Day Deborah-Leigh, Klit Anders, Lang Christian Lyngsaa, Mejdahl Mathias Kvist, Holmgaard Rikke
Department of Plastic Surgery and Burns, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Transgend Health. 2023 Mar 31;8(2):124-129. doi: 10.1089/trgh.2021.0091. eCollection 2023 Apr.
Top surgery, or masculinization of the chest, is often the first and sometimes only procedure in gender-affirming surgery for transgender- and gender-diverse persons assigned female at birth. In recent years, there has been improved access to care for transgender individuals and increased demand for top surgery. Our aim was to investigate the degree of satisfaction with the postoperative outcome after top surgery in transgender men.
Ninety transgender men who underwent top surgery between September 1, 2013 and August 31, 2018 were included. Patients were surveyed from 5 to 62 months after surgery. Participants' files were evaluated for complications, and 84 (response rate 93.3%) participants answered a questionnaire evaluating patient satisfaction postoperatively.
Patients were either satisfied or partially satisfied with the overall experience of undergoing surgery and the postoperative result in 90.5% of responses. Patients were very satisfied with their clothed appearance in 89.3% of responses, whereas only 44.1% were very satisfied with their nonclothed appearance and 46.4% partially satisfied. Patients were also very satisfied with postoperative scars in 47.6% of responses and nipple reconstruction in 48.8%. Only two patients expressed their regret.
Satisfaction outcomes after top surgery are generally positive, especially in respect of clothed appearance, self-confidence, and self-acceptance.
胸部手术，即胸部男性化手术，通常是出生时被指定为女性的跨性别者和性别多样化者进行性别确认手术的首个步骤，有时也是唯一的步骤。近年来，跨性别者获得医疗服务的机会有所改善，对胸部手术的需求也有所增加。我们的目的是调查跨性别男性胸部手术后对术后结果的满意程度。
纳入了90名在2013年9月1日至2018年8月31日期间接受胸部手术的跨性别男性。在术后5至62个月对患者进行调查。评估参与者的病历以了解并发症情况，84名（回复率93.3%）参与者回答了一份评估术后患者满意度的问卷。
在90.5%的回复中，患者对手术总体体验和术后结果感到满意或部分满意。在89.3%的回复中，患者对穿着衣服时的外观非常满意，而只有44.1%的患者对不穿衣服时的外观非常满意，46.4%的患者部分满意。在47.6%的回复中，患者对术后疤痕也非常满意，对乳头重建的满意度为48.8%。只有两名患者表示后悔。
胸部手术后的满意度结果总体呈积极态势，尤其是在穿着外观、自信心和自我接纳方面。
