{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T19:11:19Z","timestamp":1783537879460,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,1,1]],"date-time":"2018-01-01T00:00:00Z","timestamp":1514764800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Ministry of Science and Technical Development, Republic of Serbia","award":["175048"],"award-info":[{"award-number":["175048"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2018]]},"abstract":"<jats:p><jats:italic>Introduction<\/jats:italic>. The optimal route for hysterectomy with bilateral salpingo-oophorectomy in female-to-male gender affirmation surgery is still under debate, due to the quite limited and inconsistent published data. The aim of this study is to present and compare the results of vaginal and laparoscopic hysterectomy as part of gender affirmation surgery in female-to-male transsexuals.<jats:italic> Materials and Methods<\/jats:italic>. Between 2012 and 2017, 124 female-to-male transsexuals, aged 18\u201343 years (mean age: 28.5), underwent hysterectomy with bilateral salpingo-oophorectomy, followed by colpocleisis and gender affirmation surgery. Transvaginal and laparoscopic hysterectomy were performed in 92 and 32 patients, respectively. Standard outcome measures (types and rates of complications, operative time, blood loss, and postoperative hospital stay) were used to compare the two groups of patients.<jats:italic> Results<\/jats:italic>. The mean follow-up was 41 months (ranged from 6 to 65 months). The duration of transvaginal approach was significantly shorter (51 minutes compared to 76 minutes, <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\"><mml:mi>p<\/mml:mi><mml:mo>&lt;<\/mml:mo><mml:mn fontstyle=\"italic\">0.001<\/mml:mn><\/mml:math>). The total complication rates (less than 3%), reoperation rates (0%), blood loss, and postoperative hospital stays (4.3 days compared to 4.5 days) showed no statistical difference.<jats:italic> Conclusions<\/jats:italic>. Both approaches are safe, with minimal complications. However, we prefer transvaginal hysterectomy due to its shorter operative time, cost-effectiveness, and simpler continuation with one-stage female-to-male gender affirmation surgery.<\/jats:p>","DOI":"10.1155\/2018\/3472471","type":"journal-article","created":{"date-parts":[[2018,5,8]],"date-time":"2018-05-08T19:31:34Z","timestamp":1525807894000},"page":"1-5","source":"Crossref","is-referenced-by-count":20,"title":["Hysterectomy with Bilateral Salpingo-Oophorectomy in Female-to-Male Gender Affirmation Surgery: Comparison of Two Methods"],"prefix":"10.1155","volume":"2018","author":[{"given":"M.","family":"Jeftovic","sequence":"first","affiliation":[{"name":"Belgrade Center for Genital Reconstructive Surgery, Belgrade, Serbia"},{"name":"School of Medicine, University of Belgrade, Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9141-4003","authenticated-orcid":true,"given":"B.","family":"Stojanovic","sequence":"additional","affiliation":[{"name":"Belgrade Center for Genital Reconstructive Surgery, Belgrade, Serbia"},{"name":"University Children\u2019s Hospital, Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0557-4615","authenticated-orcid":true,"given":"M.","family":"Bizic","sequence":"additional","affiliation":[{"name":"Belgrade Center for Genital Reconstructive Surgery, Belgrade, Serbia"},{"name":"University Children\u2019s Hospital, Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Stanojevic","sequence":"additional","affiliation":[{"name":"Belgrade Center for Genital Reconstructive Surgery, Belgrade, Serbia"},{"name":"School of Medicine, University of Belgrade, Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Kisic","sequence":"additional","affiliation":[{"name":"Belgrade Center for Genital Reconstructive Surgery, Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Bencic","sequence":"additional","affiliation":[{"name":"Belgrade Center for Genital Reconstructive Surgery, Belgrade, Serbia"},{"name":"University Children\u2019s Hospital, Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2298-3450","authenticated-orcid":true,"given":"M. L.","family":"Djordjevic","sequence":"additional","affiliation":[{"name":"Belgrade Center for Genital Reconstructive Surgery, Belgrade, Serbia"},{"name":"School of Medicine, University of Belgrade, Belgrade, Serbia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsxm.2017.03.256"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2011.46"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2010.01719.x"},{"key":"4","first-page":"165","volume":"13","year":"2011","journal-title":"International Journal of Transgenderism"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2010.12.005"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1991.tb13452.x"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2016.12.014"},{"key":"8","first-page":"573","volume-title":"Metoidioplasty","year":"2017"},{"key":"9","first-page":"155","volume-title":"Female-to-male gender affirmation phalloplasty: latissimus dorsi flap","year":"2017"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-005-7926-5"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2016.10.020"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001756"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003677.pub5"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2017.08.005"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/S0378-5122(96)82004-4"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1158\/0008-5472.CAN-16-3322"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2009.01380.x"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2016.03.004"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000286778.44943.5a"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2015.12.014"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1267241"},{"key":"22","first-page":"273","volume-title":"Vaginal or abdominal hysterectomy?","year":"2014"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12356"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12091"}],"container-title":["BioMed Research International"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2018\/3472471.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2018\/3472471.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/bmri\/2018\/3472471.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,5,8]],"date-time":"2018-05-08T19:31:37Z","timestamp":1525807897000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/bmri\/2018\/3472471\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018]]},"references-count":24,"alternative-id":["3472471","3472471"],"URL":"https:\/\/doi.org\/10.1155\/2018\/3472471","relation":{},"ISSN":["2314-6133","2314-6141"],"issn-type":[{"value":"2314-6133","type":"print"},{"value":"2314-6141","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018]]}}}