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Genital gender-affirming surgery trends in Germany: Total population data with 19,600 cases from 2006 to 2022

  • 0Department of Urology, Philipps-University Marburg, Marburg, Germany.
Andrology +

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September 17, 2024

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September 17, 2024

View abstract on PubMed

Summary

This summary is machine-generated.

Gender-affirming surgeries (GAS) in Germany saw exponential growth from 2006 to 2022, with both masculinizing and feminizing procedures increasing significantly. Surgeries are increasingly concentrated in specialized high-volume centers.

Area Of Science

  • Medical Statistics
  • Surgical Trends
  • Public Health

Background

  • Gender-affirming surgeries (GAS) are a critical component of gender transition for many transgender individuals.
  • Understanding trends in GAS provision is essential for healthcare planning and resource allocation.

Purpose Of The Study

  • To analyze and delineate the current trends in gender-affirming surgeries (GAS) performed in Germany between 2006 and 2022.
  • To identify patterns in the volume and distribution of masculinizing and feminizing procedures.

Main Methods

  • Utilized German hospital quality reports from 2006 to 2022 via the reimbursement.info tool.
  • Assessed German procedure classification (OPS) codes 5-646.0 (masculinizing) and 5-646.1 (feminizing) for GAS identification.
  • Employed linear regression models to analyze and depict trends in surgical procedures.

Main Results

  • A total of 19,632 GAS procedures were performed, showing exponential growth over the study period.
  • Masculinizing surgeries increased by 424% (246 to 1291 cases) and feminizing surgeries by 343% (180 to 799 cases).
  • The number of hospitals offering GAS increased by 21% (24 to 29), with a trend towards centralization in high-caseload centers.

Conclusions

  • Demonstrated significant exponential growth in both masculinizing and feminizing gender-affirming surgeries in Germany.
  • Observed a clear trend of procedure concentration within specialized, high-volume medical centers across the country.

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