PO-01-082 Gender Reassignment Surgery: Preliminary outcomes of the Trakya University Health Center for Medical Research and Practice

Abstract

To report the first outcomes on transsexual patients in Turkey, undergoing gender reassignment surgery (GRS), by the collaboration of plastic and urologic surgeons, of a single center. The data of patients diagnosed with gender identitiy disorders, between January 2015 (start of surgery) and November 2018, who underwent female to male (FtM) and/or male to female (MtF) GRS were retrospectively analyzed. Patients were excluded if they were pseudohermaphrodites, reluctant for GRS and if their gender was not reported. A total of 58 patients referred for GRS were included. One patient was diagnosed with pseudohermaphroditism, two patients gender was not reported and eight patients were unwilled for GRS. Apart from those, 27 cases (57%) were MtF and 20 cases (43%) were FtM. For MtF cases, 27 underwent vaginoplasty, 26 of whom received breast augmentation. Top surgery (mastectomy) and phalloplasty was performed in all FtM patients, in which 10 patients received an urethral lengthening to the tip of the phallus. However, penile prothesis implantation, in none of these patients has been performed, currently. Minor complications occured in seven MtF patients like labial and/or pubic insicional scars (6 patients) and meatal stenosis (one patient), which were succesfully treated afterwhiles. Despite that, in FtM patients with urethral lengthening, complications like urethral fistula (two patients) and urethral/meatal stenosis (five patients) with more severe outcomes consisted.