Adverse surgical outcomes of ‘gender-affirming’ surgeries

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Many have heard over the past few weeks that Vanderbilt University Medical Center (VUMC) is pausing pediatric sex reassignment surgeries indefinitely. But why? And what are the implications for the broader trend of juvenile gender transition surgeries?

VUMC’s story

After the broadcast of disturbing videos, including one video 2018 of assistant professor VUMC Dr. Shayne Taylor talks cost-effectiveness of “cutting edge surgeries” and hormones for hospital in Nashville, Tenn. Governor Bill Lee and senior Sen. Marsha Blackburn (R-Tenn.) have called for an investigation into the Monroe Transgender Pediatric Clinic Carell Jr. Children’s Hospital, part of VUMC.

According to its webpage, the clinic “provides evidence-based, personalized care for transgender and gender-diverse children and adolescents.

Taylor is a doctor with the VUMC Program for LGBTQ Health and the Clinic for Transgender Health for the patients aged 18 and over.

VUMC pediatric clinic ‘raises serious moral, ethical and legal concerns,’ governor says said, after watching the videos. “We should not allow permanent life-changing decisions that harm children or policies that suppress religious freedoms, all for financial gain. We need to protect the children of Tennessee, and that warrants a thorough investigation.

After the videos became known, Blackburn wrote on Twitter on September 20: “There is nothing healthy about mutilating the bodies of underage children. We need an investigation into VUMC that puts profits before children immediately.

Two weeks after the call for investigation, VUMC suspended “gender-affirming” surgery for minors, he announced in a letter to Tennessee State Representative Jason Zachary, who was then job on Twitter.

According to Dr. C. Wright Pinson, Director of VUMC Health System, the disruption was from exam “new recommendations” in the future. The transgender clinic, established in 2018, performed gender reassignment surgery on average five minor children per year, indicates the letter. The pause in pediatric surgery can last several month.

Growing and lucrative business

Global gender surgery ‘market’ set to hit $1.5 billion in four years. In the United States, the number of gender clinics is explode with many clinicians favoring “faster assessments and the provision of puberty blockers, hormones, and gender-affirming surgeries for young people at or near the time they present with gender dysphoria,” reported darka digital magazine affiliated with the Knight Science Journalism Fellowship Program at the Massachusetts Institute of Technology.

Still, serious questions remain, Undark reported, such as: “What is the long-term impact of the blocking of puberty on the health of a young person? Can practitioners correctly determine which young people will still identify as trans as adults? Do psychological assessments contribute to children’s suffering by delaying access to puberty blockers and hormones? Why has the number of teens presenting for transgender medical care, especially those assigned female at birth, increased so dramatically in recent years? »

Earlier this year, the Swedish National Board of Health and Welfare declared than the risks of commonly used puberty blockers, called gonadotropin-the release of hormone analogues and hormone treatment outweigh their possible benefits. Processing should be limited to research settings and exceptional cases, the Swedish agency said.

Puberty-blocking drugs can lead to thinning bones, the Cleveland Clinic and mayo Clinical report. Moreover, the drugs have little or no effect on gender dysphoria, quality of life, depression, anger or anxiety, and neither are sex-changing hormones, according to the UK National Institute for Health and Care Excellence.

Yet puberty-blocking drugs are surprisingly lucrative, costing up to $39,000 a month without insurance, according in Darkark. AbbVie Lupron’s puberty blocker bring in $752 million in revenue in 2020, and puberty-blocking implant Suprelin LA has a List of prices of $37,300.

Does sex reassignment work?

The woke pro-transgender agenda has cast a chill over research that calls into question the effectiveness and appropriateness of sex reassignment medicine and surgery, and in particular patient outcomes.

Nevertheless, a definitive Swedish A study published in the journal PLOS One in 2011 found that “transsexual people, after sex reassignment, have significantly higher risks of mortality, suicidal behavior and psychiatric morbidity than the general population”.

“Our results suggest that sex reassignment, although relieving gender dysphoria, may not be sufficient as a treatment for transsexualism and should inspire improved psychiatric and somatic care after sex reassignment for this group of patients,” indicates the study.

The researchers also found that “gender reassigned individuals had a higher risk of hospital care for a psychiatric disorder other than gender identity disorder than controls matched on year of birth and sex at birth” .

“This held after adjusting for prior psychiatric morbidity, and was true regardless of whether sex reassignment occurred before or after 1989. Along with the increase in suicide mortality, sex reassigned individuals were also at higher risk for suicide attempts, although this was not statistically significant for the period 1989-2003,” the researchers wrote.

As voices awoke prevent that gender confused people will kill themselves if they do not receive medical sex reassignment, the opposite appears to be true, according to some research.

More recently, a to research letter in the Journal of the American Medical Association (JAMA), found disappointing results from “gender affirming” surgery (GAS).

“In a study of more than 4,000 patients, those with an established diagnosis of a mental health condition were more likely to experience postoperative complications within 90 days of SGA compared to those who did not. mental health problem”, MedPage Today reported on the conclusions of the letter.

Patients who underwent mastectomy, breast augmentation, hysterectomy, orchiectomy (removal of the testicles), phalloplasty, or vaginoplasty were more likely to experience the following postoperative complications: “acute kidney injury, surgical site infection, deep vein thrombosis , pulmonary embolism, wound rupture, urinary tract infection, pneumonia, blood transfusion, hematoma, urethral stricture, urethral stricture, and rectovaginal fistula,” within 90 days of surgery, MedPage Today reported.

The old times reported in May on the complications of gender reassignment surgery in the article “When Gender Surgery Goes Wrong”.

The research letter is surprising, as JAMA has generally been pro-transgender, even invoking the colloquial and political term “transphobia” in another sense. medical article he published in February.

More surgical complications

“Gender affirming” surgery often includes voice alterations in which patients want their voice to be higher or lower and, for men, to have their Adam’s apple removed (chondrolaryngoplasty).

Yet these surgeries are also plagued with complications, according to to research presented this year at the annual meeting of the American Academy of Otolaryngology–Head and Neck Surgery (AAO-HNS).

“Over time, voice care for transgender patients has evolved from behavioral therapy to hormone replacement therapy, voice therapy, and now, laryngeal surgery,” medical landscape reported. However, “few studies reported complications and suboptimal outcomes.”

Actually complications Wendler’s glottoplasty (in which sutures on the vocal cords raise the pitch of the voice) and chondrolaryngoplasty are often seen, said Dr. Matthew Naunheim of Massachusetts Eye and Ear and Harvard Medical School in Boston during the AAO-HNS meeting.

With glottoplasty, the “granulation tissue problems” were seen as short-term complications, and glottic insufficiency was considered a long-term complication, Naunheim said, and was “more than [they would] expect.”

“Glottic insufficiency is characterized by incomplete closure of the vocal cords with phonation, which leads to an increased risk of aspiration”, according to a hall at the National Library of Medicine.

Long term complications seen with chondrolaryngoplasty included skin attachment or padding, and infections or fistula, the AAO-HNS presenters said.

Sex reassignment surgery has become a surgical cash cow. Researchers have developed chondrolaryngoplasty on cadavers, according to a study published in the log OTO opened in 2020.

“We conducted our cadaveric feasibility study in an anatomy laboratory at a university center,” explain the researchers. wrote. “We used a lower buccal vestibular incision, along with retractors and an endoscope to dissect and access the laryngeal prominence of the thyroid cartilage. … We were able to successfully remove the laryngeal prominence from all of our cadaveric specimens using this transoral approach.

Not happy forever

Increasingly, the voices of young people who regret their sex reassignment surgeries are being heard. Called a few times”detransitions», these young patients express their regret in the face of their irrevocably altered bodies and their probable inability to have children. They cite the intense internet support they received for their “trans” decisions at a time when they needed validation as one of the reasons for pursuing gender reassignment surgery.

Some detransitioners also say they were pushed through the sex reassignment system without being fully vetted or fully understanding the gravity of their movements. Some say their short-term emotional confusion has been transformed into a permanent and unwanted new identity.

As Vanderbilt University Medical Center suspends its pediatric gender reassignment surgeries, some welcome the decision and hope it will slow the medical trend of introducing children to new gender identities they may later regret.

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Martha Rosenberg is a nationally recognized journalist and author whose work has been cited by Mayo Clinic Proceedings, the Public Library of Science Biology, and National Geographic. Rosenberg’s FDA exhibit, “Born With Junk Food Deficiency,” established her as a top investigative journalist. She has lectured extensively at universities across the United States and resides in Chicago.

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