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. 2021 Dec;28(12):3515-3518.
doi: 10.1007/s43032-021-00724-x. Epub 2021 Oct 5.

Combined Mastectomy and Laparoscopic Hysterectomy with Salpingo-Oophorectomy in Transgender Men: a Cohort Study

Daniela Gold #  1 , Marie-Christine Bertholin Y Galvez #  2 , Christian Laback  3 , Riccarda Hartleb  2 , Gordana Tomasch  2 , Stephanie Schöpfer  2 , Vesna Bjelic-Radisic  2 , Rüdiger Hochstätter  2 , Gunda Pristauz-Telsnigg  2 , Rene Laky  2 , Philipp Reif  2 , Arnim Bader  2 , Karl Tamussino  2
Affiliations

Combined Mastectomy and Laparoscopic Hysterectomy with Salpingo-Oophorectomy in Transgender Men: a Cohort Study

Daniela Gold et al. Reprod Sci. 2021 Dec.

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.

Keywords: Complications; Gender affirming surgery; Gender dysphoria; Transgender.

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Conflict of interest statement

Professor Karl Tamussino has served as a speaker for Medtronic, with honoraria going to the institution.

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