Evidence map›Paper›PMID 34348219›Full record

ArticleSexual medicine2021

Perineal Cyst in Transgender Men: A Rare Complication Following Gender Affirming Surgery - A Case Series and Literature Overview.

Joyce D Asseler, Brechje L Ronkes, Freek A Groenman, Robert de Leeuw, Gary L S Pigot, Norah M van Mello

Open access · goldAbstract readCase Reports
In one paragraph

Article in Sexual medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. The effect of colpectomy on lower urinary tract function in transgender men.International journal of transgender health · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Joyce D AsselerAmsterdam UMC, Centre of Expertise on Gender Dysphoria, Amsterdam, The Netherlands; Amsterdam UMC, Department of Obstetrics and Gynaecology, Amsterdam, The Netherlands. Electronic address: j.d.asseler@amsterdamumc.nl.
Brechje L RonkesAmsterdam UMC, Centre of Expertise on Gender Dysphoria, Amsterdam, The Netherlands; Amsterdam UMC, Department of Urology, Amsterdam, The Netherlands.
Freek A GroenmanAmsterdam UMC, Centre of Expertise on Gender Dysphoria, Amsterdam, The Netherlands; Amsterdam UMC, Department of Obstetrics and Gynaecology, Amsterdam, The Netherlands.
Robert de LeeuwAmsterdam UMC, Centre of Expertise on Gender Dysphoria, Amsterdam, The Netherlands; Amsterdam UMC, Department of Obstetrics and Gynaecology, Amsterdam, The Netherlands.
Gary L S PigotAmsterdam UMC, Centre of Expertise on Gender Dysphoria, Amsterdam, The Netherlands; Amsterdam UMC, Department of Urology, Amsterdam, The Netherlands.
Norah M van MelloAmsterdam UMC, Centre of Expertise on Gender Dysphoria, Amsterdam, The Netherlands; Amsterdam UMC, Department of Obstetrics and Gynaecology, Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLAmsterdam University of Applied Sciences · NLGender Studies · CZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGenital gender affirming surgery (gGAS) is usually the final stage in the medical transition for transgender men and consists of creating a neophallus and neo-scrotum, with or without urethral lengthening(UL). To reduce the complication risks of UL, a mandatory colpectomy is performed prior to UL. Colpectomy is considered a complex surgery, which may lead to various perioperative complications. There are few long-term complications reported.

aimTo describe the clinical presentation and management of 3 consecutive transgender men presenting with a perineal cyst following gGAS.

methodsAfter obtaining informed consent all clinical data was collected, including medical history, current symptoms, imaging, as well as surgery and histological outcomes. Furthermore, a literature search was performed.

main outcome measureTo hypothesize the aetiology of the perineal cyst based on current published literature.

resultsThree otherwise healthy transgender men, ages 26-46 with a similar medical history, presented with a perineal cyst several months or years following colpectomy and gGAS with UL. All patients underwent surgery to remove the cyst. Several theories regarding aetiology of this perineal cyst are discussed in this report.

conclusionThere remain several gaps in our knowledge regarding the aetiology and management of this perineal cyst. Therefore, further research is necessary. Asseler JD, Ronkes BL, Groenman FA, et al. Perineal Cyst in Transgender Men: A Rare Complication Following Gender Affirming Surgery - A Case Series and Literature Overview. J Sex Med 2021;9:100415.

Indexed as

ColpectomyFemale-to-male transgenderGender affirming surgeryPerineal cystTransgenderUrethral lengthening surgeryVaginal remnantVaginectomy

Identifiers

PMID34348219
PMCPMC8498948
OpenAlexW3189833822

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.