[Follow-up of surgically treated transsexuals: what has changed?]. / Follow up dei transessuali operati: cosa è cambiato?

The surgery for both male and female transsexuals causes great difference in the behavior of operated patients. Then it is very important to analyze the variations of three parameters before and after operation: 1) the presence and the character of sexual feeling and the modality of sexual intercourse; 2) possibility of orgasm; 3) working behavior. The authors present the results of their study on 16 male transsexuals and 4 female transsexuals.

[Mastoses. Indications and technic for surgical treatment]. / Le mastosi. Indicazioni e tecnica per il trattamento chirurgico.

The authors tackle the subject of surgical treatment of benign diseases of breast. They show the importance to get a good result either pathologically or aesthetically. About this consideration they related operating techniques for various kinds of benign disease of breast, that assure the preservation or the aesthetical restoration of this region that is so psychologically important for a woman.

[Mastoses. Etiopathogenetic presuppositions for medical treatment]. / Le mastosi. Presupposti eziopatogenetici al trattamento medico.

The dimensions of breast are genetically determinated and hormones only allow breast (when growth is finished) to reach the definite dimensions. In the development of benign disease of breast, the estro-progestinic lack of balance, for a long period, holds a great importance; while GH, TSH, ACTH, prolactine, and androgens are often favourable elements for the development of the benign disease of breast. It isn't verified how it is due to the hormones activity and how to biometabolic activity of the tissue hormones operate on. Since the opinions about a direct connection between benign disease of breast and Ca. are in contrast, we advise a periodical inspection of breast, and, moreover, the dosage of the receptors for estradiol and 2 OH testosterone; if they are both present, they send to a surgical therpay. Treatment of these patients effected with derivatives of 19-Nor-testosterone and 17-OH-progesteron, must not absolutely base on empiricism but must be documented with hormonal dosages and with dosages of receptors. Failure of this therapy leads to a surgical treatment.

[Reimplantation of the areola and nipple in mastectomy operations for breast carcinoma]. / Reimpianto di areola e capezzolo negli interventi di mastectomia per carcinoma mammario.

The technique for the application of areola and nipple in the mastectomy for the mammary carcinoma is proposed. It is pointed out that the preservation of the nipple with its areola is psychologically important for the patient. It is also showed how the application of a silicone prosthesis, volumetrically restoring the extirpated tissue, is afterwards possible. During the operation, a disk of tissue is drawn under nipple and areola and histologically tested; if this tissue certainly results without neoplastics cells, the reapplication is achieved.