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Infections Following Gender-Affirming Vaginoplasty: A Single-Center Experience
Radhika Sheth1, Apoorva Bhaskara2, Haley Brown3
1Division of Infectious Disease, Oregon Health & Science University, Portland, Oregon, USA.
Open Forum Infectious Diseases
|October 16, 2024
Summary
Post-gender-affirming vaginoplasty, urinary tract and surgical site infections are common. There is a notable need for improved human immunodeficiency virus screening and pre-exposure prophylaxis prescription.
Area of Science:
- Urology
- Infectious Diseases
- Transgender Health
Background:
- Gender-affirming surgeries are increasingly common.
- Understanding post-operative infection rates is crucial for patient outcomes.
Purpose of the Study:
- To determine the epidemiology and incidence of infections after gender-affirming vaginoplasty.
- To assess human immunodeficiency virus (HIV) screening and pre-exposure prophylaxis (PrEP) practices in this population.
Main Methods:
- Retrospective analysis of patient data following vaginoplasty.
- Tracking of infection types, incidence rates, and diagnostic codes.
- Review of HIV screening and PrEP prescription records.
Main Results:
- Urinary tract infections (UTIs) occurred in 17.5% of patients.
- Surgical site infections (SSIs) occurred in 5.5% of patients.
- Significant underutilization of HIV screening and PrEP was observed.
Conclusions:
- UTIs and SSIs represent the most frequent complications post-vaginoplasty.
- There is a critical need to enhance HIV prevention strategies, including screening and PrEP, for individuals undergoing gender-affirming surgery.
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