Hysterectomy with Bilateral Salpingo-Oophorectomy in Female-to-Male Gender Affirmation Surgery: Comparison of Two Methods

Table 2

Comparison of results of transvaginal and laparoscopic hysterectomy with bilateral salpingo-oophorectomy.

Route of hysterectomy	Mean operative time (min)	Complications	Reoperation rate	Blood transfusion	Mean hospital stay
Transvaginal	51 (46–72)	1/92 (1%)	0/92 (0%)	1/92 (1%)	4 (3–6)^1; 6 (5–8)^2
Laparoscopic	76 (68–90)	1/32 (3%)	0/32 (0%)	0/32 (0%)	4 (3–6)^1; 7 (6–8)^2
	<0.05	0.386	/	0.375	0.897
Total	57.5 (46–90)	2/124 (1.6%)	0/124 (0%)	1/124 (0.8%)	4 (3–6)^1; 6 (5–8)^2

Conversion of vaginal to abdominal approach. Pelvic hematoma, spontaneously resolved. ¹Metoidioplasty with urethral lengthening. ²Total phalloplasty with urethral lengthening.