MP02-20 A SYSTEMATIC REVIEW AND META-ANALYSIS OF THE EFFECT OF GENDER-AFFIRMING PELVIC SURGERY ON GENDER DYSPHORIA AND BODY IMAGE IN TRANSGENDER PATIENTS

Abstract

You have accessJournal of UrologyCME1 Apr 2023MP02-20 A SYSTEMATIC REVIEW AND META-ANALYSIS OF THE EFFECT OF GENDER-AFFIRMING PELVIC SURGERY ON GENDER DYSPHORIA AND BODY IMAGE IN TRANSGENDER PATIENTS Kevin Hakimi, Paige De Rosa, Kyle Okamuro, and Jennifer Anger Kevin HakimiKevin Hakimi More articles by this author , Paige De RosaPaige De Rosa More articles by this author , Kyle OkamuroKyle Okamuro More articles by this author , and Jennifer AngerJennifer Anger More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003213.20AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Transgender patients often demonstrate self-criticism and social distress related to body image dissatisfaction. Although patients seek gender affirming care to reduce gender dysphoria and improve body image, the degree to which these outcomes improve after “bottom” surgery (phalloplasty, metoidioplasty, vaginoplasty, vulvoplasty) has not been well quantified. METHODS: Utilizing meta-analysis of observational studies in epidemiology (MOOSE) criteria, we performed a search of major biomedical databases for all relevant literature published regarding body image and gender dysphoria in transgender populations following bottom surgery from 1995 to 2001. Inclusion criteria included original research articles, studies of transgender patients receiving pelvic gender affirming surgery (phalloplasty, metoidoplasty, vaginoplasty, vulvoplasty), and use of either the Utrecht Gender Dysphoria Scale (UGDS) or Body Image Scale (BIS) scoring systems. Data were compiled using a comprehensive meta-analysis software (Revman). Pooled estimates were obtained using a random effects model with the generic inverse variance method. RESULTS: Our literature search included 77 titles and 4 full articles. Four studies provided UGDS data. Our analysis of 208 patients revealed bottom-surgery resulted in significant improved in UGDS scores in patients compared to baseline with a standard mean difference of 6.74 (CI 6.24, 7.25; p<0.001). Three studies provided BIS data. Our analysis of 201 patients revealed bottom surgery resulted in significant improvements in body image satisfaction with a standard mean difference of 0.79 (CI 0.68, 0.91; p<0.001). CONCLUSIONS: Gender-affirming pelvic surgery was associated with significant improvements in body image satisfaction and a significant reduction in gender dysphoria among transgender patients. Our meta-analysis supports further use of gender-affirming surgical techniques to improve body image satisfaction in transgender populations. Source of Funding: UC San Diego School of Medicine Research Award © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e20 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Kevin Hakimi More articles by this author Paige De Rosa More articles by this author Kyle Okamuro More articles by this author Jennifer Anger More articles by this author Expand All Advertisement PDF downloadLoading ...