In the current review, all included studies were of high-quality.
Samira Ebrahimzadeh Zagami, Robab Latifnejad Roudsari, and Ramin Sadeghi, analyzed statistically the data.
Vaginal prolapse, pelvic floor function, and related symptoms 16 years after sex reassignment surgery in transsexuals.
Finally, according to the inclusion criteria deletion of 32 articles , 16 articles were retrieved in the current systematic review, and only six studies were included in the meta-analysis.
Data pooling was carried out separately for each aspect of QoL in transsexual females and males six meta-analyses.
The main effect size indicated the difference in the mean scores of QoL after surgery.
Selection bias should also be considered in the current systematic review, since transsexual people, who agreed to participate in these studies, might have more satisfaction and better outcomes, compared to individuals who did not accept to participate.
Conversely, physical health was not significantly different between FtM transsexuals and females in any age group.