Komplikationsmanagement nach feminisierenden genitalangleichenden Operationen

Zusammenfassung

In den vergangenen Jahren spielt der Dreiklang aus sexualmedizinisch/psychotherapeutischer Begleitung sowie operativer Maßnahmen zur Verbesserung oder Herstellung der Geschlechtsidentität eine entscheidende Rolle.
Betrachtet man den medizinischen Aspekt der Versorgung von Transidentitären spielt der Dreiklang aus sexualmedizinisch/ psychotherapeutischer Begleitung sowie operativer Maßnahmen zur Verbesserung oder Herstellung der Geschlechtsidentität eine entscheidende Rolle.
In diesem Artikel wollen wir uns auf das Komplikationsmanagement bei der feminisierenden Genitalangleichung male to female i.S. einer Vaginoplastik fokussieren.
Die aktuelle Literatur unterstützt die Vorteile von geschlechtsangleichenden Operationen bei adäquat selektierten Patienten. Die meisten Komplikationen lassen sich lokal und ambulant behandeln und die Komplikationsraten entsprechen in etwa denen vergleichbarer chirurgischer Eingriffe außerhalb des transmedizinischen Kontextes [1] [2] [3].

Abstract

In recent years, transgender healthcare has played an increasingly important role both in social discourse as well as in medical research and the clinical context. When looking at the medical aspect of transgender care, the triad of sexual medical/psychotherapeutic support, endocrinological therapy and surgical interventions to improve or establish gender identity play a decisive role. In this article, we will focus on the management of complications after feminising male-to-female genital reassignment surgery (vaginoplasty). The current literature supports the benefits of gender reassignment surgery in adequately selected patients. Most complications can be treated non-surgical and in an ambulant setting. The complication rates are similar to those of comparable surgical procedures outside the transmedical context [1] [2] [3].

Schlüsselwörter

Vaginoplastik - Penile Inversion - Genitalangleichung - Rekonstruktive Urologie - Transmedizin - transgender healthcare

Keywords

vaginoplasty - penile inversion - genital reassignement surgery - reconstructive urology

Publication History

Received: 09 October 2024

Accepted: 07 January 2025

Article published online:
03 April 2025

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