PD12-10 DOES BODY MASS INDEX INFLUENCE VAGINOPLASTY OUTCOMES?

Abstract

You have accessJournal of UrologyCME1 Apr 2023PD12-10 DOES BODY MASS INDEX INFLUENCE VAGINOPLASTY OUTCOMES? Elijah Castle, Gaines Blasdel, Charlie Dubach-Reinhold, Tenny R. Zhang, Rachel Bluebond-Langner, and Lee C. Zhao Elijah CastleElijah Castle More articles by this author , Gaines BlasdelGaines Blasdel More articles by this author , Charlie Dubach-ReinholdCharlie Dubach-Reinhold More articles by this author , Tenny R. ZhangTenny R. Zhang More articles by this author , Rachel Bluebond-LangnerRachel Bluebond-Langner More articles by this author , and Lee C. ZhaoLee C. Zhao More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003259.10AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Body mass index (BMI) is used in gender-affirming vaginoplasty to inform decision-making for surgical candidacy. To contribute to the limited body of evidence, we report our center’s outcomes specific to BMI. METHODS: We conducted a retrospective review of patients undergoing primary robotic peritoneal flap vaginoplasty with the senior authors from 9/2017-7/2022. We reviewed BMI recorded on surgery day and at consultation. We included complications occurring within 90 days of surgery. We analyzed dilation outcomes for patients with at least one year of follow-up. Nonparametric statistical tests were used for analysis. RESULTS: 429 patients underwent surgery with the senior authors. 413 patients had 90 days of follow up, and 245 patients had one year of follow-up. Most patients (80.9%) with 90 days of follow-up had a BMI < 30 kg/m2. 19.1% had a BMI ≥ 30 kg/m2. BMI appears to affect operative time (p=<.001). We found no statistically significant associations between BMI and any type of complication. 57.1% of patients had at least one year of follow-up, and among these patients, there was no statistically significant difference between BMI groups and dilation outcomes. CONCLUSIONS: BMI ≥ 35 kg/m2 appears to increase operative time for gender-affirming vaginoplasty. Within our patient population, BMI does not have a statistically significant relationship with complications and dilation outcomes. There still exists limited data for patients with BMI ≥35kg/m2 and further research is needed on how BMI factors into decision-making for surgical candidacy. Source of Funding: None. © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e403 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Elijah Castle More articles by this author Gaines Blasdel More articles by this author Charlie Dubach-Reinhold More articles by this author Tenny R. Zhang More articles by this author Rachel Bluebond-Langner More articles by this author Lee C. Zhao More articles by this author Expand All Advertisement PDF downloadLoading ...