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RESULTS: Mean BMI of the VHR-PAN and VHR alone group was 38.9 kg/m and 33.5 kg/m, respectively. Hernia defect size (p=0.516), mesh placement (p=0.644), component separation (p=0.5063) and hernia recurrence rates (p=1.000) were similar in both cohorts. Additionally there was no significant difference in operative time (p=0.834) or days to drain removal (0.711) between both groups. Rate of prior bariatric surgery (p=0.0533) trended towards significantly different in the VHR-PAN group. 64% of patients completed QoL surveys, showing significant improvement from preto post-operative scores, regardless of whether a panniculectomy was performed (p < 0.02). Mean direct hospitalization costs were not significantly different between the two groups (p=0.165), as well as mean hospital stay (p=1.00). After regression modeling, the procedure performed did not significantly contribute to differences in cost, wound complications, including wound dehiscence and SSI, or hernia recurrence between the two groups. Higher wound class (p=0.0105) and longer hospital length of stay (p=0.0481) were independently associated with an increase in total direct cost, while higher BMI trended towards significance (p=0.0501) with increasing total direct cost.

Abstract: Erogenous Sensate Vaginal Flap for Male to Female Vaginoplasty