Rates of Suicide Attempts Doubled After Gender-Reassignment Surgery: Study

Among the 869 patients who underwent vaginoplasty, 38 patients attempted suicide-with nine attempts before surgery, 25 after surgery, and four attempts before and after surgery.

Among the 357 biologically female patients who underwent phalloplasty, there were six suicide attempts with a 0.8 percent risk of suicide before and after surgery.

Approximately 22.2 percent and 20.7 percent of patients, respectively, experienced at least one psychiatric encounter.

"In Sweden, everyone is in a database, and through diagnosis codes, they're able to follow what happens to every citizen in terms of their medical history. They waited more than 10 years after people had surgery and found that death by suicide had an adjusted hazard ratio of 19.1." You can "Quibble" about emergency room encounters, but this study shows that for patients who had transgender surgery, their suicide rate after 10 years was 19-fold higher than the general population, Dr. Oliva said.

The type of vaginoplasty performed varies among patients.

After a vaginoplasty is performed, the recovery process is extensive and vaginal dilation must be performed at varying intervals throughout the patient's life.

Vaginoplasty Associated With Serious Risks In addition to an increased risk of suicide, vaginoplasty is associated with numerous physical complications, including wound separation, vaginal stenosis, hematoma, rectovaginal fistulas, granulation tissue, bleeding, infection, skin or clitoral necrosis, suture line dehiscence, urinary retention or vaginal prolapse.

After selecting 13 studies that included 1,684 patients, they found a complication rate of 32 percent, with a reoperation rate of 22 percent for non-esthetic reasons.

A June 2018 paper on postoperative outcomes of 117 patients who underwent vaginoplasty published in the Journal of the American Society of Plastic Surgeons found that 26 percent of patients experienced granulation tissue, 20 percent had intravaginal scarring, and 20 percent experienced prolonged pain.

In a 2016 study published in Urology, researchers retrospectively reviewed clinical records of 69 patients who underwent vaginoplasty from January 2005 to January 2015.

Although complications during surgery were not reported, 22 percent of patients experienced major postoperative complications. 

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