Evidence map›Paper›PMID 36486178›Full record

ReviewCanadian Urological Association journal = Journal de l'Association des urologues du Canada2023

Urinary complications after penile inversion vaginoplasty in transgender women Systematic review and meta-analysis.

Christina Ding, Adree Khondker, Mitchell G Goldenberg, Jethro C C Kwong, Katherine Lajkosz, Emery Potter, Alexandra Millman, Yonah Krakowsky, Nathan Perlis

Open access · diamondAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Canadian Urological Association journal = Journal de l'Association des urologues du Canada, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
4.5field-weighted citation impact, top 5% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
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  7. Pain mechanisms in the transgender individual: a review.Frontiers in pain research (Lausanne, Switzerland) · 2024
    Review
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

9 authors at 3 institutions in 1 country.

Christina DingTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Adree KhondkerTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Mitchell G GoldenbergDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Jethro C C KwongDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Katherine LajkoszDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
Emery PotterTransition-Related Surgery Program, Women's College Hospital, University of Toronto, Toronto, ON, Canada.
Alexandra MillmanTransition-Related Surgery Program, Women's College Hospital, University of Toronto, Toronto, ON, Canada.
Yonah KrakowskyTransition-Related Surgery Program, Women's College Hospital, University of Toronto, Toronto, ON, Canada.
Nathan PerlisDivision of Urology, Department of Surgery, University of Toronto, Toronto, ON, Canada.
University of Toronto · CAUniversity Health Network · CAWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPenile inversion vaginoplasty (PIV) remains the gold standard technique for vaginoplasty, a gender-affirming feminizing surgery, but has been associated with urinary complications; however, there is little literature synthesizing urinary complications after PIV surgery, and there is a need to compile these complications to counsel patients pre- and postoperatively on managing surgical expectations. In this systematic review, we summarize the prevalence of urinary complications following PIV.

methodsWe searched the MEDLINE, EMBASE, CINAHL, and Scopus databases in July 2020. The primary outcome was the prevalence of urinary and surgical complications in patients after penile inversion vaginoplasty. Pooled prevalence was determined from extrapolated data. ROBINS-I tool was used to assess study quality. The study was prospectively registered on PROSPERO (CRD 42020204139).

resultsOf 843 unique records, 27 articles were pooled for synthesis, with 3388 patients in total. Overall patient satisfaction ranged from 80-100%. The most common urological complications included poor/splayed stream (11.7%, 95% confidence interval [CI] 5.7-19.3), meatal stenosis (6.9%, 95% CI 2.7-12.7), and irritative symptoms (frequency, urgency, nocturia) (11.5%, 95% CI 2.6-25.1). Other urinary complications included retention requiring catheterization (5.1%, 95% CI 0.3-13.8), incontinence (8.7%, 95% CI 3.4-15.6), urethral stricture (4.6%, 95% CI 1.2-9.8), and urinary tract infection (5.6%, 95% CI 2.7-9.4). Most pooled studies had moderate risk of bias.

conclusionsThe available evidence suggests that there is a low prevalence of urinary complications following PIV. Overall, there is a need for standardization of data in transgender surgical care to better understand surgical outcomes and improve postoperative management.

Identifiers

PMID36486178
PMCPMC10073518
OpenAlexW4310938576

What OpenQuestion holds

Textmetadata
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.