Experience of Hospitalization for a Patient with Gender Identity Disorder

抄録

There are increasingly diverse thoughts about sex and gender today. It is estimated that there are currently 46,000 patients suffering from gender identity disorder (GID) in Japan.

Herein, we report our experience of hospitalizing and performing an operation in a patient with GID for a postoperative maxillary cyst.

The 50-year-old patient, who appeared to be a female, presented to our hospital with a 1-month history of swelling in the right cheek. CT showed three cysts in the right maxillary sinus. The patient had undergone Caldwell-Luc operation of maxillary sinus on both sides about 30 years earlier. We diagnosed a right postoperative maxillary cyst and suggested operation. At that time, the patient confessed that she had been suffering from GID and was biologically, in fact, a man. She had undergone an orchidectomy 13 years earlier and even changed her name. We decided to treat her as a female patient in our hospital. There were no problems encountered whilst the patient was hospitalized and her postoperative course was uneventful.