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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.
Inhaltsverzeichnis
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.
Über den Autor / die Autorin
Dmitriy NikolavskySUNY Upstate Medical UniversitySyracuse, New York USA
Stephen A. Blakely
SUNY Upstate Medical UniversitySyracuse, New York USA
Zusammenfassung
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.
Bericht
"It will be valuable to both readers seeking to establish a basic foundation in this area and those wishing to augment an already existing foundation. ... Residents, nurse practitioners, physician assistants, new urologists, and even urologists experienced with gender affirming surgery will find value in this book. ... This is a concise and unique book for all those interested in learning more about gender affirming surgery for transgender patients. It will increase awareness of this important and growing field." (Paul H Chung, Doody's Book Reviews, August 20, 2021)
