Cinsiyet Değiştirme Ameliyatının Memnuniyet ve Yaşam Kalitesine Etkisi: Sistematik Gözden Geçirme
Yıl 2023,
Cilt: 15 Sayı: 1, 161 - 174, 31.03.2023
Özge Sıla Başpınar
,
Cennet Şafak Öztürk
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.
Kaynakça
- Agarwal CA, Scheefer MF, Wright LN, Walzer NK, Rivera A (2018) Quality of life improvement after chest wall masculinization in female-to-male transgender patients: A prospective study using the BREAST-Q and Body Uneasiness Test. J Plast Reconstr Aesthet Surg, 71:651-657.
- APA (2013) Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington DC, American Psychiatric Association.
- APA (2015) Transgender ve Toplumsal Cinsiyete Uymayan Kişilerle Psikolojik Uygulamalar Kılavuzu (Çev. Ed.K Başar, Z Akkuş, T Bayındır). Ankara, Ayrıntı Basımevi.
- Becker I, Auer M, Barkmann C, Fuss J, Möller B, Nieder TO et al. (2018) A cross sectional multicenter study of multidimensional body image in adolescents and adults with gender dysphoria before and after transition-related medical interventions. Arch Sex Behav, 47:2335-2347.
- Becker-Hebly I, Fahrenkrug S, Campion F, Richter-Appelt H, Schulte-Markwort M, Barkmann C (2021) Psychosocial health in adolescents and young adults with gender dysphoria before and after gender-affirming medical interventions: a descriptive study from the Hamburg Gender Identity Service. Eur Child Adolesc Psychiatry, 30:1755-1767.
- Beckwith N, Reisner SL, Zaslow S, Mayer KH, Keuroghlian AS (2017) Factors associated with gender-affirming surgery and age of hormone therapy initiation among transgender adults. Transgend Health, 2:156-164.
- Breidenstein A, Hess, J, Hadaschik B, Teufel M, Tagay S (2019) Psychosocial resources and quality of life in transgender women following gender-affirming surgery. J Sex Med, 16:1672-1680.
- Chaovanalikit T, Wirairat K, Sriswadpong P (2022) Quality of life, self-esteem, and depression among thai transgender women before and after male-to-female gender confirmation surgery: a prospective cohort observational study. Sex Med, 10: 100533.
- da Silva DC, Schwarz K, Fontanari AMV, Costa AB, Massuda R, Henriques AA et al. (2016) WHOQOL-100 before and after sex reassignment surgery in Brazilian male-to-female transsexual individuals. J Sex Med, 13:988-993.
- de Brouwer IJ, Elaut E, Becker-Hebly I, Heylens G, Nieder TO, van de Grift TC et al. (2021) aftercare needs following gender-affirming surgeries: findings from the enıgı multicenter european follow-up study. J Sex Med, 18:1921-1932.
- de Vries AL, McGuire JK, Steensma TD, Wagenaar EC, Doreleijers TA, Cohen-Kettenis PT (2014) Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134:696-704.
- Dhejne C, Lichtenstein P, Boman M, Johansson AL, Långström N, Landén M (2011) Long-term follow-up of transsexual persons undergoing sex reassignment surgery: cohort study in Sweden. PloS One, 6:e16885.
- Levy JA, Edwards DC, Cutruzzula-Dreher P, McGreen BH, Akanda S, Tarry S et al. (2019) Male-to-female gender reassignment surgery: an institutional analysis of outcomes, short-term complications, and risk factors for 240 patients undergoing penile-inversion vaginoplasty. Urology, 131:228-233.
- Liberati, A, Altman, DG, Tetzlaff, J, Mulrow C, Gøtzsche PC, Ioannidis JP et al. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol, 62:e1-e34.
- Lindqvist EK, Sigurjonsson H, Möllermark C, Rinder J, Farnebo F, Lundgren TK (2017) Quality of life improves early after gender reassignment surgery in transgender women. Eur J Plast Surg, 40:223-226.
- Masthoff, ED, Trompenaars FJ, van Heck GL, Hodiamont PP, de Vries J (2006) Quality of life and psychopathology: investigations into their relationship. Aust N Z J Psychiatry, 40:333-340.
- Methley AM, Campbell S, Chew-Graham C, McNally R, Cheraghi-Sohi, S (2014) PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC Health Serv Res, 14:579.
- Naeimi, S, Akhlaghdoust M, Chaichian S, Moradi Y, Zarbati N, Jafarabadi, M (2019) Quality of Life changes in Iranian patients undergoing female-to-male transsexual surgery: A prospective study. Arch Iran Med, 22:71-75.
- Poudrier G, Nolan IT, Cook TE, Saia W, Motosko CC, Stranix, JT et al. (2019) Assessing quality of life and patient-reported satisfaction with masculinizing top surgery: a mixed-methods descriptive survey study. Plast Reconstr Surg, 143:272-279.
- Sayegh F, Ludwig DC, Ascha M, Vyas K, Shakir A, Kwong JW et al. (2019). Facial masculinization surgery and its role in the treatment of gender dysphoria. J Craniofac Surg, 30:1339-1346.
- Sigurjónsson H, Möllermark C, Rinder J, Farnebo F, Lundgren TK (2017) Long term sensitivity and patient-reported functionality of the neoclitoris after gender reassignment surgery. J Sex Med, 14:269-273.
- Simonsen RK, Giraldi A, Kristensen E, Hald GM (2016) Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality. Nord J Psychiatry, 70:241-247.
- Turan Ş, Poyraz CA, İnce E, Sakallı-Kani A, Emül HM, Duran A (2015). Cinsiyet değiştirme ameliyatı için psikiyatri kliniğine başvuran transseksüel bireylerin sosyodemografik ve klinik özellikleri. Turk Psikiyatri Derg, 26:153-160.
- van de Grift TC, Cohen-Kettenis PT, Steensma TD, de Cuypere G, Richter, Appelt H, Haraldsen IR et al. (2016) Body satisfaction and physical appearance in gender dysphoria. Arch Sex Behav, 45:575-585.
- van de Grift TC, Pigot GL, Boudhan S, Elfering L, Kreukels BP, Gijs LA et al. (2017) A longitudinal study of motivations before and psychosexual outcomes after genital gender-confirming surgery in transmen. J Sex Med, 14:1621-1628.
- Weissler JM, Chang BL, Carney MJ, Rengifo D, Messa CA, Sarwer DB et al. (2018) Gender-affirming surgery in persons with gender dysphoria. Plastic and reconstructive surgery, 141:388e-396e.
- Weyers S, Elaut E, de Sutter P, Gerris J, T'Sjoen G, Heylens G et al. (2009) Long-term assessment of the physical, mental, and sexual health among transsexual women. J Sex Med, 6:752-760.
- Wierckx K, van Caenegem E, Elaut E, Dedecker D, van de Peer, F, Toye K et al. (2011) Quality of life and sexual health after sex reassignment surgery in transsexual men. J Sex Med, 8:3379-3388.
- Yıldızhan BÖ, Yüksel Ş, Avayu M, Noyan H, Yıldızhan E (2018) Cinsiyet disforisi olan bireylerde cinsiyet değiştirmenin ruh sağlığı ve yaşam kalitesi üzerine etkileri. Turk Psikiyatri Derg, 29:11-21.
- Zavlin D, Wassersug RJ, Chegireddy V, Schaff J, Papadopulos NA (2019) Age related differences for male-to-female transgender patients undergoing gender affirming surgery. Sex Med, 7:86-93.
- Zucker JK, Brown N (2014) Principles and practice of sex therapy. In Gender Dysphoria, 5th. (Eds MY Binik, SK Hall):218-244. New York, Guilford Press.
Effect of Sex Reassignment Surgery on Satisfaction and Quality of Life: A Systematic Review
Yıl 2023,
Cilt: 15 Sayı: 1, 161 - 174, 31.03.2023
Özge Sıla Başpınar
,
Cennet Şafak Öztürk
Öz
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.
Kaynakça
- Agarwal CA, Scheefer MF, Wright LN, Walzer NK, Rivera A (2018) Quality of life improvement after chest wall masculinization in female-to-male transgender patients: A prospective study using the BREAST-Q and Body Uneasiness Test. J Plast Reconstr Aesthet Surg, 71:651-657.
- APA (2013) Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Washington DC, American Psychiatric Association.
- APA (2015) Transgender ve Toplumsal Cinsiyete Uymayan Kişilerle Psikolojik Uygulamalar Kılavuzu (Çev. Ed.K Başar, Z Akkuş, T Bayındır). Ankara, Ayrıntı Basımevi.
- Becker I, Auer M, Barkmann C, Fuss J, Möller B, Nieder TO et al. (2018) A cross sectional multicenter study of multidimensional body image in adolescents and adults with gender dysphoria before and after transition-related medical interventions. Arch Sex Behav, 47:2335-2347.
- Becker-Hebly I, Fahrenkrug S, Campion F, Richter-Appelt H, Schulte-Markwort M, Barkmann C (2021) Psychosocial health in adolescents and young adults with gender dysphoria before and after gender-affirming medical interventions: a descriptive study from the Hamburg Gender Identity Service. Eur Child Adolesc Psychiatry, 30:1755-1767.
- Beckwith N, Reisner SL, Zaslow S, Mayer KH, Keuroghlian AS (2017) Factors associated with gender-affirming surgery and age of hormone therapy initiation among transgender adults. Transgend Health, 2:156-164.
- Breidenstein A, Hess, J, Hadaschik B, Teufel M, Tagay S (2019) Psychosocial resources and quality of life in transgender women following gender-affirming surgery. J Sex Med, 16:1672-1680.
- Chaovanalikit T, Wirairat K, Sriswadpong P (2022) Quality of life, self-esteem, and depression among thai transgender women before and after male-to-female gender confirmation surgery: a prospective cohort observational study. Sex Med, 10: 100533.
- da Silva DC, Schwarz K, Fontanari AMV, Costa AB, Massuda R, Henriques AA et al. (2016) WHOQOL-100 before and after sex reassignment surgery in Brazilian male-to-female transsexual individuals. J Sex Med, 13:988-993.
- de Brouwer IJ, Elaut E, Becker-Hebly I, Heylens G, Nieder TO, van de Grift TC et al. (2021) aftercare needs following gender-affirming surgeries: findings from the enıgı multicenter european follow-up study. J Sex Med, 18:1921-1932.
- de Vries AL, McGuire JK, Steensma TD, Wagenaar EC, Doreleijers TA, Cohen-Kettenis PT (2014) Young adult psychological outcome after puberty suppression and gender reassignment. Pediatrics, 134:696-704.
- Dhejne C, Lichtenstein P, Boman M, Johansson AL, Långström N, Landén M (2011) Long-term follow-up of transsexual persons undergoing sex reassignment surgery: cohort study in Sweden. PloS One, 6:e16885.
- Levy JA, Edwards DC, Cutruzzula-Dreher P, McGreen BH, Akanda S, Tarry S et al. (2019) Male-to-female gender reassignment surgery: an institutional analysis of outcomes, short-term complications, and risk factors for 240 patients undergoing penile-inversion vaginoplasty. Urology, 131:228-233.
- Liberati, A, Altman, DG, Tetzlaff, J, Mulrow C, Gøtzsche PC, Ioannidis JP et al. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate health care interventions: explanation and elaboration. J Clin Epidemiol, 62:e1-e34.
- Lindqvist EK, Sigurjonsson H, Möllermark C, Rinder J, Farnebo F, Lundgren TK (2017) Quality of life improves early after gender reassignment surgery in transgender women. Eur J Plast Surg, 40:223-226.
- Masthoff, ED, Trompenaars FJ, van Heck GL, Hodiamont PP, de Vries J (2006) Quality of life and psychopathology: investigations into their relationship. Aust N Z J Psychiatry, 40:333-340.
- Methley AM, Campbell S, Chew-Graham C, McNally R, Cheraghi-Sohi, S (2014) PICO, PICOS and SPIDER: a comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC Health Serv Res, 14:579.
- Naeimi, S, Akhlaghdoust M, Chaichian S, Moradi Y, Zarbati N, Jafarabadi, M (2019) Quality of Life changes in Iranian patients undergoing female-to-male transsexual surgery: A prospective study. Arch Iran Med, 22:71-75.
- Poudrier G, Nolan IT, Cook TE, Saia W, Motosko CC, Stranix, JT et al. (2019) Assessing quality of life and patient-reported satisfaction with masculinizing top surgery: a mixed-methods descriptive survey study. Plast Reconstr Surg, 143:272-279.
- Sayegh F, Ludwig DC, Ascha M, Vyas K, Shakir A, Kwong JW et al. (2019). Facial masculinization surgery and its role in the treatment of gender dysphoria. J Craniofac Surg, 30:1339-1346.
- Sigurjónsson H, Möllermark C, Rinder J, Farnebo F, Lundgren TK (2017) Long term sensitivity and patient-reported functionality of the neoclitoris after gender reassignment surgery. J Sex Med, 14:269-273.
- Simonsen RK, Giraldi A, Kristensen E, Hald GM (2016) Long-term follow-up of individuals undergoing sex reassignment surgery: Psychiatric morbidity and mortality. Nord J Psychiatry, 70:241-247.
- Turan Ş, Poyraz CA, İnce E, Sakallı-Kani A, Emül HM, Duran A (2015). Cinsiyet değiştirme ameliyatı için psikiyatri kliniğine başvuran transseksüel bireylerin sosyodemografik ve klinik özellikleri. Turk Psikiyatri Derg, 26:153-160.
- van de Grift TC, Cohen-Kettenis PT, Steensma TD, de Cuypere G, Richter, Appelt H, Haraldsen IR et al. (2016) Body satisfaction and physical appearance in gender dysphoria. Arch Sex Behav, 45:575-585.
- van de Grift TC, Pigot GL, Boudhan S, Elfering L, Kreukels BP, Gijs LA et al. (2017) A longitudinal study of motivations before and psychosexual outcomes after genital gender-confirming surgery in transmen. J Sex Med, 14:1621-1628.
- Weissler JM, Chang BL, Carney MJ, Rengifo D, Messa CA, Sarwer DB et al. (2018) Gender-affirming surgery in persons with gender dysphoria. Plastic and reconstructive surgery, 141:388e-396e.
- Weyers S, Elaut E, de Sutter P, Gerris J, T'Sjoen G, Heylens G et al. (2009) Long-term assessment of the physical, mental, and sexual health among transsexual women. J Sex Med, 6:752-760.
- Wierckx K, van Caenegem E, Elaut E, Dedecker D, van de Peer, F, Toye K et al. (2011) Quality of life and sexual health after sex reassignment surgery in transsexual men. J Sex Med, 8:3379-3388.
- Yıldızhan BÖ, Yüksel Ş, Avayu M, Noyan H, Yıldızhan E (2018) Cinsiyet disforisi olan bireylerde cinsiyet değiştirmenin ruh sağlığı ve yaşam kalitesi üzerine etkileri. Turk Psikiyatri Derg, 29:11-21.
- Zavlin D, Wassersug RJ, Chegireddy V, Schaff J, Papadopulos NA (2019) Age related differences for male-to-female transgender patients undergoing gender affirming surgery. Sex Med, 7:86-93.
- Zucker JK, Brown N (2014) Principles and practice of sex therapy. In Gender Dysphoria, 5th. (Eds MY Binik, SK Hall):218-244. New York, Guilford Press.