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.

Written by experts in the fields of urology, urogynecology, plastic surgery, endocrinology, pelvic floor therapy, and mental health care who have first-hand experience with transgender patients One of few texts on transgender care written specifically for the general urologist Includes clinical pearls and guidelines for urologists treating transgender patients post gender-affirmation surgery

Autorentext

Dmitriy NikolavskySUNY Upstate Medical UniversitySyracuse, New York USA
Stephen A. Blakely
SUNY Upstate Medical UniversitySyracuse, New York USA

Inhalt
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.