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Gender Affirming Surgery Experience and Exposure among Reconstructive Urologists.

Shyam Sukumar1, Debduth B Pijush1,2, Steven B Brandes3

  • 1Department of Urology, Columbia University, New York, New York.

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|June 15, 2023
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Summary

Most reconstructive urologists encounter few transgender patients and primarily address complications from prior gender affirming surgeries. There is significant interest in developing gender affirming surgery as a formal discipline within the Society of Genitourinary Reconstructive Surgeons.

Keywords:
reconstructive surgical proceduressex reassignment surgerysurveys and questionnairesurologic surgical procedures

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Area of Science:

  • Urology
  • Gender Affirming Surgery
  • Surgical Practice Patterns

Background:

  • Limited data exists on current practice patterns for gender affirming surgery among reconstructive urologists.
  • Understanding these practices is crucial for advancing care and training.

Purpose of the Study:

  • To survey members of the Society of Genitourinary Reconstructive Surgeons (GURS) regarding their involvement in gender affirming surgery.
  • To identify factors influencing urologists' attitudes towards gender affirming surgery and its integration into reconstructive urology.

Main Methods:

  • An 18-question survey was distributed to all global members of GURS.
  • Multivariable logistic regression was used to analyze factors affecting attitudes toward gender affirming surgery.

Main Results:

  • 89% of respondents had seen transgender patients, but most (76%) saw 10 or fewer annually.
  • Only 5% performed primary gender affirming surgery; 43% managed complications from surgeries done elsewhere.
  • 50% of organizations aimed to develop multidisciplinary gender affirming surgery programs.
  • 66% desired more training, and 75% supported gender affirming surgery as a GURS discipline.

Conclusions:

  • Reconstructive urologists typically manage low volumes of transgender patients and focus on surgical complication repair.
  • A majority of urologists support establishing gender affirming surgery as a dedicated discipline within GURS.
  • Younger urologists and those in organizations developing multidisciplinary programs show more positive attitudes toward gender affirming surgery.