1. Combined Mastectomy and Laparoscopic Hysterectomy with Salpingo-Oophorectomy in Transgender Men: a Cohort Study
- Author
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Gunda Pristauz-Telsnigg, Vesna Bjelic-Radisic, Philipp Reif, Rüdiger Hochstätter, Daniela Gold, Karl Tamussino, G. Tomasch, Stephanie Schöpfer, Arnim A. Bader, Rene Laky, Marie-Christine Bertholin y Galvez, Riccarda Hartleb, and Christian Laback
- Subjects
Adult ,Male ,Gender dysphoria ,medicine.medical_specialty ,Complications ,medicine.medical_treatment ,Salpingo-oophorectomy ,Reproductive medicine ,General Gynecology: Original Article ,Hysterectomy ,Sitting ,Transgender Persons ,Cohort Studies ,Postoperative Complications ,Transgender ,medicine ,Humans ,Gender affirming surgery ,Mastectomy ,Retrospective Studies ,business.industry ,Obstetrics and Gynecology ,Perioperative ,Middle Aged ,medicine.disease ,Combined Modality Therapy ,Surgery ,Concomitant ,Female ,Laparoscopy ,business ,Follow-Up Studies ,Cohort study - Abstract
There are few data on complications with gender affirming surgery. The aim of this study was to assess peri- and postoperative complications of laparoscopic hysterectomy and mastectomy performed in a single sitting in transgender men. Assessment of intra- and postoperative complications in a series of 65 transgender men (mean age 27, range 18–47) undergoing concomitant mastectomy and laparoscopic hysterectomy with salpingo-oophorectomy. Mean operating time was 292 ± 47 min. Thirty-four (52%) patients experienced complications: 28 (41%) DINDO grade I, 0 DINDO grade 2, 6 (11%) DINDO grade III. The six grade 3 complications consisted of 5 hematomas requiring evacuation after mastectomy and 2 vaginal tears requiring transvaginal repair. Three patients were readmitted within 30 days, all for postoperative bleeding/hematoma. In transgender men, performing laparoscopic hysterectomy and mastectomy at a single sitting has a modest rate of perioperative complications, and may improve resource utilization. Supplementary Information The online version contains supplementary material available at 10.1007/s43032-021-00724-x.
- Published
- 2021
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