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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.
Vascular complications after gender-reassignment surgery can cause pain and affect blood flow. Stent placement successfully treated superficial femoral artery stenosis, improving outcomes for phalloplasty patients.
Area of Science:
- Vascular Surgery
- Genitourinary Reconstructive Surgery
Background:
- Gender-reassignment surgeries present significant technical challenges.
- Vascular complications, such as stenosis and claudication, can arise post-surgery.
Observation:
- A patient undergoing phalloplasty experienced disabling claudication due to superficial femoral artery stenosis.
- An initial anastomotic attempt failed to sustain viability of the reconstructed phallus.
Findings:
- Covered stent placement effectively corrected the arterial stenosis.
- The intervention successfully alleviated the patient's claudication, restoring blood flow.
Implications:
- Increased understanding of vascular complications is crucial as gender-reassignment surgeries rise.
- Multidisciplinary collaboration and enhanced vascular surgical involvement are vital for optimizing patient safety and outcomes in complex genital reconstructions.
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