Urological Care for the Transgender Patient: A Comprehensive Guide

by Dmitriy Nikolavsky, Stephen A. Blakely

Overview

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.

Product Details

ISBN-13:	9783030185329
Publisher:	Springer International Publishing
Publication date:	01/19/2021
Edition description:	1st ed. 2021
Pages:	262
Product dimensions:	7.01(w) x 10.00(h) x (d)

About the Author

Dmitriy Nikolavsky
SUNY Upstate Medical University
Syracuse, New York
USA

Stephen A. Blakely

SUNY Upstate Medical University
Syracuse, New York
USA

Table of Contents

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.

Editorial Reviews

Reviewer: Paul H Chung, MD (Thomas Jefferson University)
Description: This book, the first of its kind, provides an in-depth description of the evaluation and treatment of transgender patients and gender affirming surgery. 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.
Purpose: The authors detail the historical and current details of gender affirming surgery for transgender patients. It is designed to serve as an educational reference for both those who already perform gender affirming surgery and those who seek a better understanding of the basic concepts. The book is concise and up to date. It may be read straight through or by chapter, depending on the reader's objective, and can be appreciated by both novice and experienced providers.
Audience: The authors are respected in the field and provide an educational experience for all readers. The book is appropriate for individuals interested in learning or managing gender affirming surgery for transgender patients. Residents, nurse practitioners, physician assistants, new urologists, and even urologists experienced with gender affirming surgery will find value in this book.
Features: The first part provides an overview of the current state of transgender care in addition to preoperative and patient preparation details that are important to consider prior to performing gender affirming surgery. The second part focuses on the anatomy, procedures, and complications of feminizing gender affirming surgery. The third part focuses on the anatomy, procedures, and complications of masculinizing gender affirming surgery. The fourth part describes perioperative care and follow-up after gender affirming surgery. The fifth part covers special topics such as the application of robotics and a brief history of gender affirming medicine and surgery.
Assessment: 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.

Doody's Review Service