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Saturday, August 28, 2021: Abstract

VP8: Sexual Well-Being in Transgender Patients: Could Gender Confirming-Chest Surgery Be Enough?

De Schoulepnikoff, Camille; Di Summa, Pietro; Bauquis, Olivier

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Plastic and Reconstructive Surgery - Global Open: January 2022 - Volume 10 - Issue 1S - p 19
doi: 10.1097/01.GOX.0000817780.83792.f0
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INTRODUCTION: In gender-confirming chest surgery, hardly any study has extensively evaluated the improvement of the sexual well-being of transgender patients after breast augmentation/removal. This prospective study aims to assess the potential improvement of body awareness during sexual intercourse after a chest surgery and compare differences between female-to-male (FtM) and male-to-female (MtF) patients.

MATERIALS AND METHODS: From October 2019 up to August 2020, all transgender patients eligible for gender-confirming chest surgery in our institution were asked to file two questionnaires: BREAST-Q and BESAQ. Different follow-ups were considered: pre-op, 4- and 12-month post-op.

RESULTS: 13 FtM and 10 MtF patients were enrolled. In both FtM and MtF patients, a significant improvement of the psychosocial well-being and patient’s satisfaction with breast/chest aesthetic was found at 4- and 12-month post-op compared with pre-op.

While body awareness during sexual intercourse improved significantly among FtM patients at 4-month post-op, no improvement was observed among MtF patient until 12-month post-op. As no FtM patient underwent phalloplasty during the follow-up, most MtF patients underwent vaginoplasty before the 12-months post-op assessment.

CONCLUSION: Gender-confirming chest surgery brings a noticeable improvement of chest/breast satisfaction and psychosocial well-being at 4-month post-op in both groups. Regarding body awareness during sexual intercourse improvement, differences between FtM and MtF patients were observed depending on the gender-confirming chest surgery: while mastectomy successfully improves sexual well-being of FtM patients, breast augmentation seems to be insufficient in improving MtF patients’ sexual well-being.

Copyright © 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. All rights reserved.