No label defined (Q31413)

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  • Nonbinary and Transgender Male Patient Preferences for Gender-Affirming Top Surgery.
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English
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No description defined
  • Nonbinary and Transgender Male Patient Preferences for Gender-Affirming Top Surgery.

Statements

Nonbinary and Transgender Male Patient Preferences for Gender-Affirming Top Surgery. (English)
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This study aimed to identify patient preferences and outcomes of chest masculinization surgery in patients identifying as nonbinary versus transgender (trans-) males. (English)
BACKGROUND (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Patients who underwent chest masculinization (2003-2022) were included. (English)
METHODS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Demographics, medical comorbidities, surgical approaches, complications, secondary procedures, and BODY-Q chest module survey responses were compared between cohorts. (English)
METHODS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Three hundred two patients were included. (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Thirteen percent identified as nonbinary and 87% as trans-male. (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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The most common surgical approach in both groups was double incision with free nipple-areola graft (63% vs 71%, P = 0.33). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Nonbinary patients more frequently opted for double incision without free nipple areola graft compared to trans-male patients (18% vs 2.7%, P < 0.001). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Other unique surgical requests of nonbinary patients included nipple areola preservation and small breast mound preservation (5.2%) and balance between losing bulk and achieving a more androgynous appearance (5.3%). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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The survey response rate was 31% (93/302). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Both groups reported improved quality of life postoperatively ( P = 0.16). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Three nonbinary patients elected not to keep their nipple-areola complexes ( P = 0.005). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Trans-male patients were more likely to report having a male chest as very important for their gender identity (82% vs 95%, P = 0.043). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Nonbinary patients were less likely to prefer small nipples (82% vs 95%, P = 0.033) and 18% stated that they preferred no nipples (vs 2.7% trans-male patients, P < 0.001). (English)
RESULTS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Nonbinary patients have distinct surgical preferences regarding nipple-areola complexes. (English)
CONCLUSIONS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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Chest masculinization planning can differ for this group of patients compared to their trans-male counterparts. (English)
CONCLUSIONS (English)
Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved. (English)
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1 November 2024
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1 November 2024
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93
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5
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e36-e44
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e36
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e44
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Conflicts of interest and source of funding: none declared. (English)
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