@EersteKamer.
#vvd @progressiefned @CDAvandaag @christenunie @D66 @DenkNL @AWJAvanHattem @fvdemocratie @SPnl @JuisteAntwoord @SGPnieuws @PartijvdDieren @BoerBurgerB
Die kinderen, die denken dat ze een verkeerd lichaam hebben en die niet tegengesproken mogen worden vanwege de
#anticonversiewet, die komen in de fuik van de
#transgenderklinieken.
Het zijn meestal homoseksuele, autistische, getraumatiseerde kinderen / jongeren. Ze worden niet beschermd. Ze krijgen onnodige operaties die hen niet alleen onvruchtbaar maken, hun
#orgasmevermogen aantasten en hun partnerkeuze decimeren, het is ook zeker dat velen levenslang ernstige
#gezondheidsklachten zullen hebben.
De wet belemmert vrije gesprekken met hen - alsof zelfdiagnose / vurige wens als kind of tiener boven alles gaat. Homoconversie ìs al verboden - deze wet is vooral gericht op tieners die problemen hebben met hun lichaam of met hun maatschappelijke (toekomstige) rol.
Stel die wet uit, verdiep u in de 'zorg' en weet dat Nederland hopeloos achter loopt bij de aanbevelingen uit
#systematische_reviews. De Amsterdamse genderkliniek startte jeugdtransitie (
#DutchProtocol) maar kan of wil na ruim 30 jaar niet eens laten zien wie van de duizenden patiënten nog in leven is. Hoevelen decennia later nog blij is met hun onomkeerbare keuze als tiener, welk deel werk heeft, een partner heeft, een goede fysieke en mentale gezondheid heeft.
Een medisch schandaal.
Here is an overview of what the literature currently reports on complication rates for transgender surgery:
🔼 Top Surgery (Chest Masculinization / Mastectomy)
Top surgery is generally considered the safer and less complex of the two categories.
Overall complication rates vary considerably by study and technique:
•In one institutional series of 73 subcutaneous mastectomies, the rate of major complications was just 2.7%, with revision surgery required in 5.4% of cases. 
•In another retrospective study of 81 patients, complications occurred in 25% of patients, though only two required reoperation within 30 days. 
Hematoma is the most frequently reported early complication:
•Hematomas are the most common immediate complication in gender-affirming mastectomy, with rates in the literature ranging from 0% to 31.2% — substantially higher than in other types of breast surgery. The use of more limited, nipple-sparing incisions is associated with a higher hematoma rate.  
Hormones: A meta-analysis of 15 studies (3,036 patients on testosterone vs. 726 not on testosterone) found that overall complication rates were similar between the two groups (11.08% vs. 9.80%), meaning testosterone therapy does not appear to significantly increase complication risk. 
Patient-reported outcomes are generally positive, with studies consistently reporting improvements in chest dysphoria, gender congruence, and body image after surgery.
🔽 Bottom Surgery
Bottom surgery encompasses multiple complex procedures and carries significantly higher complication rates than top surgery.
Vaginoplasty (transfeminine)
The complication rate after gender-affirming vaginoplasty is approximately 25.3%, with roughly half of these requiring surgical intervention. 
Transfeminine vaginoplasty frequently leads to urethral stricture (10–18%), meatal stenosis (5–10%), neovaginal stenosis (up to 30%), and dyspareunia (20–40%). 
Overall, vaginoplasty carries a complication rate ranging from 20–70%, with granulation tissue occurring in approximately 26% of cases. 
In a small number of cases (roughly 0–5%), rectal injury can occur as an intraoperative complication. Other common complications include meatal stenosis, urinary retention, and haemorrhage. 
Phalloplasty (transmasculine)
Phalloplasty is among the most technically complex procedures in reconstructive surgery and carries the highest complication rates:
•Gender-affirming phalloplasty has a reported complication rate as high as 76.5%.  
•In a detailed retrospective study of 280 patients at a dedicated transgender surgery center, patients experienced an average of 3.6 complications requiring surgery (range 0–18). Total phallus loss due to vascular insufficiency occurred in 0.7% of cases. 
•Even with the radial forearm free flap method, considered by many as the gold standard, urethroplasty-related complications occur in up to 64% of cases. 
Phalloplasty is associated with urethral fistulas (15–60%), urethral strictures (25–58%), and urinary retention (25–58%). Pelvic floor dysfunction affects up to 94.1% of transgender men post-surgery. 
Metoidioplasty (smaller-scale transmasculine procedure)
Metoidioplasty carries somewhat lower rates than phalloplasty: urethral fistulas in 10–25% of cases, strictures in around 20%, and urinary retention in 15–25%.