Ambulatory Versus Inpatient Total Laparoscopic Hysterectomy in Trans Men: A Randomised Controlled Non-Inferiority...

Area of Science:

• Surgical innovation in transgender healthcare.
• Comparative effectiveness of surgical procedures.

Background:

• Hysterectomy is a common procedure for transgender men.
• Assessing the safety and efficacy of ambulatory surgery is crucial for patient outcomes.

Purpose of the Study:

• To determine if ambulatory total laparoscopic hysterectomy is non-inferior to inpatient surgery for transgender men.
• To evaluate patient satisfaction with length of stay and other key outcomes.

Main Methods:

• Single-center non-inferiority randomized controlled trial.
• Transgender men undergoing total laparoscopic hysterectomy were randomized to ambulatory or inpatient care.
• Primary outcome: patient satisfaction with length of stay; Secondary outcomes: pain, analgesic use, recovery, mood, complications, readmission.

Main Results:

• Ambulatory hysterectomy was non-inferior to inpatient surgery for patient satisfaction with length of stay.
• The ambulatory group reported lower pain scores but higher moderate analgesic use.
• Readmission and complication rates were higher in the inpatient group.

Conclusions:

• Ambulatory total laparoscopic hysterectomy is a safe and effective alternative to inpatient surgery for transgender men.
• Patient satisfaction and recovery quality are comparable, with potential benefits in reduced complications.