Hysterectomy for the Transgendered Male: Review of Perioperative Considerations and Surgical Techniques with Description of a Novel 2-Port Laparoscopic Approach

• Published in: Journal of minimally invasive gynecology Vol. 25; no. 7; p. 1149
• Main Authors: Marfori, Cherie Q, Wu, Catherine Z, Katler, Quinton, Kotzen, Mollie, Samimi, Parisa, Siedhoff, Matthew T
• Format: Journal Article
• Language: English
• Published: United States 01.11.2018
• Subjects: Gender reassignment; Gender confirmation surgery; Transgender; 2-port laparoscopy; Hysterectomy; Reduced-port laparoscopy; Female-to-male hysterectomy
• ISSN: 1553-4669
• DOI: 10.1016/j.jmig.2017.09.008

Transgendered individuals can suffer a significant amount of psychological distress that can be alleviated through hormonal treatments and/or gender-affirming surgery. The World Professional Association for Transgender Health considers a hysterectomy and bilateral salpingo-oophorectomy medically necessary gender-affirming procedures for the interested transgendered male. Several surgical approaches have been described in the literature, most of which endorse a laparoscopic approach. This review summarizes the available literature on surgical techniques in addition to reporting our institutional outcomes using a novel 2-port laparoscopic approach. Additional preoperative and perioperative considerations are needed when caring for this patient population and are reviewed.