{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,5]],"date-time":"2026-03-05T00:27:45Z","timestamp":1772670465237,"version":"3.50.1"},"reference-count":33,"publisher":"Guttmacher Institute","issue":"4","license":[{"start":{"date-parts":[[2023,11,3]],"date-time":"2023-11-03T00:00:00Z","timestamp":1698969600000},"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":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Hysterectomy is a gynecological procedure sometimes performed as part of the gender\u2010affirming process for transgender and gender\u2010expansive patients assigned female at birth. Our goal was to compare surgical outcomes between patients undergoing gender\u2010affirming hysterectomy and patients undergoing hysterectomy for benign menstrual disorders. We then explored the implications of gender\u2010affirming hysterectomy for uterine transplantation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective cohort study using data from the American College of Surgeons National Surgical Quality Improvement Program database from 2009 through 2018. We identified patients undergoing hysterectomy in the United States based on Current Procedural Terminology code. We used the International Classification of Diseases 9 or 10 codes to identify patients with benign menstrual disorders (non\u2010gender\u2010affirming group) and gender dysphoria (gender\u2010affirming group). We compared patient characteristics and surgical complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 40,742 patients that met inclusion criteria, 526 (1.3%) patients were individuals with gender dysphoria. Compared to patients who underwent hysterectomy for benign menstrual disorders, gender\u2010affirming patients were younger, were healthier, had a lower prevalence of diabetes, and were more likely to undergo surgery in the outpatient setting, with shorter time to discharge. Complication rates were similar between groups. Logistic regression controlling for the American Society of Anesthesiology classification determined the difference of return to the operating room was not statistically significant (OR 1.082; 95% CI, 0.56\u20132.10; <jats:italic>p<\/jats:italic>\u2009=\u20090.816).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Gender\u2010affirming hysterectomy has a safety profile similar to hysterectomy performed for benign menstrual disorders. Researchers should further explore the possibility of uterus donation among these patients as they may be suitable candidates.<\/jats:p><\/jats:sec>","DOI":"10.1363\/psrh.12246","type":"journal-article","created":{"date-parts":[[2023,11,4]],"date-time":"2023-11-04T03:14:27Z","timestamp":1699067667000},"page":"222-228","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["<scp>Gender\u2010affirming<\/scp> hysterectomy in the United States: A comparative outcomes analysis and potential implications for uterine transplantation"],"prefix":"10.1363","volume":"55","author":[{"given":"Nicolette V.","family":"Siringo","sequence":"first","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery New York University Langone Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Boczar","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery New York University Langone Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoe P.","family":"Berman","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery New York University Langone Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bachar F.","family":"Chaya","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery New York University Langone Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Kimberly","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery New York University Langone Health  New York New York USA"},{"name":"Division of Medical Ethics, Department of Population Health New York University Langone Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo","family":"Rodriguez Colon","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery New York University Langone Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"Trilles","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery New York University Langone Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilliard","family":"Brydges","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery New York University Langone Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduardo D.","family":"Rodriguez","sequence":"additional","affiliation":[{"name":"Hansj\u00f6rg Wyss Department of Plastic Surgery New York University Langone Health  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"259","published-online":{"date-parts":[[2023,11,3]]},"reference":[{"key":"e_1_2_10_2_1","article-title":"Comparison of the effects of total laparoscopic hysterectomy and total abdominal hysterectomy on sexual function and quality of life","volume":"12","author":"Beyan E","year":"2020","journal-title":"BioMed Research International"},{"key":"e_1_2_10_3_1","volume-title":"Vaginal Hysterectomy","author":"Pillarisetty LS","year":"2020"},{"issue":"12","key":"e_1_2_10_4_1","first-page":"943","article-title":"Types of hysterectomy. 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