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Transgender surgery - Knowledge gap among physicians impacting patient care.

Vishnu R Mani¹, Sebastian C Valdivieso¹, Adel Hanandeh¹

¹Department of Surgery, Columbia University College of Physicians and Surgeons at Harlem Hospital Center, New York, NY, United States.

Current Urology

|June 4, 2021

Summary

Physicians need better training in transgender medicine to manage surgical complications effectively. Integrating gender-affirming surgery care into medical education can reduce health disparities for transgender patients.

Keywords:

Fasciocutaneous flap Gender-affirming surgery Neoscrotum Neourethra Phalloplasty Remnant vagina Scroto-cutaneous fistula Transgender surgery Urethral stricture Urethro-vaginal fistula

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Area of Science:

Medical Education
Surgical Complications
Transgender Health

Background:

Gender-affirming surgeries are increasing globally, yet specialized care for complications is often fragmented.
Many medical curricula lack essential training on transgender medicine, including surgical procedures and their potential complications.
This educational gap leads to diagnostic and management challenges when non-specialized physicians encounter post-operative transgender patients.

Observation:

A case is presented of a patient with an acute abdomen following complex gender-affirming surgeries.
The patient's presentation created a diagnostic and management dilemma for the emergency department team.
This highlights the need for broader physician understanding of transgender surgical care.

Findings:

Inadequate training in transgender medicine results in suboptimal care for patients with surgical complications.
Physicians outside specialized centers frequently lack the necessary knowledge to manage these complex cases.
A case review underscores the diagnostic and therapeutic challenges encountered.

Implications:

Integrating transgender medicine into medical education is crucial for improving patient outcomes.
Continuing medical education and curriculum reform can equip physicians to manage gender-affirming surgery complications.
Enhanced training can help reduce health disparities experienced by the transgender community.