Urinary complications after penile inversion vaginoplasty in transgender women

被引:13
作者
Ding, Christina [1 ]
Khondker, Adree [1 ]
Goldenberg, Mitchell G. [2 ]
Kwong, Jethro C. C. [2 ]
Lajkosz, Katherine [2 ]
Potter, Emery [3 ]
Millman, Alexandra [3 ,4 ]
Krakowsky, Yonah [3 ,4 ,5 ]
Perlis, Nathan [2 ]
机构
[1] Univ Toronto, Temerty Fac Med, Toronto, ON, Canada
[2] Univ Toronto, Dept Surg, Div Urol, Toronto, ON, Canada
[3] Univ Toronto, Womens Coll Hosp, Transit Related Surg Program, Toronto, ON, Canada
[4] Univ Toronto, Womens Coll Hosp, Dept Surg, Div Urol, Toronto, ON, Canada
[5] Murray Koffler Urol Ctr, Toronto, ON, Canada
来源
CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL | 2023年 / 17卷 / 04期
关键词
SEX REASSIGNMENT SURGERY; POSTOPERATIVE COMPLICATIONS; FUNCTIONAL OUTCOMES; FOLLOW-UP; FEMALE; CONSTRUCTION; TRANSSEXUALS; PREDICTORS; NEOVAGINA; CARE;
D O I
10.5489/cuaj.8108
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
INTRODUCTION: Penile inversion vaginoplasty (PIV) remains the gold standard technique for vaginoplasty, a gender-affirming feminizing surgery, but has been associated with urinary complications; however, there is little literature synthesizing urinary complications after PIV surgery, and there is a need to compile these complications to counsel patients pre-and postoperatively on managing surgical expectations. In this systematic review, we summarize the prevalence of urinary complications following PIV. METHODS: We searched the MEDLINE, EMBASE, CINAHL, and Scopus databases in July 2020. The primary outcome was the prevalence of urinary and surgical complications in patients after penile inversion vaginoplasty. Pooled prevalence was determined from extrapo-lated data. ROBINS-I tool was used to assess study quality. The study was prospectively registered on PROSPERO (CRD42020204139). RESULTS: Of 843 unique records, 27 articles were pooled for synthesis, with 3388 patients in total. Overall patient satisfaction ranged from 80-100%. The most common urological complications included poor/splayed stream (11.7%, 95% confidence interval [CI] 5.7-19.3), meatal stenosis (6.9%, 95% CI 2.7-12.7), and irritative symptoms (frequency, urgency, noc-turia) (11.5%, 95% CI 2.6-25.1). Other urinary complications included retention requiring catheterization (5.1%, 95% CI 0.3-13.8), incontinence (8.7%, 95% CI 3.4-15.6), urethral stricture (4.6%, 95% CI 1.2-9.8), and urinary tract infection (5.6%, 95% CI 2.7-9.4). Most pooled studies had moderate risk of bias. CONCLUSIONS: The available evidence suggests that there is a low prevalence of urinary complications following PIV. Overall, there is a need for standardization of data in transgender surgical care to better understand surgical outcomes and improve postoperative management.
引用
收藏
页码:121 / 128
页数:8
相关论文
共 44 条
[1]   Sex differences in lower urinary tract biology and physiology [J].
Abelson, Benjamin ;
Sun, Daniel ;
Que, Lauren ;
Nebel, Rebecca A. ;
Baker, Dylan ;
Popiel, Patrick ;
Amundsen, Cindy L. ;
Chai, Toby ;
Close, Clare ;
DiSanto, Michael ;
Fraser, Matthew O. ;
Kielb, Stephanie J. ;
Kuchel, George ;
Mueller, Elizabeth R. ;
Palmer, Mary H. ;
Parker-Autry, Candace ;
Wolfe, Alan J. ;
Damaser, Margot S. .
BIOLOGY OF SEX DIFFERENCES, 2018, 9
[2]   Feminine Transformations: Gender Reassignment Surgical Tourism in Thailand [J].
Aizura, Aren Z. .
MEDICAL ANTHROPOLOGY, 2010, 29 (04) :424-443
[3]   Surgical Reconstruction for Male-to-Female Sex Reassignment [J].
Amend, Bastian ;
Seibold, Joerg ;
Toomey, Patricia ;
Stenzl, Arnulf ;
Sievert, Karl-Dietrich .
EUROPEAN UROLOGY, 2013, 64 (01) :141-149
[4]   Adult transgender care: A review for urologists [J].
Anderson, Kate ;
Krakowsky, Yonah ;
Potter, Emery ;
Hudson, Jill ;
Cox, Ashley R. .
CUAJ-CANADIAN UROLOGICAL ASSOCIATION JOURNAL, 2021, 15 (10) :345-352
[5]  
BLANCHARD R, 1987, J SEX MARITAL THER, V13, P265
[6]   Outcomes and Predictors of Revision Labiaplasty and Clitoroplasty after Gender-Affirming Genital Surgery [J].
Boas, Samuel R. ;
Ascha, Mona ;
Morrison, Shane D. ;
Massie, Jonathan P. ;
Nolan, Ian T. ;
Shen, Jacson K. ;
Vyas, Krishna S. ;
Satterwhite, Thomas .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2019, 144 (06) :1451-1461
[7]   SEX REASSIGNMENT SURGERY IN MALE TO FEMALE TRANSSEXUALS [J].
BOUMAN, FG .
ANNALS OF PLASTIC SURGERY, 1988, 21 (06) :526-531
[8]   Penile Inversion Vaginoplasty with or without Additional Full-Thickness Skin Graft: To Graft or Not to Graft? [J].
Buncamper, Marlon E. ;
van der Sluis, Wouter B. ;
de Vries, Max ;
Witte, Birgit I. ;
Bouman, Mark-Bram ;
Mullender, Margriet G. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2017, 139 (03) :649E-656E
[9]   Surgical Outcome after Penile Inversion Vaginoplasty: A Retrospective Study of 475 Transgender Women [J].
Buncamper, Marlon E. ;
van der Sluis, Wouter B. ;
van der Pas, Roos S. D. ;
Ozer, Mujde ;
Smit, Jan Maerten ;
Witte, Birgit I. ;
Bouman, Mark-Bram ;
Mullender, Margriet G. .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2016, 138 (05) :999-1007
[10]   Complications and Patient-reported Outcomes in Transfemale Vaginoplasty: An Updated Systematic Review and Meta-analysis [J].
Bustos, Samyd S. ;
Bustos, Valeria P. ;
Mascaro, Andres ;
Ciudad, Pedro ;
Forte, Antonio J. ;
Del Corral, Gabriel ;
Manrique, Oscar Javier .
PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN, 2021, 9 (03) :E3510