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Updated: Dec 20, 2025
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Peripheral Vascular Complication of Transgender Reassignment Surgery
Nicholas Russo1, Jonathan Deitch2, Jonathan Schor2
1Division of Vascular and Endovascular Surgery, Staten Island University Hospital Northwell Health, Staten Island, NY.
Background:
Gender-reassignment surgeries are technically challenging and associated with detrimental vascular complications.
Methods:
A 49 year-old female status-post phalloplasty presented with peripheral vascular complication resulting in disabling claudication. Initial anastomotic attempt was rendered nonviable to sustain the constructed phallus resulting in superficial femoral artery stenosis. Covered stent placement corrected the stenosis and alleviated the claudication.
Results:
As gender-reassignment surgeries increase, greater understanding of potential vascular complications is needed. Involvement of multidisciplinary teams is necessary to optimize patient safety and outcomes.
Conclusions:
Vascular surgery should play a larger role in these complex revascularizations and vessel anastomoses to ensure quality blood flow to the reconstructed genitalia.
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Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...