Kühn Shafreena, Wehle Andrej, Kiehlmann Marcus, Rieger Ulrich Michael
Agaplesion Markus Krankenhaus; Klinik für Plastische und Ästhetische, Wiederherstellungs- und Handchirurgie.
Handchir Mikrochir Plast Chir. 2021 Dec;53(6):564-571. doi: 10.1055/a-1640-0295. Epub 2021 Dec 7.
Mastectomy is an essential part of gender reassignment surgery for female-to-male transgender patients. Available studies indicate high patient satisfaction within this patient group; however, a standardised evaluation procedure is yet to be established.
Based on the BREAST-Q questionnaire, we developed a modified version targeting issues concerning FM patients; hence, all questions focussing on the physiology of biologically female patients were removed or tailored to address more specific transgender issues. Post-mastectomy transgender male patients from 1991 until 2017 were contacted and evaluated based on the questionnaire. This questionnaire comprises a total of 57 questions regarding general satisfaction with the ches area, as well as specific questions regarding satisfaction with the nipple-areola complex (NAC) and topics regarding expectations, regrets, self-confidence and sex life after mastectomy.
Overall, we found a high level of patient satisfaction after mastectomy. The level of regret was low and all patients would repeat mastectomy if needed.
For most transgender males, mastectomy plays an essential role in gender reassignment surgery, overall leading to an improved quality of life for this patient population.
乳房切除术是女性向男性跨性别患者性别重置手术的重要组成部分。现有研究表明该患者群体的患者满意度较高；然而，尚未建立标准化的评估程序。
基于BREAST-Q问卷，我们开发了一个针对男性向女性（FM）患者问题的修订版；因此，所有聚焦于生理上为女性患者的问题均被删除或进行调整以解决更具体的跨性别问题。我们联系了1991年至2017年接受乳房切除术后的跨性别男性患者，并根据该问卷进行评估。该问卷共有57个问题，涉及对胸部区域的总体满意度，以及对乳头乳晕复合体（NAC）的满意度的具体问题，还有关于期望、遗憾、自信心和乳房切除术后性生活等主题。
总体而言，我们发现乳房切除术后患者满意度较高。遗憾程度较低，所有患者在需要时都会再次接受乳房切除术。
对于大多数跨性别男性而言，乳房切除术在性别重置手术中起着至关重要的作用，总体上提高了该患者群体的生活质量。
