Geburtshilfe Frauenheilkd 2021; 81(06): e14
DOI: 10.1055/s-0041-1730478
Endokrinologie & Reproduktionsmedizin

Combined mastectomy and laparoscopic hysterectomy with salpingo-oophorectomy in transgender men: a cohort study

D Gold
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
(ehem. Ulrich), MD, PhD*,
C Marie
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
Bertholin y Galvez, MD*,
C MD Laback
2   Division of Plastic, Aesthetic and Reconstructive Surgery, Medical University of Graz, Graz, Austria
,
R Hartleb
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
MD, MSc,
G MD Tomasch
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
S MD Schöpfer
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
(ehem. Ulrich), MD, PhD*,
V MD Bjelic-Radisic
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
R Hochstätter
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
MD Msc,
G MD Pristauz-Telsnigg
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
A MD Bader
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
R MD Laky
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
P MD Reif
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
K MD Tamussino
1   Medical University of Graz, Department of Gynecology and Obstetrics, , Graz, Austria
,
* contributed equally to the manuscript › Author Affiliations
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Introduction 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.

Methods 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.

Results Mean operating time was 292 ±47 minutes. 34 (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.

Conclusion In transgender men, performing laparoscopic hysterectomy and mastectomy at a single sitting does not appear to increase the rate of perioperative complications, and may improve resource utilization.

Interessenskonflikt Nicht vorhanden.



Publication History

Article published online:
02 June 2021

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