This book is especially focused on the surgical aspect on Gender Dysphoria. Male to female surgery is widely discussed as well as the female to male conversion. Full information on hormone administration and surgical procedures are provided. Mental health issues are also described, as well as ethics, the law and psychosocial issues. The text is extensively referenced and includes numerous photos, tables and figures to clearly illustrate information. Based on collaboration between international experts in transgender health, this book is an essential guide for health care professionals, educators, students, patients and patients’ families concerning the psychological, hormonal, surgical and social support of transgender individuals.
- Includes a step by step description of sex reassignment surgery and complications
- Contains extensive information on imaging in transsexualism
- Fully evaluates all psychological aspects of sex reassignment surgery
Part I General Aspects: Sexual Ambiguity: Development Of Judgement And Evaluation Criteria Over The Centuries.- Gender dysphoria: definition and evolution through the years.- The DSM Diagnostic Criteria For Gender Dysphoria.- Epidemiologic Considerations On Transsexualism.- Etiopathogenetic Hypotheses Of Transsexualism.- Imaging: Examination Technique.- Clinical Management Of Gender Dysphoria In Adolescents.- Part II Management of Male to Female: Psychological Characteristics And Sexuality Of Natal Males With Gender Dysphoria.- Endocrine Treatment Of Transsexual Male To Female Persons.- Surgical Therapy: My Personal Technique.- Surgical Therapy: Vaginoplasty In Male Transsexuals Using Penile Skin And Urethral Flap .- Surgical Therapy: Construction Of The Neovagina Using The Pelvic Peritoneum.- Surgical Therapy: Technical Suggestions For Better And Lasting Functional And Aesthetic Outcomes In Manufacturing The Neoclitoris.- Surgical Therapy: Feminization Laryngoplasty.- Surgical Therapy: Mastoplasty.- Complications Of Male To Female Vaginoplasty.- Surgery In Complications: Colon Vaginoplasty.- Surgery In Complications: Ileal Vaginoplasty.- Surgery In Complications: Management Of Prolapse.- Evaluation Of Lower Urinary Tract Function After Surgery.- Follow Up Of Patients After Male To Female (Mtf) Sex Reassignment Surgery (Srs).- Quality Of Life After Sexual Reassignment Surgery.- Imaging.- Part III Management Of Female To Male: The Hot Questions In Prepubertal Gender Dysphoria In Girls.- The Female-To-Male Medical Treatment.- Surgical Therapy: Pedicle Anterolateral Thigh Flap.- Surgical Therapy: Free Forearm Flap.- Surgical Therapy: Metoidioplasty Technique And Results.- Surgical Therapy: Phalloplasthy With Suprapubic Flap-Pryor’s Technique.- Surgical Therapy: Total Phalloplasty Using Latissimus Dorsi Flap.- Surgical Therapy: Chest Wall Contouring For Female-To-Male Transsexuals.- Surgical Therapy: Possible One Step Solutions.- Surgical Therapy: Scrotal Reconstruction In Female-To-Male Transsexuals.- Complications.- Penile Prosthesis Implantation In Phalloplasty In Female To Male Transsexuals.- Imaging.- Part IV Legislative, Ethical And Health Policy Aspects: Ethical Issues For The Practitioner Work In The Transgender Care.- Transgender Identity And Sexually Transmitted Diseases Including HIV.-Answers To Fertility Request.