Surgical indications and outcomes of mastectomy in transmen: A prospective study of technical and self-reported outcome measures

Background

Although transgender surgery constitutes a growing field within plastic surgery, prospective studies on masculinizing mastectomies are lacking [ view full abstract ]

Aim(s)

The objective of the present study was to prospectively follow a cohort of transmen undergoing mastectomy and assessing technical and self-reported outcomes, as well as to evaluate surgical decision-making. [ view full abstract ]

Methods

Fifty-four transmen were recruited during a 10-month period at the Department of Plastic Surgery of a Centre of Expertise on Gender Dysphoria. Preoperative assessment included standardized chest examination. Six months... [ view full abstract ]

Main Outcome Measures

Surgical decision-making was evaluated by comparing indications and outcomes per technique, and assessing the clinical validity of the most-used decision-aid (using Cohen’s kappa). [ view full abstract ]

Results

One periareolar mastectomy, 26 concentric circular mastectomies and 22 inframammary skin resections with free nipple graft were performed in our cohort. Five participants were still to be operated. Concentric circular... [ view full abstract ]

Conclusion

Compared to inframammary skin resections, concentric circular mastectomy – despite being performed in favourable breast types – appears to produce poorer technical and self-reported outcomes. Surgical indications and... [ view full abstract ]

Authors

  1. Tim van de Grift (VUMC)
  2. Lian Elfering (VUMC)
  3. Mark-Bram Bouman (VUMC)
  4. Müjde Özer (VUMC)
  5. Marlon Buncamper (VUMC)
  6. Jan Maerten Smit (VUMC)
  7. Margriet Mullender (VUMC)

Topic Area

Oral & Poster Topics: Surgery

Session

PS-6 » E-Posters Surgery (2) (16:30 - Thursday, 6th April, Aegean)