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Presenting Complications to a Reconstructive Urologist After Masculinizing Genital Reconstructive Surgery
Geolani W Dy1, Michael A Granieri1, Benjamin C Fu2
1Department of Urology, New York University, New York, NY.
Urology
|June 24, 2019
Summary
Masculinizing gender affirming genital reconstructive surgery (GRS) can lead to common urologic complications like urethral strictures and fistulas. Many patients require revision surgery for multiple simultaneous issues shortly after their initial GRS.
Area of Science:
- Urology
- Gender Affirming Care
- Reconstructive Surgery
Background:
- Gender affirming genital reconstructive surgery (GRS) aims to align physical characteristics with gender identity.
- Complications following GRS can significantly impact patient well-being and necessitate further surgical intervention.
Purpose of the Study:
- To evaluate the types and frequency of urologic complications presenting to reconstructive urologists after masculinizing GRS performed at other institutions.
- To identify common sequelae requiring revision surgery.
Main Methods:
- Retrospective review of 55 patients undergoing revision surgery for complications of masculinizing GRS.
- Analysis of patient demographics, surgical history, and specific urologic complications.
- Statistical analysis using Fisher's exact test to compare presenting symptoms.
Main Results:
- Urethral strictures (86%) and urethrocutaneous fistulae (56%) were the most frequent complications.
- Vaginal remnants were present in 47% of patients.
- The majority of patients (73%) presented with two or more simultaneous complications, often within 4 months of initial GRS.
Conclusions:
- Common urologic complications after masculinizing GRS include urethral strictures, fistulas, and vaginal remnants.
- Patients frequently require reconstructive urology consultation for early-onset, multiple complications.
- Long-term outcomes of GRS warrant further investigation.
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