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Voiding dysfunction after colpectomy and urethral lengthening in transgender men
Rüdiger Hochstätter1, Marie-Christine Bertholin Y Galvez1, Riccarda Hartleb1
1Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
International Journal of Transgender Health
|January 30, 2023
Summary
Postoperative voiding dysfunction occurred in 15% of transgender men after colpectomy with urethral lengthening. This complication was more frequent in patients undergoing concomitant hysterectomy.
Area of Science:
- Urology
- Gender-affirming surgery
- Transgender health
Background:
- Colpectomy is a common procedure in gender-affirming surgery for transgender men.
- Urologic complications can arise, potentially delaying further medical management.
Purpose of the Study:
- To determine the rate of postoperative voiding dysfunction following colpectomy with urethral lengthening in transgender men.
- To identify potential risk factors associated with voiding dysfunction.
Main Methods:
- A retrospective review of 47 transgender men who underwent colpectomy with urethral lengthening.
- Data collected included prior hysterectomy status and concomitant procedures.
- Voiding dysfunction was defined as failure to void spontaneously after catheter removal at 14 days.
Main Results:
- 85% of patients (40/47) achieved spontaneous voiding post-catheter removal.
- 15% of patients (7/47) experienced voiding dysfunction.
- Voiding dysfunction was higher in patients undergoing concomitant hysterectomy (27%) compared to those with prior hysterectomy (11%).
Conclusions:
- Voiding dysfunction affects 15% of transgender men undergoing colpectomy with urethral lengthening.
- Concomitant hysterectomy may increase the risk of voiding dysfunction.
- Patients should be counseled on the potential for voiding dysfunction.
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