Part I Overview, Decision Making, Endocrinological Care, and Pre-Operative Considerations 1 The Current State of Transgender Care 2 Decision-Making Challenges for Patients and Surgeons Regarding Genital Gender Affirming Surgery 3 Endocrinological Care for Patients Undergoing Gender Affirmation (including Risk of Thromboembolic Events) 4 Preoperative Preparation and Perioperative Considerations for Gender-affirming Genital Surgery Part II Surgical Anatomy: Trans-Female Patients 5 Surgical Anatomy: Orchiectomy and Fertility Preservation Options 6 Surgical Anatomy: Vaginoplasty 7 Complications of Vaginoplasty Part III Surgical Anatomy: Trans-Male Patients 8 Surgical Anatomy--Hysterectomy and Vaginectomy: Hysterectomy for the Transgender Man 9 Surgical Anatomy: Metoidioplasty 10 Surgical Anatomy: Phalloplasty 11 Management of Urologic Complications Following Metoidioplasty and Phalloplasty 12 Prosthetics (Erectile Implant, Testicular Implants) Part IV Perioperative Care and Follow Up 13 General Urological and Endourological Considerations in the Care for Transgender Patients (Catheters, Scopes, Haematuria, UTI, Stones, Surgical Positioning) 14 Care of the Transgender Patient: Oncological Concerns 15 Care of the Transgender Patient: Incontinence 16 The Role of Physical Therapy in the Care of the Transgender Patient Part V Special Topics-Regrets, Robotics, and History 17 Regrets in Transgender Female: Reversal Phalloplasty 18 Robotic Applications in Gender Confirming Genital Surgery 19 Brief History of Gender Affirmation Medicine and Surgery
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.
Dmitriy Nikolavsky SUNY Upstate Medical University Syracuse, New York USA
Stephen A. Blakely SUNY Upstate Medical University Syracuse, New York USA