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Considerations in Gender Reassignment Surgery, An Issue of Urologic Clinics
- 1st Edition, Volume 46-4 - October 3, 2019
- Authors: Lee C. Zhao, Rachel Bluebond-Langner
- Language: English
- Hardback ISBN:9 7 8 - 0 - 3 2 3 - 7 1 0 4 9 - 7
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 1 0 5 0 - 3
In consultation with Dr. Samir Taneja, Guest Editors Drs. Lee C. Zhao and Rachel Bluebond-Langner have created an issue of Urologic Clinics that updates readers on the latest… Read more
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Request a sales quoteIn consultation with Dr. Samir Taneja, Guest Editors Drs. Lee C. Zhao and Rachel Bluebond-Langner have created an issue of Urologic Clinics that updates readers on the latest advances in gender reassignment surgery. Expert authors have written clinical review articles on the following topics: Epidemiology & Patient selection; Hormone Replacement Therapy for Transgender Patients; Psychological benefits of gender affirming surgery; Fertility preservation in Transgender Patients; Orchiectomy as bridge or alternative to vaginoplasty; Penile inversion vaginoplasty technique; Intestinal vaginoplasty; Vaginoplasty modifications to improve Vulvar aesthetics; Metoidioplasty; Single-stage phalloplasty; Two-stage phalloplasty; Prosthetic placement after phalloplasty; Management of Vaginoplasty and Phalloplasty Complications; and Long-term follow up and cancer screening. Readers will come away with the clinical updates they need to improve outcomes in patients undergoing gender reassignment surgery.
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Forthcoming Issues
- Foreword
- Preface
- Considerations in Gender-Affirming Surgery: Demographic Trends
- Key points
- Demographic trends of transgender and nonbinary identity
- Non–transition-related transgender and nonbinary health care
- Transition-related transgender and nonbinary health care
- Limitations of transgender and nonbinary demographic data
- Summary
- Hormone Therapy for Transgender Adults
- Key points
- Introduction
- Historical perspective
- Goals of hormone therapy
- Medical assessment before hormone initiation
- Feminizing hormone regimens
- Masculinizing hormone regimens
- Primary care issues
- Summary
- A Systematic Review of the Psychological Benefits of Gender-Affirming Surgery
- Key points
- Introduction
- Methods
- Results
- Discussion and implications for future research
- Supplementary data
- Fertility Preservation in Male to Female Transgender Patients
- Key points
- Introduction
- Background
- The effect of hormonal therapy on fertility
- Fertility preservation
- Fertility preservation methods
- Summary
- A Discussion of Options, Outcomes, and Future Recommendations for Fertility Preservation for Transmasculine Individuals
- Key points
- Introduction
- What is fertility preservation?
- Guidelines to treatment of transmasculine individuals
- Fertility preservation options for transmasculine individuals
- Attitudes, perceptions, and ethical issues with fertility preservation in transmasculine individuals
- Pregnancy outcomes from transmen who have undergone fertility preservation
- Recommendations for the future of fertility preservation in transmasculine individuals
- Summary
- Orchiectomy as Bridge or Alternative to Vaginoplasty
- Key points
- Introduction
- Historical perspectives on orchiectomy for gender affirmation
- Eligibility criteria for genital gender-affirming surgery
- Goals and benefits of bilateral orchiectomy
- Surgical considerations and technique
- Postoperative expectations
- Summary
- Penile Inversion Vaginoplasty Technique
- Key points
- Introduction
- Patient selection and eligibility
- Patient readiness and preparation
- Surgical technique
- Vaginal construction
- Vulvar construction
- Postoperative care
- Complications
- Sexual function
- Summary
- Laparoscopic Intestinal Vaginoplasty in Transgender Women: An Update on Surgical Indications, Operative Technique, Perioperative Care, and Short- and Long-Term Postoperative Issues
- Key points
- Introduction
- Indications and contraindications
- Preoperative care
- Surgical technique
- Patient-reported outcomes
- Long-term postoperative issues
- Summary
- Vaginoplasty Modifications to Improve Vulvar Aesthetics
- Key points
- Introduction
- Background leading to development of the author’s technique
- Goals of vulvar aesthetic appearance
- Choice of donor tissue
- Principle of the author’s male-to-female gender confirmation surgical technique
- Results
- Vulvar aesthetics outcome
- Sexual sensation
- Neovaginal depth
- Early postoperative complications
- Secondary aesthetic improvement surgery
- Discussion
- Summary
- Metoidioplasty
- Key points
- Introduction
- Metoidioplasty
- Preoperative assessment
- Operative techniques
- Belgrade metoidioplasty
- Metoidioplasty combined/followed by total phalloplasty
- Results
- Complications
- Personal experience
- Summary
- Single-Stage Phalloplasty
- Key points
- Introduction
- Initial consultation
- Phalloplasty
- Postoperative follow-up
- Urologic complications
- Summary
- “Staging” in Phalloplasty
- Key points
- Introduction
- Proposed advantages of a single-stage approach
- Proposed advantages of the staged approach
- Free or regional tissue transfer first; that is, the Big Ben method
- Perineal urethra first
- Shaft-only and staging options
- Miscellaneous phalloplasty options and current methods of staging
- Staging of adjunct procedures
- Summary
- Prosthetic Placement After Phalloplasty
- Key points
- Rationale for prosthesis
- Evolution of prosthesis in phalloplasty
- Timing of placement
- Surgical technique
- Patient satisfaction
- Implant survival
- Testicular prosthesis
- Nontransgender phalloplasty considerations
- Summary
- Management of Vaginoplasty and Phalloplasty Complications
- Key points
- Introduction
- Vaginoplasty
- Vaginoplasty complications
- Evaluation
- Early complications
- Delayed complications
- Phalloplasty
- Phalloplasty complications
- Evaluation
- Urethrocutaneous fistula
- Persistent vaginal cavity
- Urethral strictures
- Summary
- Language: English
- Edition: 1
- Volume: 46-4
- Published: October 3, 2019
- Imprint: Elsevier
- Hardback ISBN: 9780323710497
- eBook ISBN: 9780323710503
LZ
Lee C. Zhao
Affiliations and expertise
New York University, New York, NY