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Urological issues following gender reassignment surgery.

Iffy Middleton1, Fiona Ann Holden2

  • 1Lead Nurse Genital Reconstruction, Parkside Hospital, Wimbledon.

British Journal of Nursing (Mark Allen Publishing)
|October 17, 2017
PubMed
Summary

This article guides nurses on genital gender-affirming surgery for transgender individuals. It covers potential urological issues and altered anatomy following these procedures.

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Area of Science:

  • Urology
  • Gender-affirming care
  • Surgical nursing

Background:

  • 0.2% of the UK population identifies as transgender.
  • Gender reassignment involves multidisciplinary teams.
  • Genital gender-affirming surgery is elected by a significant number of transgender individuals.

Purpose of the Study:

  • To familiarize nurses with genital gender reassignment/affirming surgery.
  • To describe the resultant altered anatomy.
  • To explore potential urological issues in transgender men and women post-surgery.

Main Methods:

  • Literature review on genital gender-affirming surgery.
  • Analysis of common urological complications.
  • Discussion of nursing considerations for post-operative care.
Keywords:
Gender reassignment surgeryurethral calculiurethral fistulaurethral stenosisurethral strictureurinary tract infection

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Main Results:

  • Genital gender-affirming surgery creates altered anatomy requiring specialized knowledge.
  • Transgender patients may experience short and long-term urological complications.
  • Local non-specialist settings often manage initial post-operative care.

Conclusions:

  • Nurses require education on genital gender-affirming surgery to manage potential urological complications effectively.
  • Understanding altered anatomy is crucial for appropriate patient assessment and care.
  • Multidisciplinary collaboration is essential for optimal outcomes in transgender surgical care.