According to the recommendations reported in the bibliography section, people who match the following criteria can undergo hystero-adnexectomy surgery:
In Italy, the following criteria have also to be matched:
When the necessary criteria for carrying out the surgery are met (see above), the person concerned must:
In general, if you are taking any prescription medication, you should discuss it with your specialist. It may be necessary to stop taking it several days before the surgery. Drug therapy may be resumed at the doctor's discretion.
The hysterectomy/ovariectomy is a surgical procedure that has the aim of removing the uterus, as well as fallopian tubes and ovaries. In most cases, the surgery is performed laparoscopically. This technique involves the use of small incisions on the abdomen through which the tools necessary for the surgeon are introduced to remove the uterus and ovaries which will then be removed through the vagina. At the end of the procedure, a drain is usually placed (a thin tube that allows liquids to escape from the abdominal cavity to a bag connected to it) which will then be removed in the ward in the following days. The hysterectomy/ovariectomy definitively compromises the person's fertility. Laparoscopic surgery is usually associated with a better postoperative course which is less painful and shorter than surgery performed laparotomically (i.e. with a large incision on the abdomen). The latter technique is used only in the case of voluminous masses affecting the internal genital organs or in the case of medical contraindications to laparoscopy.
The laparoscopic hysterectomy/ovariectomy lasts about 60-90 minutes, the laparotomic surgery takes about 2 hours, both take place under general anesthesia.
The hysterectomy/ovariectomy and t the chest surgery can be performed together in the same operating session.
The hospitalization for the hysterectomy/ovariectomy is two days, if performed together with that of chest surgery it lasts an average of 3-4 days, depending on the characteristics of the person and the post-operative recovery.
Generally, at least one month of abstention from work is recommended when hysterectomy/ovariectomy and chest surgery are performed in the same session. The surgeon will provide more precise indications for the postoperative period based on the technique used and the course following the operation.
Complications, although rare, include:
National Health Service (NHS): no cost.
Freelance: at the discretion of the health provider.
Coleman E, Radix AE, Bouman W, et al. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. Int J Transgend Health. 2022; Sep 6;23(Suppl 1):S1-S259.
Hembree WC, Cohen-Kettenis PT, Gooren L, et al. Endocrine Treatment of Gender-Dysphoric/Gender-Incongruent Persons: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2017;102(11):3869-3903. Erratum in: J Clin Endocrinol Metab. 2018; 103(2): 699. J Clin Endocrinol Metab. 2018; 103(7): 2758-2759.