PROGRESS for phalloplasty and metoidioplasty: A trans community-designed study
| dc.contributor.author | Rutherford, Leo | |
| dc.contributor.supervisor | Lachowsky, Nathan | |
| dc.contributor.supervisor | Devor, Aaron H. | |
| dc.date.accessioned | 2025-01-06T21:53:00Z | |
| dc.date.available | 2025-01-06T21:53:00Z | |
| dc.date.issued | 2024 | |
| dc.degree.department | School of Public Health and Social Policy | |
| dc.degree.level | Doctor of Philosophy PhD | |
| dc.description.abstract | Some trans and nonbinary people access gender-affirming surgeries as part of their medical transition-related care. Patients undergo phalloplasty and metoidioplasty for a number of reasons which may relate to a desire for reduction of gender or body-related dysphoria or increases in gender-related euphoria. Literature on patient-reported experiences and outcomes is lacking for these surgeries, rather, the majority of research addresses complication rates, aesthetic appearance of genitals and the ability of the penis to function as intended. This dissertation begins to fill these gaps in literature about patient experiences. Within the methodological chapter of this dissertation, I detail the community-based participatory nature of the project which showcases how research led by and for trans communities can be useful for collecting novel data; it also describes the value added to research when community input is centered in the research process. The first empirical chapter presents data from this project about factors associated with self-reported feelings of being prepared to undergo phalloplasty or metoidioplasty. In a multivariable regression analysis, self-reported utility of readiness assessment was associated with perceived preparedness. The last empirical chapter documents improved self-rated mental health among our sample. In this analysis, self-rated mental health at the time of survey completion was statistically significantly higher than recalled mental health prior to undergoing surgery. In a multivariable model, self-reported preparedness and surgical satisfaction were associated with self-reported improved mental health. Lastly a concluding chapter summarizes both the novel contributions and significance of this work in context. | |
| dc.description.scholarlevel | Graduate | |
| dc.identifier.uri | https://hdl.handle.net/1828/20922 | |
| dc.language | English | eng |
| dc.language.iso | en | |
| dc.rights | Available to the World Wide Web | |
| dc.title | PROGRESS for phalloplasty and metoidioplasty: A trans community-designed study | |
| dc.type | Thesis |