Postoperative Complications following Primary Penile Inversion Vaginoplasty among 330 Male‐to‐Female Transgender Patients

@article{Gaither2018PostoperativeCF,
  title={Postoperative Complications following Primary Penile Inversion Vaginoplasty among 330 Male‐to‐Female Transgender Patients},
  author={Thomas W. Gaither and Mohannad A. Awad and Charles E. Osterberg and Gregory P Murphy and Angelita Romero and Marci L. Bowers and Benjamin N Breyer},
  journal={The Journal of Urology},
  year={2018},
  volume={199},
  pages={760–764}
}
Purpose Studies of surgical complications of penile inversion vaginoplasty are limited due to small sample sizes. We describe postoperative complications after penile inversion vaginoplasty and evaluated age, body mass index and years on hormone replacement therapy as risk factors for complications. Materials and Methods We retrospectively reviewed the records of male‐to‐female patients who presented for primary penile inversion vaginoplasty to a high volume surgeon (MLB) from 2011 to 2015… 
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Overall, penile-inversion vaginoplasty is a safe procedure, albeit with a high incidence of patients undergoing subsequent treatment or surgery, and most complications are considered minor and can be managed in the outpatient setting.
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TF gender reassignment is a novel, challenging set of procedures for the specialty of plastic surgery, with appropriate consideration and technique, penile inversion vaginoplasty is a safe, effective means of achieving this goal.
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References

SHOWING 1-10 OF 25 REFERENCES
Patient-Reported Complications and Functional Outcomes of Male-to-Female Sex Reassignment Surgery
TLDR
Later years of surgery, reflecting greater surgeon experience, were not associated with lower prevalence rates for most complications or with better ratings for most physical and functional outcomes of SRS.
Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques.
TLDR
This systematic review gives a detailed overview of the published outcomes of all currently available techniques for vaginoplasty in male-to-female transgenders and concludes the penile skin inversion technique is the most researched surgical procedure.
Non-grafted Vaginal Depth Augmentation for Transgender Atresia, Our Experience and Survey of Related Procedures
TLDR
Given adequate development of the rectal-vesical space and preservation of that space with self-dilation, epithelialization will ensue providing sexual gratification for patient and partner (as per patient).
Surgical reconstruction for male-to-female sex reassignment.
TLDR
Gender reassignment can be performed with minimal complications using penile skin with incorporated penile urethra and intraoperative repositioning of the patient to achieve adequate neovaginal dimensions for intercourse and neoclitoral sensation.
Male to female gender reassignment surgery: Surgical outcomes of consecutive patients during 14 years
TLDR
The data indicate that increasing surgical experience leads to shorter operating times and less complications, which suggests that GRS surgery should be performed at few centres so that surgical experience and volume may be optimized.
Impact of sex reassignment surgery on lower urinary tract function.
TLDR
SRS can cause minor changes in urinary habits even if they do not result in patients seeking medical help, transsexuals should be warned about these eventual discomforts pre-operatively.
The impact of body mass index on reduction mammaplasty: a multicenter analysis of 2492 patients.
TLDR
Reduction mammaplasty is a safe surgical procedure, however, patients with higher BMI have a greater risk of surgical site complications, and this risk should be discussed preoperatively with obese patients.
Sexual and Physical Health After Sex Reassignment Surgery
TLDR
After SRS, the transsexual person's expectations were met at an emotional and social level, but less so at the physical and sexual level even though a large number of transsexuals (80%) reported improvement of their sexuality.
Factors Associated with Satisfaction or Regret Following Male-to-Female Sex Reassignment Surgery
  • A. Lawrence
  • Medicine, Psychology
    Archives of sexual behavior
  • 2003
TLDR
The physical results of SRS may be more important than preoperative factors such as transsexual typology or compliance with established treatment regimens in predicting postoperative satisfaction or regret.
Do Cosmetic Surgeons Consider Estrogen-Containing Drugs to Be of Significant Risk in the Development of Thromboembolism?
TLDR
This survey shows that the management of patients taking estrogen-containing medication before plastic surgery varies, and guidelines regarding this should be sought.
...
1
2
3
...