Avaliação do assoalho pélvico e suas funções após cirurgia de redesignação sexual em mulheres transgênero: revisão da literatura

Abstract

Introduction: The gender affirming surgery consists of one of the many process which transgender women pass through searching for decrease or cessation of the feeling of gender incongruity. Pelvic floor dysfunction, however, often affects these women during postoperative period and the investigation regarding to the mains symptoms and the physiotherapeutic intervention is essential, although little explored. Aim: To present the scientific evidence of pelvic floor alterations, urinary and sexual functions after gender affirming surgery and to understand the physiotherapeutic role so far. Methods: This is a systematic review. The searches were conducted using the PubMed database from January 2015 to December 2022. Results: Seven articles that filled the criteria were found. The articles mentioned a high prevalence of complications related to pelvic floor after gender affirming surgery. Physiotherapy in the postoperative period showed benefits to muscle strength, urinary and sexual functions. Conclusion: Pelvic floor dysfunction prevalence after surgery is high and physiotherapy can improve postoperative complications.