Atlas of Operative Techniques in Gender Affirmation Surgery
- 1st Edition - April 18, 2023
- Editors: Rajveer S. Purohit, Miroslav L Djordjevic
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 9 8 3 7 7 - 8
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 8 5 5 7 - 4
As transgender and gender non-binary individuals are a growing demographic, the number of patients seeking gender confirmation surgery is increasing. Atlas of Operative Te… Read more
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Request a sales quoteAs transgender and gender non-binary individuals are a growing demographic, the number of patients seeking gender confirmation surgery is increasing. Atlas of Operative Techniques in Gender Affirmation Surgery is a highly illustrated and practical guide to the different types of gender affirmation surgery. Top and bottom surgeries are illustrated include facial feminization, mastectomy, techniques in phalloplasty, metoidioplasty, different approaches to vaginoplasty, management of complications of gender affirming surgery, and more.
This comprehensive textbook is a must-have guide for individuals interested in gender affirmation surgery to master the complex operative procedures that this field demands and to refine their techniques.
This comprehensive textbook is a must-have guide for individuals interested in gender affirmation surgery to master the complex operative procedures that this field demands and to refine their techniques.
- Guides the user step-by-step through both feminizing and masculinizing procedures
- Features high-resolution illustrations of techniques to enhance visual understanding
- Includes recent surgical updates that include comparative advantages and disadvantages of each surgery
Surgeons performing gender affirmation procedures, fellows and residents from plastic surgery, urology, pediatric surgery and gynecology
- Cover
- Title page
- Table of Contents
- Copyright
- Dedication
- Contributors
- Acknowledgments
- Chapter 1: Developing a transgender health center of excellence: The Mount Sinai model
- Abstract
- Introduction
- Overview of services
- Education
- Research
- References
- Chapter 2: Satisfaction and outcomes after genitourinary gender affirmation surgery
- Abstract
- Introduction
- Feminizing surgery
- Masculinizing surgery
- Scrotoplasty and testicular prosthesis
- Conclusions
- References
- Chapter 3: Orchiectomy for transgender women
- Abstract
- Overview
- Important anatomic considerations include
- Preoperative work-up
- OR equipment
- Surgical technique
- Postoperative management
- Common problems
- Tips and pitfalls
- References
- Chapter 4: Facial gender confirmation surgery
- Abstract
- Overview
- Anatomical considerations
- Preoperative work-up
- OR equipment
- Surgical technique: The upper third
- Surgical technique: The lower third
- Surgical technique: The neck
- Postoperative management
- Take home messages
- References
- Chapter 5: Transfeminine breast augmentation
- Abstract
- Overview
- Anatomical considerations
- Preoperative workup
- Operating room equipment
- Surgical technique
- Postoperative management
- Tips and pitfalls
- Take-home messages
- References
- Chapter 6: Vaginoplasty: Bowers’ version
- Abstract
- Overview: A historical perspective
- Preoperative workup and preparation for surgery
- Surgical technique
- References
- Chapter 7: Vaginoplasty: The Ghent technique
- Abstract
- Overview
- Anatomic considerations
- Preoperative work-up
- OR equipment
- Surgical technique
- Postoperative management
- Tips and pitfalls
- Take home message
- References
- Chapter 8: Vaginoplasty: The Swedish technique
- Abstract
- Introduction
- Decisional algorithm
- Preoperative preparation
- Surgical techniques for vagino-clitoro-labioplasty and orchiectomy
- Postoperative care
- Results and complications
- Queries for the future
- References
- Chapter 9: Intestinal vaginoplasty in transgender women
- Abstract
- Introduction
- Surgical technique: Intestinal vaginoplasty in our center
- Surgical outcomes and patient reported outcomes
- Long-term health of the intestinal segment
- Other techniques
- References
- Chapter 10: Robotic peritoneal flap vaginoplasty
- Abstract
- Introduction
- History
- Preoperative considerations and technique
- Outcomes
- Revision robotic peritoneal flap
- Conclusion
- References
- Chapter 11: Complications after vaginoplasty
- Abstract
- Overview
- Intraoperative complications
- Intraoperative or immediate postoperative complications
- Delayed complications
- Tips and pitfalls
- Take home message
- References
- Chapter 12: Facial features remodeling and affirming surgery (FFRS)
- Abstract
- Overview
- Anatomical considerations
- Preoperative workup
- Surgical technique
- Ancillary procedures
- Masculinization
- Postoperative care
- References
- Chapter 13: Mastectomy
- Abstract
- Financial disclosure statement
- Introduction
- Preoperative considerations
- Technique selection
- Periareolar technique
- Circumareolar or extended circumareolar techniques
- Double incision with free nipple grafts
- Inferior pedicle technique
- Ancillary procedures
- Postoperative care and considerations
- References
- Chapter 14: Metoidioplasty and variants of technique
- Abstract
- Acknowledgments
- Overview
- Anatomic considerations
- Preoperative work-up
- OR equipment
- Surgical technique
- Postoperative management
- Tips and pitfalls
- Take home message
- Comments
- References
- Chapter 15: Female-to-male gender-affirmation phalloplasty: Radial forearm free flap with urethral lengthening
- Abstract
- Justification for the radial forearm flap
- Patient evaluation
- Surgical technique
- Postoperative sequelae/complications
- Recent advances in phalloplasty
- Conclusion
- References
- Chapter 16: Musculocutaneous latissimus dorsi phalloplasty
- Abstract
- Overview
- Anatomic considerations
- Preoperative work-up
- OR equipment
- Surgical technique
- Postoperative management
- Tips and pitfalls
- Take home message
- References
- Chapter 17: ALT phalloplasty: The Ghent technique
- Abstract
- Overview
- Anatomic considerations
- Preoperative work-up
- OR equipment
- Surgical technique
- Postoperative management
- Surgical outcome
- Tips and pitfalls
- Take-home message
- References
- Chapter 18: Abdominal phalloplasty
- Abstract
- Overview
- Anatomical considerations
- Preoperative workup
- OR equipment
- Surgical techniques
- Tips and pitfalls
- Take-home message
- References
- Chapter 19: Scrotoplasty
- Abstract
- Overview
- Anatomical considerations
- Preoperative workup
- OR equipment
- Surgical technique
- Our technique
- Second-stage scrotoplasty after metoidioplasty
- V-Y plasty with or without testicular prostheses
- Autologous scrotal augmentation
- Postoperative management
- References
- Chapter 20: Vaginectomy and hysterectomy
- Abstract
- Gender-affirming hysterectomies
- Vaginectomy (also referred to as colpectomy/colpocleisis)
- References
- Chapter 21: Penile prosthesis after phalloplasty
- Abstract
- Overview
- Anatomical considerations
- Preoperative workup
- OR equipment
- Surgical technique
- Postoperative management
- Complications
- Tips and pitfalls
- Take-home message: Three points that surgeons must know
- References
- Chapter 22: Masculinizing top surgery complications
- Abstract
- Procedure overview
- Choice of operative technique
- Additional considerations
- Anatomic considerations
- Preoperative work-up
- Breast cancer surveillance
- Surgical technique
- Postoperative management
- Tips and pitfalls
- Dog ears
- Contour irregularities
- Surgical scars
- Hematoma
- Seroma
- NAC size, shape, and placement
- Nipple necrosis
- Postoperative pain
- Take home messages
- References
- Chapter 23: Vaginal remnants, strictures, and fistula after masculinizing surgery
- Abstract
- Overview
- Preoperative work-up
- Unique anatomic and surgical considerations
- OR equipment
- Surgical techniques
- Postoperative management
- Tips and pitfalls
- Take home message
- References
- Chapter 24: Therapeutic management of hormone-dependent cancers in transgender patients
- Abstract
- Introduction
- Prostate cancer
- Take-home message
- References
- Index
- No. of pages: 448
- Language: English
- Edition: 1
- Published: April 18, 2023
- Imprint: Academic Press
- Paperback ISBN: 9780323983778
- eBook ISBN: 9780323985574
RP
Rajveer S. Purohit
Dr. Purohit is the co-director of Reconstructive Urology at the Icahn School of Medicine at Mount Sinai Hospital and Associate Professor in its Department of Urology. In 2018, Mt. Sinai appointed him co-director of its first fellowship in Reconstructive Urology that trains methods of gender affirmation surgery including vaginoplasty, metoidioplasty and phalloplasty.
His areas of research include reconstructive urology, voiding dysfunction, urethral strictures, gender affirmation surgery, mesh complications, reconstructive urology voiding dysfunction, minimally invasive urology, urogynecology, urologic oncology, treatment of complications of surgery and radiation therapy, and erectile dysfunction. His research in urethral strictures revealed that low-stage urethral strictures rarely progresses and does not require surgery.
Affiliations and expertise
Associate Professor, Icahn School of Medicine, Mount Sinai Hospital, USAMD
Miroslav L Djordjevic
Dr. Djordjevic is Professor of Surgery, PhD in Urology (Belgrad, 2003), currently practicing at: Belgrade Center for Genital Reconstructive Surgery, Belgrade; School of Medicine, University of Belgrade, Belgrade; Mount Sinai, New York, NY, USA. He published circa 141 titles in peer reviewed manuscripts, book chapters and books. Dr. Miroslav Djordjevic is a leader in the field of urogenital reconstructive surgery and one of the few urologists in the world to encompass treatment of all anomalies of the genital system regardless of gender or age, providing new knowledge of the surgical anatomy of the male and female genitalia. Dr. Djordjevic is the President of the Society for Genitourinary Reconstructive Surgeons (GURS). He is also a member of other urological and surgical associations, including the World Professional Association for Transgender Health (WPATH), the American Urological Association (AUA), and the American Academy of Pediatrics (AAP). He has also received numerous research awards and honors, including awards given by the European Association of Urology, the German Urological Association, and the European Society for Sexual Medicine.
Affiliations and expertise
Professor, Belgrade University School of Medicine, SerbiaRead Atlas of Operative Techniques in Gender Affirmation Surgery on ScienceDirect