Abstract

Hysterectomy is the most common procedure in department of gynecology. The indication varies. Here, we focused on female to male transgender men. Traditionally, we may perform vaginal hysterectomy, abdominal hysterectomy, total laparoscopic hysterectomy or laparoscopic assisted vaginal hysterectomy for them. Vaginal hysterectomy is advantageous in transgender men due to testosterone induced small uteri. However, because of low parity and testosterone use, the vagina quality is not good, and it makes vaginal hysterectomy more difficult. Here we present natural orifice transluminal endoscopic surgery(NOTES) of hysterectomy and bilateral salpingo-oophrectomy. This technique initiated like vaginal hysterectomy but offered better surgical field in the pelvic cavity. Therefore, it is good for checking bleeding and reduces blood loss. This surgery could also enhance cosmetic benefits which transgender men doesn't need to explain abdominal scar. In conclusion, NOTES hysterectomy is feasible for female to male transgender men.

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