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. 2005 Mar;47(3):398-402.
doi: 10.1016/j.eururo.2004.10.008. Epub 2004 Dec 2.

Impact of sex reassignment surgery on lower urinary tract function

Piet Hoebeke  1 , Gennaro Selvaggi, Peter Ceulemans, Griet De Cuypere, Guy T'Sjoen, Steven Weyers, Karel Decaestecker, Stan Monstrey
Affiliations

Impact of sex reassignment surgery on lower urinary tract function

Piet Hoebeke et al. Eur Urol. 2005 Mar.

Abstract

Objective: To investigate the effects of sex reassignment surgery (SRS) on lower urinary tract function.

Methods: A questionnaire concerning voiding habits and lower urinary tract symptoms after sex reassignment surgery, was given to 24 female-to-male transsexuals (FTM) and 31 male-to-female transsexuals (MTF), who respectively underwent phalloplasty and vaginoplasty. For this study only Dutch speaking patients were selected. Also, uro-flowmetry data from 92 FTM transsexuals were reviewed.

Results: In general, no change in voiding patterns was observed. Post-void dribbling was reported by 79% of the FTM transsexuals, and 16% of the MTF group reported some form of incontinence. The uro-flowmetry examination showed a mean, non-significant decrease of 2 ml/s in Q(max) in FTM patients.

Conclusion: SRS can cause minor changes in urinary habits. Even if they do not result in patients seeking medical help, transsexuals should be warned about these eventual discomforts pre-operatively.

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