Cinsiyet Değiştirme Ameliyatının Memnuniyet ve Yaşam Kalitesine Etkisi: Sistematik Gözden Geçirme

Öz

Cinsiyet disforisi, anatomik olarak uyumlu cinsiyet rolünde bir gariplik veya rahatsızlık hissi ve karşı cinsten bedene sahip olma arzusu ile birlikte, sahip oldukları cinsiyet ve deneyimlenen veya ifade edilen cinsiyetleri arasındaki belirgin uyumsuzluk ile ilişkili olumsuz duyguyu ifade eder. Cinsiyet değiştirme ameliyatlarının cinsiyet disforisine sahip olan bireylerin yaşamında kritik düzeyde değişimlere yol açtığı bilinmektedir. Bu nedenle de bireylerin ameliyat öncesi ve sonrası takibinin yapılmasının önemli olduğu düşünülmektedir. Bu sistematik gözden geçirme çalışmasında cinsiyet disforisi olan bireylere yönelik uygulanan cinsiyet değiştirme ameliyatının beden ve cinsellik memnuniyetine ve yaşam kalitesine etkisinin incelenmesi amaçlanmaktadır. Araştırma sorusunun çerçevesi PICOS basamakları temelinde oluşturulmuştur. Alanyazın taramasında ise PubMed, PsycARTICLES ve ULAKBİM veri tabanları kullanılmıştır. Cinsiyet değiştirme ameliyatı öncesi ve sonrasında beden ve cinsellik memnuniyetine ve yaşam kalitesine ilişkin ölçüm alan çalışmalar temel alınmıştır. Çalışma PRISMA Bildirgesi ölçütleri için tercih edilen raporlama öğeleri kullanılarak oluşturulmuştur. Ulaşılan tüm çalışmalar içerisinde dahil etme ve dışlama kriterleri çerçevesinde değerlendirilen makalelerin yayın yılları aralığı 2014-2022’dır. Ulaşılan çalışmalar beden ve cinsellik memnuniyetine ilişkin çalışmalar ve yaşam kalitesine ilişkin çalışmalar olmak üzere iki ayrı grupta incelenmiştir. İncelenen makaleler doğrultusunda cinsiyet değiştirme ameliyatının bireylerin bedensel memnuniyeti ve cinsellik memnuniyetini arttırdığı ayrıca yaşam kalitesini artırdığı sonucuna ulaşılmıştır.

Anahtar Kelimeler

• cinsiyet disforisi
• cinsiyet değiştirme ameliyatı
• yaşam kalitesi
• beden memnuniyeti

Effect of Sex Reassignment Surgery on Satisfaction and Quality of Life: A Systematic Review

Abstract

Gender dysphoria refers to a feeling of awkwardness or discomfort in an anatomically compatible gender role and a desire to have a body of the opposite sex, as well as the negative emotion associated with marked incompatibility between the sex they have and their experienced or expressed gender. It is known that sex reassignment surgeries cause critical changes in the lives of individuals with gender dysphoria. For this reason, it is thought that it is important to follow up individuals before and after surgery. In this systematic review study, it is aimed to examine the effect of sex reassignment surgery for individuals with gender dysphoria on body and sexual satisfaction and quality of life. The framework of the research question was created on the basis of PICOS steps. PubMed, PsycARTICLES and ULAKBİM databases were used in the literature review. The review is based on studies that measure body and sexual satisfaction and quality of life before and after sex reassignment surgery. The study was created using the preferred reporting elements for the PRISMA Statement checklist. The publication year range of the articles evaluated within the framework of inclusion and exclusion criteria among the total articles reached is 2014-2022. The studies were examined in two separate groups: studies on body and sexual satisfaction and studies on quality of life. After examining the articles, it was concluded that sex reassignment surgery increases the body and sexual satisfaction of individuals as well as enhancing the quality of life.

Keywords

• gender dysphoria
• sex reassignment surgery
• quality of life
• body satisfaction

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