Mp64-12 Comparing Post Operative Course of Transgender Vaginoplasties With a Neovaginal Canal to Zero Depth Vaginoplasties

You have accessJournal of UrologyReconstruction: External Genitalia and Urotrauma (Including Transgender Surgery and Traumatic Fistula) II (MP64)1 May 2024MP64-12 COMPARING POST OPERATIVE COURSE OF TRANSGENDER VAGINOPLASTIES WITH A NEOVAGINAL CANAL TO ZERO DEPTH VAGINOPLASTIES Gabriel A. Fernandez, Anh Nguyen, Courtney Berg, Nitin Patel, and Jonathan Keith Gabriel A. FernandezGabriel A. Fernandez , Anh NguyenAnh Nguyen , Courtney BergCourtney Berg , Nitin PatelNitin Patel , and Jonathan KeithJonathan Keith View All Author Informationhttps://doi.org/10.1097/01.JU.0001008824.92877.7f.12AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Penile inversion vaginoplasty is one of the most common gender-affirming genital surgeries. However, not every trans female patient desires the creation of neovaginal canal and can opt for zero-depth vaginoplasty. We sought to compare the post operative course of penile inversion vaginoplasties with a neovaginal canal to zero depth vaginoplasties (ZDV). METHODS: A retrospective study was conducted on all transgender vaginoplasties performed between 6/2020 to 10/2023 by a single group of surgeons. Full-depth vaginoplasty (FDV) is performed with penile-inversion technique with concomitant multi-port robotic peritoneal graft harvest and vaginal canal dissection. ZDV consists only of the external portion of our FDV technique which includes penectomy, abdominoplasty, orchiectomy, and creation of neo-vulva and neo-clitoris. Patient demographics were collected. Length of hospital stay, post operative complications, daily morphine milligram equivalents (MME) were calculated for the two groups. Statistical analysis was performed in Excel and SPSS with two-sided T-tests and Fisher Exact tests. RESULTS: 83 patients were included in this analysis. 76 patients underwent a FDV and 7 patients underwent ZDV. The mean length of stay was 7 days for FDV vs. 4.5 days for ZDV. FDV patients were significantly younger than ZDV patients. Differences in BMI, race, length of hormonal therapy were not significantly different. The complication rate was higher for FDV compared to ZDV (26% vs. 14.3%) with the most common complications being wound dehiscence or bleeding (n=7) and urinary retention (n=7). From POD0-POD4, the total added MME was lower for ZDV vs FDV with 63.67 and 166.63 (p<0.0014), respectively. CONCLUSIONS: Zero-depth vaginoplasty is not as sought after in our patient population. ZDV patients were significantly older patients. ZDV patients tended to have less postoperative pain, shorter length of stay, and lower complication rates than FDV patients. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1045 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Gabriel A. Fernandez More articles by this author Anh Nguyen More articles by this author Courtney Berg More articles by this author Nitin Patel More articles by this author Jonathan Keith More articles by this author Expand All Advertisement PDF downloadLoading ...