ArticleInternational journal of impotence research2020
Surgical repair of urethral complications after metoidioplasty for genital gender affirming surgery.
Article in International journal of impotence research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Systematic review of the outcomes of urethroplasty following urethral lengthening in transgender men.International journal of impotence research · 2026Pooled it
- Exploring experiences of metoidioplasty: A qualitative study.International journal of transgender health · 2026Article
- Metoidioplasty in Norway: A 13-year Experience from a National Center.Plastic and reconstructive surgery. Global open · 2024Article
- Surgical outcomes and proposal for a treatment algorithm for urethral strictures in transgender men.BJU international · 2022Article
- An Updated Overview of Gender Dysphoria and Gender Affirmation Surgery: What Every Plastic Surgeon Should Know.World journal of surgery · 2021Review
- Treatment of Urethral Strictures in Transmasculine Patients.Journal of clinical medicine · 2021Review
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Authors and funding
4 authors.
Funding
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Abstract
Metoidioplasty as form of genital gender affirming surgery (GGAS) is frequently complicated by urethral fistulas and/or strictures. Knowledge on how to treat these complications is scarce. This series aims to describe the techniques used to treat urethral fistulas and strictures and will report the outcomes of these techniques. For this purpose, a retrospective analysis was done of a database containing 74 transmen who underwent metoidioplasty and retrieved 26 patients who underwent surgical treatment for a urethral complication. Four patients suffered both a stricture and fistula after metoidioplasty. Fistula repair was done by 3-layer closure in 18 patients and failed in 7 (39%) cases after a median follow-up of 27 months. Urethroplasty was done by different techniques according to the type of stricture and failed in 4 (33%) out of 12 cases after a median follow-up of 15 months. No high-grade complications (Dindo-Clavien ≥grade 3) were reported after fistula repair or urethroplasty. This series highlights that fistulas and strictures are frequent after metoidioplasty, but can be successfully treated by respectively 3-layer closure and urethroplasty in about 2 out of 3 cases.
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