Patiëntgerapporteerde uitkomsten van transgender mannen na genitale genderbevestigende chirurgie met versus zonder plasbuisverlenging

In this study, patient-reported outcomes (PROs) in transgender men after genital gender-affirming surgery (gGAS) with versus without urethral lengthening were compared. Additionally, predictors of post-operative satisfaction were identified. Transgender men ≥ 1 year after gGAS who were willing to participate filled in a patient-reported outcome measure. Answers were compared between groups. Predictors of post-operative satisfaction were analysed using linear regression analysis. No significant differences were found in PROs. Most participants were (very) satisfied with life (75%), the appearance of the neophallus (66%), voiding (59%), the effect on masculinity (82%), and confirmed that the end surgical result matched their expectations (61%). Satisfaction with the appearance (p < 0.001) and voiding (p = 0.02) were positively associated with patient satisfaction at follow-up. No significant differences were found in PROs after gGAS with versus without urethral lengthening. Satisfaction with the appearance of the neophallus and voiding were positively associated with post-operative patient satisfaction.