Table 1.
Epidemiologic Characteristics of Patients Undergoing Genital Reconstruction Operations for Gender Reassignment, Detroit: 1984–2008
| Unique patient variables (n=82) | Female-to-male reassignment (n=39) | Male-to-female reassignment (n=43) |
|---|---|---|
| Age (years) (mean±SD) | 39.1±9.9 | 39.9±9.9 |
| Race | ||
| Caucasian | 27 (69.2) | 29 (67.4) |
| African-American | 6 (15.4) | 13 (30.2) |
| Marital Status | ||
| Single | 29 (74.4) | 38 (88.4) |
| Married | 8 (20.5) | 2 (4.7) |
| Divorced | 2 (5.1) | 3 (7.0) |
| Height (cm) (mean±SD) | 166.4±6.3 | 176.8±8.0 |
| Weight (kg) (mean±SD) | 77.4±14.3 | 80.3±20.4 |
| BMI (mean±SD) | 28.1±5.6 | 25.7±6.0 |
| Number of procedures (mean±SD)a | 21.2±8.6 | 12.9±6.6 |
| Number of operating-room encounters (mean±SD)b | 11.8±4.7 | 4.9±2.4 |
| ASA score at first admission | ||
| Score 1 | 2 (5.1) | 3 (7.0) |
| Score 2 | 36 (92.3) | 39 (90.7) |
| Score 3 | 1 (2.6) | 1 (2.3) |
| Mean±SD | 2.0±0.3 | 2.0±0.3 |
| Charlson Comorbidity Index score at first admission (mean±SD) | 0.2±1.0 | 0.6±1.5 |
| Number of patients with SSI | 34 (87.2) | 9 (20.9) |
| Culture of SSI obtained | 31 (91.2) | 5 (55.6) |
| Number of cultures confirming SSI | 31 | 5 |
| Coagulase-negative staphylococci | 18 (58.1) | 2 (40) |
| Enterococcus faecalis (VSE and VRE) | 12 (38.7) | 0 (0) |
| Corynebacterium species | 13 (41.9) | 1 (20) |
| Pseudomonas aeruginosa | 10 (32.3) | 2 (40) |
| Escherichia coli | 10 (32.3) | 1 (20) |
| Enterobacter species | 3 (9.7) | 0 (0) |
| Candida species | 2 (6.5) | 2 (40) |
| Staphylococcus aureus (MSSA and MRSA) | 2 (6.5) | 0 (0) |
| Streptococcus species | 2 (6.5) | 1 (20) |
| Stenotrophomonas maltophilia | 2 (6.5) | 0 (0) |
| Klebsiella species | 2 (6.5) | 0 (0) |
| Citrobacter freundii | 1 (3.2) | 0 (0) |
| Enterococcus faecium (VSE and VRE) | 1 (3.2) | 0 (0) |
| Enterococcus species | 1 (3.2) | 1 (20) |
| Serratia marcescens | 1 (3.2) | 0 (0) |
| Culture Site | ||
| Wound | 13 (41.9) | 3 (60) |
| Tissue | 6 (19.4) | 1 (20) |
| Perineum | 5 (16.1) | 1 (20) |
| Penis | 3 (9.7) | 0 (0) |
| Groin | 4 (12.9) | 0 (0) |
Data are no. (%) of patients unless otherwise indicated.
a
Procedure: Surgical intervention performed in the operating room. An operating-room encounter may encompass more than one procedure.
b
Operating-room encounter: Any visit to the operating room.
ASA score=American Society of Anesthesiologists score; BMI=body mass index (kg/m2); MRSA=methicillin-resistant Staphylococcus aureus; MSSA=methicillin-sensitive Staphylococcus aureus; SSI=surgical site infection; VRE=vancomycin-resistant enterococci; VSE=vancomycin-susceptible enterococci.