicine, New York University, New York, NY, USA.
Transl Androl Urol. 2019 Jun;8(3):228-240. doi: 10.21037/tau.2019.05.04.
Transgender and gender nonbinary (TGNB) individuals may seek genital gender confirming surgery (GCS) as part of their transition. Outcomes of genital GCS may include gender congruence, sexual functioning and satisfaction, urinary symptoms, aesthetic satisfaction, and overall quality of life, among others. Despite a wide number of studies on results of vaginoplasty, metoidioplasty, phalloplasty, and other genital GCS, data regarding patient reported outcomes are limited. To date, there is no patient reported outcome measure (PROM) validated within the TGNB population to assess subjective outcomes of GCS. In this review, we aim to describe existing tools being utilized to report outcomes following GCS, assessing the merits and limitations of each.
跨性别者和性别非二元者(TGNB)可能会寻求生殖器性别确认手术(GCS)作为其性别转换的一部分。生殖器GCS的结果可能包括性别认同、性功能和满意度、泌尿系统症状、美学满意度以及整体生活质量等。尽管对阴道成形术、阴茎成形术、阴茎再造术和其他生殖器GCS的结果进行了大量研究,但关于患者报告结局的数据有限。迄今为止,在TGNB人群中尚无经过验证的患者报告结局测量工具(PROM)来评估GCS的主观结果。在本综述中,我们旨在描述目前用于报告GCS后结局的现有工具,评估每种工具的优缺点。