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Updated: Jul 21, 2025
03:25
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
932
Database Tracking in Gender-Affirming Surgery: Are Patients Falling Through the Cracks?
Ton C Doan1, Kasey Leigh Wood Matabele1, Peter J Nicksic1
1University of Wisconsin School of Medicine and Public Health, Division of Plastic Surgery, Madison, Wisconsin.
Summary
Transfeminine vaginoplasty had zero venous thromboembolism cases, but coding issues limited research. Better classification is needed for accurate complication assessment in gender-affirming surgery.
Area of Science:
- Medical research
- Surgical outcomes
- Gender-affirming care
Background:
- Investigating venous thromboembolism (VTE) risk factors in transfeminine vaginoplasty.
- Identifying challenges in patient classification for research due to coding practices.
Purpose of the Study:
- To examine risk factors for venous thromboembolism (VTE) in transfeminine vaginoplasty patients.
- To highlight issues with current coding systems for gender-affirming surgery research.
Main Methods:
- Utilized a national surgical database from 2010-2019.
- Identified transgender patients undergoing vaginoplasty using diagnostic and procedure-specific codes.
Main Results:
- 457 transfeminine vaginoplasties were performed.
- Observed complications included wound dehiscence (24), unplanned reoperations (17), and surgical site infections (12).
- Zero cases of venous thromboembolism (VTE) were recorded, deferring risk factor analysis.
Conclusions:
- Coding heterogeneity for gender-affirming surgery resulted in a small, unrepresentative patient cohort.
- Current diagnostic and procedure codes are nonspecific and unbundled, impeding accurate complication incidence assessment.
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