Full Description
This book is designed to familiarize general urologists with the care of transgender and gender non-conforming individuals. Written by experts in reconstructive urology, it characterizes the process of gender affirmation and explains the surgical anatomy of both feminizing and masculinizing gender-affirming procedures including vaginoplasty, orchiectomy, hysterectomy, vaginectomy, phalloplasty, metoidioplasty, and prosthetics. Guiding the clinician in identification of immediate and long-term risks of gender-affirming surgery, it instructs clinicians in endocrinological care, options for fertility preservation, evaluation of malignancies after hormonal therapy, appropriate postsurgical follow-up, and the management of common complications involving urethral stricture, fistula, neo-vaginal stenosis, and incontinence.
Urological Care for the Transgender Patient: A Comprehensive Guide is a necessary tool to prepare urological clinics and clinicians in serving the growing population of transgender patients presenting at various stages of their transformation.
Contents
The Current State of Transgender Care.- Decision-Making Challenges For Patients and Surgeons Regarding Genital Gender Affirming Surgery.- Endocrinological Care for Patients Undergoing Gender Affirmation (including Risk of Thromboembolic Events).- Preoperative Preparation and Perioperative Considerations for Gender-affirming Genital Surgery.- Surgical Anatomy: Orchiectomy and Fertility Preservation Options.- Surgical Anatomy: Vaginoplasty.- Complications of Vaginoplasty.- Surgical Anatomy--Hysterectomy and Vaginectomy: Hysterectomy for the Transgender Man.- Surgical Anatomy: Metoidioplasty.- Surgical Anatomy: Phalloplasty.- Management of Urologic Complications Following Metoidioplasty and Phalloplasty.- Prosthetics (Erectile Implant, Testicular Implants).- General Urological and Endourological Considerations in the Care for Transgender Patients (Catheters, Scopes, Haematuria, UTI, Stones, Surgical Positioning).- Care of the Transgender Patient: Oncological Concerns.- Care of the Transgender Patient: Incontinence.- The Role of Physical Therapy in the Care of the Transgender Patient.- Regrets in Transgender Female: Reversal Phalloplasty.- Robotic Applications in Gender Confirming Genital Surgery.- Brief History of Gender Affirmation Medicine and Surgery.
