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Urological focus on gender affirmation surgery
David Homewood1, Caitlin Kennedy2, Hans Goossen3
1BSci, MD, Urology Research Registrar, Department of Urology, Western Health, Melbourne, Vic; Department of Surgery, University of Melbourne,@Melbourne, Vic; Research Fellow, International@Medical Robotics Academy, Melbourne, Vic.
Australian Journal of General Practice
|May 2, 2024
Summary
Gender affirmation surgery is crucial for treating gender dysphoria, aligning physical traits with identity. This overview details surgical options and referral criteria for healthcare providers to optimize patient care.
Area of Science:
- Medical Science
- Surgical Procedures
- Psychiatry
Background:
- Gender affirmation surgery is integral to managing gender dysphoria.
- Procedures align physical characteristics with gender identity, enhancing mental health.
- These surgeries contribute to overall patient wellbeing.
Purpose of the Study:
- To provide a comprehensive overview of genital gender affirmation surgeries.
- To outline available surgical options and referral criteria.
- To guide general practitioners and surgeons in patient management.
Main Methods:
- Review of current literature on gender affirmation surgeries.
- Discussion of assessment models: World Professional Association for Transgender Health (WPATH) guidelines and informed consent.
- Summary of surgical procedures for trans-male and trans-female individuals.
Main Results:
- Detailed description of various surgical procedures, including benefits and potential complications.
- Exploration of multidisciplinary care requirements: patient readiness, surgical preferences, hormonal therapy, and risk factor management.
- Comparison of WPATH guidelines and informed consent models for patient assessment.
Conclusions:
- Gender affirmation surgery requires a multidisciplinary approach and careful patient selection.
- Understanding surgical options and referral processes is essential for primary care physicians.
- These procedures are increasingly vital in the comprehensive management of gender dysphoria.

