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212 posters, 10 topics, 5 sessions, 754 authors, 237 institutions

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The AAPS 101st Annual Meeting

29 April – 2 May, 2023 | Chicago, IL

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PC21

Gender-affirming Surgery Is Associated With Improved Patient Reported Outcomes

Part of Topic

Gender Affirmation

Introduction: Limited literature used validated instruments to evaluate patient-reported outcomes (PROs) for transgender and gender diverse individuals (TGD) undergoing gender-affirming surgeries (GAS). 

Goal: Evaluate PROs using Vanderbilt Mini PRO Measures-Gender (VMP-G).

Methods: 

•Four scales: quality of life, self-concept, satisfaction, and gender dysphoria. 
•Scores range from 20 to 100
•Data were collected at pre-operative or post-operative clinic visits.
•Outcomes were compared in different races/ethnicities, gender identities, age, types of GAS, and time.

Results: 
•199 patients. Average age 31.8 (SD ±11.5). 53% post-operative GAS
•Post-operative patients scored higher on all scales (p<0.001).
•Improved PROs in White, Non-White, Binary and Non-Binary and patients under age 21 (p<0.05). 
•Top versus bottom surgery: no PROs differences (p=0.2).
•Low rate of regret (2.8%). 
•VMP-G scores were sustainedone year after GAS.

Conclusion: 
•GAS significantly improves PROs
•Different degrees of improvements in subgroups of TGD population
•Clinicians should approach subgroups of TGD patients with different strategies.
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