Urologic Sequelae Following Phalloplasty in Transgendered Patients

Area of Science:

• Urology
• Gender Affirmation Surgery
• Transgender Health

Background:

• The transgender population is increasingly visible globally.
• Transgender patients require specialized urologic care during and after gender affirmation surgery.
• Understanding reconstructed anatomy is crucial for managing potential complications.

Purpose of the Study:

• To describe the diagnosis and treatment of common urologic complications following female-to-male (FtM) reconstructions.
• To provide essential knowledge for urologists caring for transgender patients.

Main Methods:

• Literature review focusing on common urologic complications after FtM reconstructions.
• Analysis of diagnostic approaches for identified complications.
• Summary of current treatment strategies for these urologic issues.

Main Results:

• Urethrocutaneous fistulae are a frequent complication requiring surgical intervention.
• Neourethral strictures can develop, necessitating endoscopic or open surgical repair.
• Symptomatic persistent vaginal cavities may require management to prevent infection or discomfort.

Conclusions:

• Effective management of post-FtM reconstruction urologic complications requires specialized knowledge.
• Early diagnosis and appropriate treatment are key to improving patient outcomes.
• Continued research and education are vital for advancing transgender urologic care.