Colpectomy Significantly Reduces the Risk of Urethral Fistula Formation after Urethral Lengthening in Transgender Men Undergoing Genital Gender Affirming Surgery

Al-Tamimi, Muhammed; Pigot, Garry L.S.; Sluis, Wouter B. van der; Grift, Tim C. van de; Mullender, Margriet G.; Groenman, Freek; Bouman, Mark‐Bram

doi:10.1016/j.juro.2018.07.037

Cited by 56 publications

(44 citation statements)

References 29 publications

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“…31 Even more, colpectomy is gaining in importance in preparation for genitoplasty with urethral elongation, as colpectomy has been shown to reduce the long-term urethral complications associated with genitoplasty. 31,32 There is no standardized approach to vaginectomy for transmasculine people. The most commonly described approaches have been: (1) transperineal total vaginectomy with colpocleisis; (2) robotic total vaginectomy with colpocleisis; or (3) transvaginal fulguration of the mucosa.…”

Section: Vaginectomymentioning

confidence: 99%

“…Al-Tamini et al compared 62 patients having undergone primary colpectomy to 232 patients who did not undergo colpectomy and found the rate of fistulae to be significantly lower in the colpectomy group (21% versus 48%; p < 0.01). 32 Furthermore, it is important to note that anterior vaginal-wall flaps harvested during vaginectomy may be utilized for construction of the proximal portion of the urethra during phalloplasty or metoidioplasty. 39…”

Section: Vaginectomymentioning

confidence: 99%

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Masculinizing Gender Affirming Surgery

El-Arabi

Barrera

McLaren

et al. 2021

Journal of Gynecologic Surgery

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For many transgender individuals, pursuing gender-affirming surgery (GAS) to minimize gender incongruencecommonly referred to as gender dysphoria-is a medically necessary element of comprehensive genderaffirming health care. Patients who undergo GAS report high postoperative satisfaction rates, and research indicates that GAS improves quality of life and emotional well-being, and eases gender dysphoria. This article is 1 of several articles in the current issue, summarizing the available surgical interventions for alleviating gender incongruence among transgender patients. This part briefly reviews and examines surgical aspects of masculinizing GAS for transmasculine patients.

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Section: Vaginectomymentioning

confidence: 99%

Section: Vaginectomymentioning

confidence: 99%

Masculinizing Gender Affirming Surgery

El-Arabi

Barrera

McLaren

et al. 2021

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

show abstract

“…Urination from the tip of a neophallus, therefore, requires construction of both the pars fixa and pars pendulans urethra. Because of both the complexity of constructing the pars fixa urethra and the reported 30%-70% rate of subsequent urethral strictures and fistulae [27,58] , specific expertise is required to perform these procedures and manage the complications. Therefore, in centers performing phalloplasty with full urethral reconstruction, a collaborative team that includes expertise in reconstructive microsurgery and in reconstructive urology is essential.…”

Section: Urethral Constructionmentioning

confidence: 99%

Phalloplasty: understanding the chaos

2020

Plast Aesthet Res

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Wide variation in overall strategies and surgical specifics for masculinizing genital surgery has created a "phalloplasty chaos" that is confusing to both surgeons and patients seeking gender confirming surgery. The purpose of this article is to review masculinizing genital confirming surgery, or "phalloplasty", focusing on specific goals and categorizing each component of the surgical process. Experienced surgeons from several highvolume centers review and categorize the commonly employed strategies and techniques for gender confirming phalloplasty, including the permutations of approaches to cutaneous flap for phallic construction, the sequence and staging of procedures, and strategies for urethral construction. There is no clear advantage or reduction in complications associated with particular sequences of urethral and phallic reconstruction. Because no single technique or staging strategy has proven superior for gender confirming genital surgery, it is paramount that surgeons are knowledgeable of all available options and the associated advantages, disadvantages, and risks.

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“…Bij persisteren van de fistel wordt deze minimaal drie maanden na de operatie gesloten. Het optreden van urethrafistels in onze populatie is significant verminderd sinds er standaard voorafgaand aan de genitale GAO met urethraverlenging een colpectomie wordt verricht [7].…”

Section: Discussieunclassified

Urologische zorg bij transgenders in Nederland

2018

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Samenvatting Genderdysforie kenmerkt zich door incongruentie tussen het geboorte-en het gewenste geslacht. Transgenders zijn patiënten met genderdysforie die genderbevestigende medische behandelingen willen ondergaan. De medische zorg van mensen met genderdysforie gebeurt multidisciplinair volgens de Standards of Care (SOC) van the World Professional Association for Transgender Health (WPATH). Op basis van shared decision making worden de medicamenteuze en operatieve behandelingen ingesteld. De afdeling Urologie is medeverantwoordelijk voor functionele en esthetische resultaten van de genitale geslachtsaanpassende operaties bij de transgenders. Trefwoorden genderdysforie • transgenders • vaginaplastiek • falloplastiek • metaidoïoplastiek Urological care for transgender patients in the Netherlands Abstract Gender dysphoria is characterized by incongruity between the birth and the desired gender. Transgenders are patients with gender dysphoria who want to undergo gender-confirming medical treatment. The medical care of people with gender dysphoria is multidisciplinary and according to the Standards of Care (SOC) of the World Professional Association for Transgender Health (WPATH). Based on shared decision making, the medical and operative treatments are set. The Urology department is jointly responsible for functional and aesthetic results of the genital gender confirming surgery in the transgender.

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Colpectomy Significantly Reduces the Risk of Urethral Fistula Formation after Urethral Lengthening in Transgender Men Undergoing Genital Gender Affirming Surgery

Abstract: Primary colpectomy decreases the incidence rate of urethral fistulas. Secondary colpectomy is also an effective treatment of fistulas at the proximal urethral anastomosis and the fixed part of the neourethra.

Cited by 56 publications

References 29 publications

Masculinizing Gender Affirming Surgery

Masculinizing Gender Affirming Surgery

Phalloplasty: understanding the chaos

Urologische zorg bij transgenders in Nederland

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