The "LUTS-QoL T Test" a reliable tool to evaluate symptoms of lower urinary tract in male-to-female transsexuals

Carlo Melloni

Gender Team

Graduated in Medicine and Surgery (Summa cum Laude) he got the degree in Plastic, Reconstructive and Aesthetic Surgery (with honors) at the University of Palermo.Expert in head and neck reconstructive surgery and breast oncoplastic, he subsequently enriched his reconstructive and cosmetic surgical skills at the best universities around the world (Brazil, Serbia, Spain, France). Now he focused in the field of cosmetic surgery, body contouring and genital surgery. He is Editor-in Chief of the scientific journal "Reconstructive Surgery and Anaplastology".He was also the founder and first chair of the Association EuRePS (European Residents in Plastic Surgery).He authored numerous scientific papers in the field of Plastic Surgery and Reconstructive Urology. He was the creator of LUTS-QoL T Test, the first questionnaire specifically designed for the study of lower urinary tract disorders in patients undergoing sex reassignment surgery.

Background

Patient-reported experience is often used as a measure for quality of care, but no reports on patient satisfaction after Male-to-Female gender reassignment surgery exist. Lower Urinary Tract Symptoms (LUTS) manifest multiple... [ view full abstract ]

Aim(s)

The aim of this study is to evaluate the surgical outcome in patients who underwent surgical gender reassignment (Male-to-Female), to investigate if they have an increased risk to develop micturition disorders with LUTS and to... [ view full abstract ]

Methods

We conducted an observational study in an unselected cohort of 40 adult transsexuals who underwent to Male-To-Female sex reassignment surgery between 2012 and 2015, in different hospitals by different surgeons. We administered... [ view full abstract ]

Main Outcome Measures

The items we analyzed were: involuntary urine leakage, urge and stress incontinence, frequency, stream alterations, straining to urinate, retention, presence of pelvic pain or discomfort (with or without the need of an... [ view full abstract ]

Results

In our cohort, frequency, weakness of the urinary stream, urge incontinence and nocturia are common problems. Pelvic pain has been reported in 40% of patients in the 1st month but decreased significantly over time. Although... [ view full abstract ]

Conclusion

Results showed an increased risk for the development of LUTS that should lead the surgeon to investigate the relationship between these disorders and the surgical procedure. Micturition is a problem after surgery operations,... [ view full abstract ]

Authors

  1. Carlo Melloni (Gender Team)
  2. Guglielmo Melloni (University of Torino - Division of Urology)
  3. Marco Carmisciano (University of Palermo - Plastic and Reconstructive Surgery Unit)
  4. Massimiliano Timpano (University of Torino - Division of Urology)
  5. Luigi Di Rosa (University of Palermo - Plastic and Reconstructive Surgery Unit)
  6. Luigi Rolle (University of Torino - Division of Urology)
  7. Marco Falcone (University of Torino - Division of Urology)
  8. Giovanni Zabbia (University of Palermo - Plastic and Reconstructive Surgery Unit)
  9. Adriana Cordova (University of Palermo - Plastic and Reconstructive Surgery Unit)
  10. Paolo Gontero (University of Torino - Division of Urology)

Topic Area

Oral & Poster Topics: Surgery

Session

PS-7 » E-Posters Surgery (3) (16:30 - Thursday, 6th April, Danube)

Presentation Files

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