Urinary Retention

Studies from Charles University provide new data on sexual disorders

"In response to a greater volume of patients, surgical techniques have evolved and the outcome in patients with male-to-female transsexualism is now a very accurate imitation of female genitalia, enabling sexual intercourse with orgasm. To evaluate the results of surgical reassignment of genitalia in male-to-female transsexuals. A retrospective 3-month follow-up study of patients' opinions following gender reassignment surgery in 129 patients having a primary procedure (eight of whom had later sigmoideocolpoplasty) and five patients undergoing reoperation following an initial unsuccessful procedure at other units. All patients were male transsexuals. The surgical techniques are described in detail. Sexual functions and complications 3 months after surgery. All patients were satisfied with the first phase operation. Thirteen patients (9.7%) underwent successful sigmoideocolpoplasty. Main complications were as follows: rectal lesions developing during preparation of the vaginal canal (1.5%); bleeding from the stump of the shortened urethra in the first 48 hours postoperatively requiring secondary suturing (4.5%); temporary urinary retention requiring repeated insertion of urinary catheters for up to 6 days (5.2%); and healing of the suture between the perineum and the posterior aspect of the vaginal introitus healing by secondary intention (5.2%). The neoclitoris had erogenous sensitivity in 93.9% of patients and 65.3% reached orgasm in the first 3 months. Surgical conversion of the genitalia is a safe and important phase of the treatment of male-to-female transsexuals. Jarolim L, Sedy J, Schmidt M, Nanka O, Foltan R, and Kawaciuk I. Gender reassignment surgery in male-to-female transsexualism: A retrospective 3-month follow-up study with anatomical remarks," wrote L. Jarolim and colleagues, Charles University.

The researchers concluded: "J Sex Med 2009;6:1635-1644."

Jarolim and colleagues published their study in the Journal of Sexual Medicine (Gender Reassignment Surgery in Male-to-Female Transsexualism: A Retrospective 3-Month Follow-up Study with Anatomical Remarks. Journal of Sexual Medicine, 2009;6(6):1635-1644).

For more information, contact L. Jarolim, Charles University Prague, Dept. of Urology, Faculty Med 2, Prague, Czech Republic.

Publisher contact information for the Journal of Sexual Medicine is: Wiley-Blackwell Publishing, Inc., Commerce Place, 350 Main St., Malden 02148, MA, USA.

Keywords: Czech Republic, Prague, Sexual Disorders, Anatomy, Reoperation, Surgery, Transsexualism, Charles University.

This article was prepared by Life Science Weekly editors from staff and other reports. Copyright 2009, Life Science Weekly via NewsRx.com.