Long-Term Follow-Up of Individuals Undergoing Sex-Reassignment Surgery: Somatic Morbidity and Cause of Death
Introduction: Studies of mortality and somatic well-being after sex-reassignment surgery (SRS) of transsexual individuals are equivocal. Accordingly, the present study investigated mortality and somatic morbidity using a sample of transsexual individuals who comprised 98% (n = 104) of all surgically...
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| Format: | Article |
| Language: | English |
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Oxford University Press
2016-03-01
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| Series: | Sexual Medicine |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S205011611600009X |
| _version_ | 1797723197582344192 |
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| author | Rikke Kildevæld Simonsen, MA Gert Martin Hald, PhD Ellids Kristensen, MD, FECSM Annamaria Giraldi, PhD, MD, FECSM |
| author_facet | Rikke Kildevæld Simonsen, MA Gert Martin Hald, PhD Ellids Kristensen, MD, FECSM Annamaria Giraldi, PhD, MD, FECSM |
| author_sort | Rikke Kildevæld Simonsen, MA |
| collection | DOAJ |
| description | Introduction: Studies of mortality and somatic well-being after sex-reassignment surgery (SRS) of transsexual individuals are equivocal. Accordingly, the present study investigated mortality and somatic morbidity using a sample of transsexual individuals who comprised 98% (n = 104) of all surgically reassigned transsexual individuals in Denmark.
Aims: To investigate somatic morbidity before and after SRS and cause of death and its relation to somatic morbidity after SRS in Danish individuals who underwent SRS from 1978 through 2010.
Methods: Somatic morbidity and mortality in 104 sex-reassigned individuals were identified retrospectively by data from the Danish National Health Register and the Cause of Death Register.
Main Outcome Measures: Somatic morbidity and cause of death.
Results: Overall, 19.2% of the sample were registered with somatic morbidity before SRS and 23.1% after SRS (P = not significant). In total, 8.6% had somatic morbidity before and after SRS. The most common diagnostic category was cardiovascular disease, affecting 18 individuals, 9 before and 14 after SRS, and 5 of those 14 who were affected after SRS had cardiovascular disease before and after SRS. Ten individuals died after SRS at an average age of 53.5 ± 7.9 years (male to female) and 53.5 ± 7.3 years (female to male).
Conclusion: Of 98% of all Danish transsexuals who officially underwent SRS from 1978 through 2010, one in three had somatic morbidity and approximately 1 in 10 had died. No significant differences in somatic morbidity or mortality were found between male-to-female and female-to-male individuals. Despite the young average age at death and the relatively larger number of individuals with somatic morbidity, the present study design does not allow for determination of casual relations between, for example, specific types of hormonal or surgical treatment received and somatic morbidity and mortality. |
| first_indexed | 2024-03-12T09:59:25Z |
| format | Article |
| id | doaj.art-7d3ee470fe5f481392ce8467c43dde6b |
| institution | Directory Open Access Journal |
| issn | 2050-1161 |
| language | English |
| last_indexed | 2024-03-12T09:59:25Z |
| publishDate | 2016-03-01 |
| publisher | Oxford University Press |
| record_format | Article |
| series | Sexual Medicine |
| spelling | doaj.art-7d3ee470fe5f481392ce8467c43dde6b2023-09-02T11:52:11ZengOxford University PressSexual Medicine2050-11612016-03-0141e60e6810.1016/j.esxm.2016.01.001Long-Term Follow-Up of Individuals Undergoing Sex-Reassignment Surgery: Somatic Morbidity and Cause of DeathRikke Kildevæld Simonsen, MA0Gert Martin Hald, PhD1Ellids Kristensen, MD, FECSM2Annamaria Giraldi, PhD, MD, FECSM3Department of Sexology, University Hospital of Copenhagen, Copenhagen, DenmarkDepartment of Public Health, University of Copenhagen, Copenhagen, DenmarkSexological Clinic, Psychiatric Center Copenhagen, Copenhagen, DenmarkSexological Clinic, Psychiatric Center Copenhagen, Copenhagen, DenmarkIntroduction: Studies of mortality and somatic well-being after sex-reassignment surgery (SRS) of transsexual individuals are equivocal. Accordingly, the present study investigated mortality and somatic morbidity using a sample of transsexual individuals who comprised 98% (n = 104) of all surgically reassigned transsexual individuals in Denmark. Aims: To investigate somatic morbidity before and after SRS and cause of death and its relation to somatic morbidity after SRS in Danish individuals who underwent SRS from 1978 through 2010. Methods: Somatic morbidity and mortality in 104 sex-reassigned individuals were identified retrospectively by data from the Danish National Health Register and the Cause of Death Register. Main Outcome Measures: Somatic morbidity and cause of death. Results: Overall, 19.2% of the sample were registered with somatic morbidity before SRS and 23.1% after SRS (P = not significant). In total, 8.6% had somatic morbidity before and after SRS. The most common diagnostic category was cardiovascular disease, affecting 18 individuals, 9 before and 14 after SRS, and 5 of those 14 who were affected after SRS had cardiovascular disease before and after SRS. Ten individuals died after SRS at an average age of 53.5 ± 7.9 years (male to female) and 53.5 ± 7.3 years (female to male). Conclusion: Of 98% of all Danish transsexuals who officially underwent SRS from 1978 through 2010, one in three had somatic morbidity and approximately 1 in 10 had died. No significant differences in somatic morbidity or mortality were found between male-to-female and female-to-male individuals. Despite the young average age at death and the relatively larger number of individuals with somatic morbidity, the present study design does not allow for determination of casual relations between, for example, specific types of hormonal or surgical treatment received and somatic morbidity and mortality.http://www.sciencedirect.com/science/article/pii/S205011611600009XFollow-UpGender Identity DisorderSomatic MorbiditySex-Reassignment SurgeryTranssexualism |
| spellingShingle | Rikke Kildevæld Simonsen, MA Gert Martin Hald, PhD Ellids Kristensen, MD, FECSM Annamaria Giraldi, PhD, MD, FECSM Long-Term Follow-Up of Individuals Undergoing Sex-Reassignment Surgery: Somatic Morbidity and Cause of Death Sexual Medicine Follow-Up Gender Identity Disorder Somatic Morbidity Sex-Reassignment Surgery Transsexualism |
| title | Long-Term Follow-Up of Individuals Undergoing Sex-Reassignment Surgery: Somatic Morbidity and Cause of Death |
| title_full | Long-Term Follow-Up of Individuals Undergoing Sex-Reassignment Surgery: Somatic Morbidity and Cause of Death |
| title_fullStr | Long-Term Follow-Up of Individuals Undergoing Sex-Reassignment Surgery: Somatic Morbidity and Cause of Death |
| title_full_unstemmed | Long-Term Follow-Up of Individuals Undergoing Sex-Reassignment Surgery: Somatic Morbidity and Cause of Death |
| title_short | Long-Term Follow-Up of Individuals Undergoing Sex-Reassignment Surgery: Somatic Morbidity and Cause of Death |
| title_sort | long term follow up of individuals undergoing sex reassignment surgery somatic morbidity and cause of death |
| topic | Follow-Up Gender Identity Disorder Somatic Morbidity Sex-Reassignment Surgery Transsexualism |
| url | http://www.sciencedirect.com/science/article/pii/S205011611600009X |
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