Masculinizing Genital Surgery: An Imaging Primer for the Radiologist

Area of Science:

• Radiology
• Surgical Anatomy
• Transgender Healthcare

Background:

• Masculinizing genital surgeries for transgender individuals are performed at specialized centers.
• Radiologists may encounter imaging studies of transgender patients, presenting unique anatomical variations.
• Imaging findings can differ significantly from cisgender patients.

Purpose of the Study:

• To provide the surgical and anatomic basis for interpreting preoperative and postoperative imaging in transgender patients.
• To identify common complications and their associated imaging findings.
• To enhance radiologists' ability to accurately report on transgender patient imaging.

Main Methods:

• Review of surgical procedures and associated anatomical changes.
• Analysis of imaging findings in preoperative and postoperative transgender patients.
• Compilation of common complications and their radiographic appearances.

Main Results:

• Detailed explanation of anatomical alterations following masculinizing genital surgeries.
• Identification of specific imaging features indicative of normal postoperative anatomy.
• Catalog of frequent complications, including infection, fistula, and graft issues, with characteristic imaging findings.

Conclusions:

• Radiologists play an increasing role in transgender patient care.
• Understanding unique anatomical variants and potential complications is essential for accurate interpretation.
• Familiarity with these aspects improves the quality and utility of radiology reports for transgender individuals.