A Single-center Analysis on the Learning Curve of Male-to-Female Penoscrotal Vaginoplasty by Multiple Surgical Measures. in Urology / Urology. 2017 Jan;99:234-239. doi: 10.1016/j.urology.2016.07.012. Epub 2016 Jul 18.
2017
AOU Città della Salute di Torino
Tipo pubblicazione
Journal Article
Autori/Collaboratori (12)Vedi tutti...
Gontero P
Department of Urology, University of Turin, Città della Salute e della Scienza, Turin, Italy.
Frea B
Department of Urology, University of Turin, Città della Salute e della Scienza, Turin, Italy.
Garaffa G
St.Peter's Andrology and The Institute of Urology, University College of London Hospital (UCLH), London, UK.
et alii...
Abstract
OBJECTIVE: To asses and quantify the learning curve (LC) of the penoscrotal inversion flap vaginoplasty (PSV). PATIENTS AND METHODS: We retrospectively reviewed clinical records of 69 patients who underwent PSV from January 2005 to January 2015. Two validated methods were used: a scatterplot representation and a splitting group. We selected as primary outcomes the operative time and vaginal depth. Surgical outcomes including blood losses, hospital stay, and postoperative complications such as vaginal stenosis or atresia or urethral meatus stenosis were also evaluated. RESULTS: The overall median operative time was 245 minutes. Severe intraoperative complications were not reported. The overall incidence of postoperative major complications was 21.7 %, most of them being urethral issues. The splitting group analysis revealed a statistically remarkable difference between groups for the operative time (P?
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PMID : 27443465
DOI : 10.1016/j.urology.2016.07.012
Keywords
Gender-Affirming Surgery/education/methods; Scrotum/surgery; Penis/surgery; Male; Learning Curve; Humans; Female; Clinical Competence; Surgical Flaps; Urethra/surgery; Vagina/surgery;