Urological Care for the Transgender Patient : A Comprehensive Guide
2021 ed.
Book Details
Format
Hardback or Cased Book
ISBN-10
303018532X
ISBN-13
9783030185329
Edition
2021 ed.
Publisher
Springer Nature Switzerland AG
Imprint
Springer Nature Switzerland AG
Country of Manufacture
GB
Country of Publication
GB
Publication Date
Jan 20th, 2021
Print length
262 Pages
Product Classification:
Urology & urogenital medicine
Ksh 21,600.00
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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.
Transgender individuals are becoming more prevalent in society. There are an estimated 700,000 -1,400,000 individuals in the US with gender dysphoria. Many of these patients will undergo medical and surgical transformation. Transgender patients at various stages of their transformation will present to urological clinics for care. It is important for urologists to understand the transition process, and the unique components of caring for transgender patients. Currently, there is inadequate understanding regarding the urologic care of transgender patients amongst general urologists. As the transgender population in the US is growing, the unfamiliarity and discomfort of general urologists with care for these patients may put these patients in danger of being underserved. Hormonally related conditions from the natal sex may still be present. For example, male to female patients are still at risk for prostate cancer and benign prostatic hyperplasia even after gender affirmation surgery. The types of gender affirmation surgery will be discussed, along with management of common complications (e.i. urethral stricture, fistula, neo-vaginal stenosis, incontinence) and appropriate follow up after surgery.
While many transgender patients start care at a specialized center, over time as these patients merge into society, these patients will follow up locally with general urologists. Due to their history of transition, these patients have unique needs that may not be familiar to most urologists. Once the transformation is complete and all postoperative needs are met, these patients may require a regularly visit for hematuria workup, stone treatment or BPH consultation. This book is aimed at helping familiarize general urologists with this unique growing population of transgender patients. It will cover how to recognize and evaluate the most common GU complications of gender confirmation surgery, characterize the process of transition, evaluate malignancies after hormonal therapy, identify immediate and long term risks of gender confirmation surgery, and the decision making that goes into the appropriate diagnosis, follow up, or referral.
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