Lebensqualität nach geschlechtsangleichenden Operationen – eine Übersicht

Meier, A; Papadopulos, Nikolaos Α.

doi:10.1055/a-1487-6415

Cited by 2 publications

(4 citation statements)

References 42 publications

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“…We included 2317 TGNB patients who underwent CMS in the cohort. The median (IQR) age was 25 (21)(22)(23)(24)(25)(26)(27)(28)(29)(30) years, and the median (IQR) BMI was 27.37 (23.44-32.2) kg/m 2 . Figure 1 illustrates the distribution of BMI within our study population.…”

Section: Resultsmentioning

confidence: 99%

“…Nonobese patients (BMI <30 kg/m 2 ) were significantly younger than patients with BMI categories 1 through 3 (30-44.9 kg/m 2 ) [median (IQR) age, 24 (21-29) vs 26 through 28 (22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35) years; P < 0.001]. Nonobese patients had significantly shorter operating times compared with patients with BMI category 3 (40-44.9 kg/m 2 ) [median (IQR) operating time, 141 (110-183.5) vs 154 (120-198) minutes; P = 0.006].…”

Section: Resultsmentioning

confidence: 99%

“…Despite the physical, mental, and psychosocial benefits of gender-affirming surgery for TGNB patients, 1,[22][23][24][25][26] transmasculine patients seeking CMS can be denied surgery because of BMI requirements implemented to mitigate the potential risk for intraoperative and postoperative complications. 4,27 Our results suggest that while increasing BMI is associated with the development of postoperative complications after CMS, the overall likelihood of life-threatening and significantly morbid complications is negligible.…”

Section: Discussionmentioning

confidence: 99%

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Association of High Body Mass Index With Postoperative Complications After Chest Masculinization Surgery

Hassan,

Schuster,

Ascha

et al. 2023

Ann Plast Surg

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Purpose Body mass index (BMI) requirements for transgender and nonbinary patients undergoing chest masculinization surgery (CMS) are not standardized and based on small sample sizes. This is the largest and first national retrospective study to determine the association between BMI and postoperative complications. Methods The National Surgical Quality Improvement Program 2012–2020 was queried for CMS patients. The primary outcome was incidence of at least one complication within 30 days. Secondary outcomes were incidence of major and minor complications. Body mass index (in kilograms per square meter) was categorized as category 0 (<30), 1 (30–34.9), 2 (35–39.9), 3 (40–44.9), 4 (45–49.9), and 5 (≥50). Logistic regression was used to evaluate the association between BMI and outcomes. Results Of 2317 patients, median BMI was 27.4 kg/m2 (interquartile range, 23.4–32.2 kg/m2). Body mass index range was 15.6 to 64.9 kg/m2. While increasing BMI was significantly associated with greater odds of at least one complication, no patients experienced severe morbidity, regardless of BMI. Patients with BMI ≥50 kg/m2 had an adjusted odds ratio [aOR, 95% confidence interval (CI)] of 3.63 (1.02–12.85) and 36.62 (2.96–>100) greater odds of at least one complication and urinary tract infection compared with nonobese patients, respectively. Patients with BMI ≥35 kg/m2 had an adjusted odds ratio (95% CI) of 5.06 (1.5–17.04) and 5.13 (1.89–13.95) greater odds of readmission and surgical site infection compared with nonobese patients, respectively. Conclusions Chest masculinization surgery in higher BMI patients is associated with greater odds of unplanned readmission. Given the low risk for severe complications in higher BMI individuals, we recommend re-evaluation of BMI cutoffs for CMS patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Association of High Body Mass Index With Postoperative Complications After Chest Masculinization Surgery

Hassan,

Schuster,

Ascha

et al. 2023

Ann Plast Surg

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“…GAS combined with cross-sex hormones and psychological therapy can improve the quality of life of transgender patients [ 27 ]. An enhancement in quality of life following GAS is well established [ 28 ]. In numerous studies, individuals undergoing GAS have reported notable enhancements in body image and an increased level of satisfaction with their overall lifestyle [ 29 , 30 ].…”

Section: Discussionmentioning

confidence: 99%

Hyperspectral Imaging Detects Clitoral Vascular Issues in Gender-Affirming Surgery

Schulz,

Köhler,

Kohler

et al. 2024

Diagnostics

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The aim of this study was to assess the efficacy of hyperspectral imaging (HSI) as an intraoperative perfusion imaging modality during gender affirmation surgery (GAS). The hypothesis posited that HSI could quantify perfusion to the clitoral complex, thereby enabling the prediction of either uneventful wound healing or the occurrence of necrosis. In this non-randomised prospective clinical study, we enrolled 30 patients who underwent GAS in the form of vaginoplasty with the preparation of a clitoral complex from 2020 to 2024 and compared patients’ characteristics as well as HSI data regarding clitoris necrosis. Individuals demonstrating uneventful wound healing pertaining to the clitoral complex were designated as Group A. Patients with complete necrosis of the neo-clitoris were assigned to Group B. Patient characteristics were collected and subsequently a comparative analysis carried out. No significant difference in patient characteristics was observed between the two groups. Necrosis occurred when both StO2 and NIR PI parameters fell below 40%. For the simultaneous occurrence of StO2 and NIR PI of 40% or less, a sensitivity of 92% and specificity of 72% was calculated. Intraoperatively, the onset of necrosis in the clitoral complex can be reliably predicted with the assistance of HSI.

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Lebensqualität nach geschlechtsangleichenden Operationen – eine Übersicht

Cited by 2 publications

References 42 publications

Association of High Body Mass Index With Postoperative Complications After Chest Masculinization Surgery

Association of High Body Mass Index With Postoperative Complications After Chest Masculinization Surgery

Hyperspectral Imaging Detects Clitoral Vascular Issues in Gender-Affirming Surgery

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