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.

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.