Laudos necessários para a cirurgia de redesignação sexual

Summary

Dr. Thiago Caetano, a urologist and gender reassignment surgery specialist, explains the required medical documents, called 'laudos,' for transgender women in Brazil to undergo gender reassignment surgery. These laudos, issued by an endocrinologist, psychiatrist, and psychologist, confirm that the patient has received the necessary multidisciplinary care for at least one year. The video emphasizes the importance of these documents in ensuring the patient's readiness for the irreversible procedure and their informed consent. Dr. Caetano reassures viewers that these laudos are vital for both patient safety and the surgeon’s responsibility, facilitating a thorough and well-supported surgical process.

Takeaways

• 😀 Dr. Thiago Caetano is a urologist and surgeon specializing in gender reassignment surgery and trans health.
• 😀 The video discusses the necessary medical documents (reports) required for a trans woman to undergo gender reassignment surgery.
• 😀 These reports are mandatory, regardless of whether the surgery is done via SUS, private insurance, or independently.
• 😀 A key regulation from the Federal Council of Medicine (CFM) was issued in 2019, which outlines specific requirements for surgeries and treatments for gender affirmation.
• 😀 A trans woman can start hormone therapy from the age of 16 and undergo gender reassignment surgery from the age of 18 under the new CFM resolution.
• 😀 Previously, the minimum age for surgery was 21, and hormone therapy started at 18.
• 😀 A minimum of one year of multidisciplinary medical supervision is required before a gender reassignment surgery can take place.
• 😀 The required team consists of at least three specialists: a psychiatrist, a psychologist, and an endocrinologist.
• 😀 Other specialists, such as urologists, gynecologists, occupational therapists, and plastic surgeons, may be involved in the care team.
• 😀 The medical reports from the multidisciplinary team validate that the trans woman has been properly supported and assessed before surgery, ensuring her full capacity for decision-making and confirming no contraindications to the procedure.

Q & A

What is required for a transgender woman to undergo gender-affirming surgery?

A transgender woman needs several medical reports to undergo gender-affirming surgery. These reports include evaluations from a psychologist, psychiatrist, and endocrinologist, confirming a minimum of one year of multidisciplinary pre-operative care.

What is the role of the multidisciplinary team in the pre-operative process?

The multidisciplinary team ensures that the transgender woman is properly monitored and supported during the pre-operative phase. The team typically includes a psychologist, psychiatrist, and endocrinologist, with other specialists like urologists and surgeons potentially involved.

What changes did the 2019 resolution from the Federal Council of Medicine (CFM) bring about?

The 2019 resolution reduced the minimum age for gender-affirming surgeries to 18, and for hormone therapy to 16. It also shortened the required pre-operative care from two years to one year.

Why is the one-year minimum of pre-operative care significant?

The one-year pre-operative care ensures that the transgender woman has been adequately supported and monitored by healthcare professionals. This period allows the patient to receive the necessary psychological and medical attention before undergoing irreversible procedures like gender-affirming surgery.

What do the reports from the psychologist and psychiatrist focus on in the pre-operative process?

The psychologist and psychiatrist's evaluations focus on assessing the mental well-being of the transgender woman. They ensure that she has the capacity to make informed decisions and help address any mental health issues related to the transition, such as stress and potential disorders.

What is the significance of the endocrinologist’s report in the process?

The endocrinologist’s report confirms that the transgender woman has undergone hormone therapy, which is an essential part of the transition process before undergoing gender-affirming surgery.

Can a non-endocrinologist issue the endocrinologist’s report for hormone therapy?

Yes, a non-endocrinologist doctor can issue the report if they have been the one responsible for overseeing the hormone therapy. However, they must have the necessary expertise and competence to manage hormone treatments.

Is it possible for the psychological and psychiatric evaluations to be combined into one report?

Yes, in some institutions, the psychological and psychiatric evaluations may be combined into a single report, signed by both professionals, if they are involved in the patient’s care together.

Do transgender women need to have these medical reports, even if they are certain about their desire for surgery?

Yes, the medical reports are necessary. They are not just bureaucratic; they ensure that the transgender woman has been properly supported by a competent team and has the capacity for making an informed decision. The reports confirm that she is ready for surgery and does not have contraindications.

What is the importance of these medical reports for the surgeon performing the gender-affirming surgery?

The reports assure the surgeon that the patient has been carefully evaluated and supported by a multidisciplinary team, and that the patient has the mental capacity and no contraindications to undergo the surgery. This ensures a safer surgical process and a well-supported patient.