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Gender Affirmation Surgery, Transmasculine.

Wai Gin Lee1, A Nim Christopher1, David J Ralph1

  • 1University College London Hospital NHS Foundation Trust, 16-18 Westmoreland Street, London W1G 8PH, UK; St Peter's Andrology Centre, London, UK.

The Urologic Clinics of North America
|August 5, 2022
PubMed
Summary
This summary is machine-generated.

Genital gender affirmation surgery (GAS) for transmasculine individuals has advanced with new techniques and inclusive care. However, standardization, classification, and trials are lacking, hindering shared decision-making for this important surgical field.

Keywords:
Functional outcomesGender incongruenceGenital gender affirmation surgeryMetoidioplastyPhalloplastyShared decision makingUrethral lengthening

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Area of Science:

  • Urology
  • Plastic Surgery
  • Gender-Affirming Care

Background:

  • Genital gender affirmation surgery (GAS) for transmasculine individuals has seen significant advancements.
  • Innovations include sensate tissue flaps with integrated urethras and a focus on inclusive care models.

Purpose of the Study:

  • To review contemporary techniques, controversies, and innovations in transmasculine GAS.
  • To identify and address gaps in the current literature regarding standardization, classification, and research.

Main Methods:

  • This study employed a narrative review methodology.
  • It synthesized current literature on surgical techniques and care in transmasculine GAS.

Main Results:

  • Recent decades show rapid evolution in transmasculine GAS driven by surgical and social progress.
  • Key innovations involve specialized tissue flaps and enhanced understanding of inclusive care.
  • A significant gap exists in standardization, classification systems, and prospective trials.

Conclusions:

  • Contemporary transmasculine GAS is advancing, but lacks standardized approaches and robust research.
  • Further research, including prospective trials and development of classification systems, is crucial for improving shared decision-making and patient outcomes.