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Abstract

Introduction: Gender affirmation surgery is a procedure whose goal is to establish transsexual people the complete interaction between the body, mind and sexual identity. Like other surgeries, there are several complications that may occur, however, they are little elucidated in the literature, also the performance of physiotherapy in the face of these complications. Objective: To analyze pelvic functions and dysfunctions, and verify the performance of physiotherapy after gender affirmation surgery in transsexual women. Methodology: This is an integrative literature review. For execution, searches were performed in the PEDro and PubMed databases. The descriptors in health sciences used were: “Transgender persons”, “Physical Therapy Modalities”, “Pelvic Floor” and “Transexualism”.  Results: Nine articles were found that contemplate the idealized proposal. It was observed that there is consensus regarding the high incidence of pelvic complications, however, the performance of physiotherapy was mentioned only two studies. Sexual function is a conflicting data, since some patients report inability to perform any sexual act, and others report frequent orgasms and in relation to functionality, aesthetics and quality of life patients have good satisfaction. Conclusion: Gender affirmation surgery is related to relevant postoperative complications and may impact sexual function, however, patients present improvement in quality of life after the procedure, which may be related to psychological and physical factors. The performance of physiotherapy may be promising in this context, however it is little elucidated in the scientific literature.

Keywords: Transgender people, physiotherapy modalities, pelvic floor and transsexualism