{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T16:59:30Z","timestamp":1788454770218,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,12,7]],"date-time":"2022-12-07T00:00:00Z","timestamp":1670371200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore the impact of body mass index (BMI) on the outcomes of gender\u2010affirming vaginoplasty.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort consisting of all gender\u2010affirming vaginoplasties in our practice between September 27th, 2018, and September 1st, 2022 were identified, and data were retrospectively collected. Patients were classified as obese if their BMI was \u226530\u2009kg\/m<jats:sup>2<\/jats:sup> at the time of surgery and nonobese if their BMI was &lt;30\u2009kg\/m<jats:sup>2<\/jats:sup>. Complications were assigned a Clavien\u2013Dindo grade and grouped as Grade \u22652 versus Grade \u22641. Patient\u2010reported functional outcomes of intact erogenous sensation, tactile sensation, ability to achieve penetrative vaginal intercourse, and cosmetic satisfaction were assessed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 58 patients with a mean follow\u2010up time of 6.9 months were included. Seventeen patients (mean BMI\u2009=\u200936.8\u2009kg\/m<jats:sup>2<\/jats:sup>) were classified as obese and 41 patients (mean BMI\u2009=\u200925.1\u2009kg\/m<jats:sup>2<\/jats:sup>) were classified as nonobese. No significant differences in outcomes were identified in the obese versus nonobese groups in terms of the incidence of complications. Patient\u2010reported functional outcomes did not differ significantly between the\u00a0two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Similar results can be achieved with gender\u2010affirming vaginoplasty in obese patients when compared to their nonobese counterparts. Eligibility for this procedure should not be restricted based on BMI alone.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25077","type":"journal-article","created":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T08:30:18Z","timestamp":1670229018000},"page":"939-946","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Outcomes of penile inversion vaginoplasty and robotic\u2010assisted peritoneal flap vaginoplasty in obese and nonobese patients"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6094-9264","authenticated-orcid":false,"given":"Omer","family":"Acar","sequence":"first","affiliation":[{"name":"Department of Urology University of Illinois Health and Science  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonathan","family":"Alcantar","sequence":"additional","affiliation":[{"name":"Department of Urology University of Illinois Health and Science  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Millman","sequence":"additional","affiliation":[{"name":"Department of Surgery Women's College Hospital  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ushasi","family":"Naha","sequence":"additional","affiliation":[{"name":"Department of Urology University of Illinois Health and Science  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan Diego","family":"Cedeno","sequence":"additional","affiliation":[{"name":"Department of Urology Baptist Health Medical Group  Homestead Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Morgantini","sequence":"additional","affiliation":[{"name":"Department of Urology University of Illinois Health and Science  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9419-8692","authenticated-orcid":false,"given":"Ervin","family":"Kocjancic","sequence":"additional","affiliation":[{"name":"Department of Surgery The University of Chicago Medicine  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,12,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_7_3_1","unstructured":"FloresARHJ BrownTNT et al.\u00a0How many adults identify as transgender in the United States?Race and ethnicity of adults who identify as transgender in the United States.\u00a0The Williams Institute; 2016."},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-2958"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01370.x"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1080\/15532739.2011.700873"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2020.01.004"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000002684"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0305-0"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-015-3112-7"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004427"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1089\/trgh.2020.0068"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/GOX.0000000000002097"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2017.10.013"},{"issue":"5","key":"e_1_2_7_15_1","article-title":"PD29\u201012 is a BMI cutoff for gender affirmation surgery scientifically supported?","volume":"207","author":"Carter E","year":"2022","journal-title":"J Urol"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31823dcbf7"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.juro.2018.02.2657"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpurol.2017.07.015"},{"key":"e_1_2_7_20_1","first-page":"55","article-title":"Colpopoeisis from the peritoneum of the uterorectal space","volume":"45","author":"Davydov SN","year":"1969","journal-title":"Akush Ginekol"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/JU.0000000000000107"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACO.0000000000000279"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1089\/lgbt.2016.0208"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.03.043"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000003108"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0000000000001532"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.11.043"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003236"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25077","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.25077","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.25077","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,14]],"date-time":"2023-12-14T12:22:32Z","timestamp":1702556552000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.25077"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,7]]},"references-count":27,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/nau.25077"],"URL":"https:\/\/doi.org\/10.1002\/nau.25077","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,12,7]]},"assertion":[{"value":"2022-10-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-10-17","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-12-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}