Dee Jolly

• Master of Science
• PhD Student at University of Oregon

Background Chronic pain inequities follow a social power-driven gradient of health, whereby those with less social advantage experience chronic pain more often. Feeling socially supported may reduce the burden of chronic pain. Purpose To take an intersectional approach to understand inequities in chronic pain in the United States, by testing wheth...

Presidential elections have the ability to influence the lives of transgender and gender diverse (TGD) people via their impact on governmental policies, inequalities, discrimination, and stigma. The 2020 U.S. presidential election through which Joe Biden and Kamala Harris were elected signaled a potential turning point following 4 years of increase...

Adolescence begins with pubertal maturation, driven by hormones released by the brain and body. Hormonal biomarkers show that developmental processes begun in utero are reawakened at puberty. This chapter describes how useful seemingly objective hormonal biomarkers are in shedding light on adolescent development, but also how the biomarkers themsel...

Objective: To determine if and how race impacts the 30-day outcomes of gender-affirming chest surgeries. Summary background: Little is currently known about how race may affect the outcomes of gender-affirming surgeries. Methods: We analyzed data from the National Surgical Quality Improvement Program (NSQIP) database of 30-day complications of...

Purpose: This study sought to prospectively examine the effects of gender-affirming chest reconstruction on gender congruence and chest dysphoria in transmasculine and nonbinary adolescents and young adults. Methods: Individuals between the ages of 15-35 who were seeking gender-affirming chest surgery were enrolled as part of a broader, longitud...

While masculinizing gender-affirming genital surgeries may include scrotoplasty, there has been limited research on the safety and outcomes of scrotoplasty among transgender men. We compared scrotoplasty complication rates between cisgender and transgender patients using data from the American College of Surgeon's National Surgical Quality Improvem...

Introduction Transgender men interested in achieving penetration after phalloplasty are currently limited to internal devices and makeshift supports. More options are needed to support sexual penetration after phalloplasty. Aim This study was designed to assess the feasibility of an external erectile prosthesis (the Elator) for transgender men who...

Background As phalloplasty becomes more routinely performed, there is a growing need for an evidence base to guide surgical decision-making. Recent reviews have suggested that flap type and number of stages may affect the high rates of urethral complications seen with phalloplasty, but no rigorous comparison of both has been performed. Methods A sy...

Introduction Gender-affirming phalloplasty involves the construction of a neophallus using one or more flaps, most often a radial forearm free-flap. Although numerous articles have reported on short-term surgical outcomes of phalloplasty, relatively few studies have followed phalloplasty patient prospectively, starting from before surgery, in order...

Background Transgender men who undergo gender-affirming phalloplasty have limited options for attaining sufficient rigidity for sexual penetration. Aim The goal of this study was to understand interest in and concerns about internal erectile prostheses among transgender men who had undergone phalloplasty. Methods As part of a pilot study of an ex...

As gender-affirming surgeries are being performed, new techniques have been developed to meet patient desires, including recent reports of several gender-affirming procedures being combined into a single operative encounter. Such a development may provide several advantages to both patients and providers. However, it is less clear whether combining...

Introduction There has been an exponential increase in referrals for transmasculine patients seeking genital affirmation surgery. Despite transgender men’s equal interest in metoidioplasty and phalloplasty, research has primarily focused on phalloplasty. Aim To summarize and investigate the relationship between surgical technique, complications, a...

Gender diverse people are increasingly pursuing gender-affirming surgery, but little is known about their experiences on accessing care. As part of the baseline assessment for an ongoing longitudinal study, we examined the types of barriers and self-reported out-of-pocket costs associated with gender-affirming surgery most commonly endorsed by tran...

As the transgender population increases, gender-affirming surgeries are being performed at unprecedented rates. Despite this increase, complications and long-term outcomes of gender-affirming interventions are largely understudied. We present a transgender patient who underwent radial forearm free flap (RFFF) phalloplasty as part of gender affirmat...

Purpose: We evaluated behavioral health histories and eligibility factors for patients seeking chest reconstruction. Methods: One hundred and fifty-eight consecutive transgender patients were seen for initial masculinizing top surgery consults between May 2017 and July 2019. Chart review was used to assess behavioral health and demographic factors...

Antibiotic overuse, particularly in the postoperative period, has contributed substantially to increased rates of antibiotic resistance. Despite insufficient evidence to support prolonged prophylactic antibiotics following the majority of plastic surgery operations, and societal recommendations against the practice, many surgeons continue to perpet...

Objectives: Polycystic ovarian syndrome (PCOS) is a complex condition which can include menstrual irregularity, metabolic derangement, and increased androgen levels. The mechanism of PCOS is unknown. Some suggest that excess production of androgens by the ovaries may cause or exacerbate the metabolic findings. The purpose of this study was to asse...

Objective: Existing transgender treatment guidelines suggest that for transmasculine treatment, there is a possible need for estrogen-lowering strategies adjunct to testosterone therapy. Further, guidelines advocate consideration of prophylactic female reproductive tissue surgeries for transgender men to avoid the possibility of estrogen-related h...

Objective: Most transgender women depend on medical treatment alone to lower testosterone levels in order to align physical appearance with gender identity. The medical regimen in the United States typically includes spironolactone and estrogens. The purpose of this cross-sectional study was to assess the testosterone suppression achieved among tr...