Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Hochstaetter, R; Galvez, MCBY; Hartleb, R; Laback, C; Aigmueller, T; Tamussino, K; Gold, D.
Voiding dysfunction after colpectomy and urethral lengthening in transgender men
INT J TRANSGEND HEAL. 2021;
Doi: 10.1080/26895269.2021.1924916
Web of Science
FullText
FullText_MUG
- Führende Autor*innen der Med Uni Graz
- Hochstätter Rüdiger
- Co-Autor*innen der Med Uni Graz
- Aigmüller Thomas
- Bertholin y Galvez Marie-Christine
- Gold ehem Ulrich Daniela
- Hartleb Riccarda
- Laback Christian
- Tamussino Karl
- Altmetrics:
- Dimensions Citations:
- Plum Analytics:
- Scite (citation analytics):
- Abstract:
- Background Colpectomy is a frequent part of gender-affirming surgery in transgender men. Urologic complications with these procedures can complicate and delay further management. Aim: We reviewed the rate of postoperative voiding dysfunction after colpectomy with urethral lengthening in transgender men. Methods We reviewed postoperative voiding in 47 transgender men (age, 19-50 years) who underwent colpectomy with urethral lengthening. Thirty-eight patients (81%) had undergone hysterectomy (36 total, 2 subtotal/supracervical) previously and 11 (23%) underwent concomitant hysterectomy or removal of the residual cervix (4 abdominal, 6 laparoscopic, 1 transvaginal). Colpectomy was done transvaginally by opening and developing laterally the vesicovaginal and rectovaginal spaces and then transecting the lateral vaginal attachments with bipolar vessel sealing. Urethral lengthening with an anterior vaginal flap was performed in the same procedure as colpectomy. A transurethral catheter was left in situ for 14 days postoperatively. Voiding dysfunction was defined as failure of spontaneous micturition after removal of the catheter at 14 days. Results 40/47 (85%) patients were able to void after catheter removal, 7 (15%) were not. Voiding dysfunction occurred in 3/11 (27%) patients undergoing concomitant hysterectomy or removal of a residual cervix and in 4/36 patients (11%) status post total hysterectomy. Voiding dysfunction persisted for a median of 3 months (2 days - 46 months). Conclusions In this series voiding dysfunction developed in 15% of transgender men undergoing colpectomy with urethral lengthening and appeared to be more common in patients undergoing concomitant hysterectomy or removal of a residual cervix than in those status post hysterectomy. Patients should be counseled accordingly.
- Find related publications in this database (Keywords)
- Colpectomy
- urethral lengthening
- gender-affirming surgery
- transgender
- voiding dysfunction
- urinary retention