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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Management of complications after feminising genital reassignment surgery]
Johannes Moltrecht1, Malte W Vetterlein1, Tim Ludwig1
1Klinik und Poliklinik für Urologie, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
Abstract:
In recent years, transgender healthcare has played an increasingly important role both in social discourse as well as in medical research and the clinical context. When looking at the medical aspect of transgender care, the triad of sexual medical/psychotherapeutic support, endocrinological therapy and surgical interventions to improve or establish gender identity play a decisive role. In this article, we will focus on the management of complications after feminising male-to-female genital reassignment surgery (vaginoplasty). The current literature supports the benefits of gender reassignment surgery in adequately selected patients. Most complications can be treated non-surgical and in an ambulant setting. The complication rates are similar to those of comparable surgical procedures outside the transmedical context 1 2 3.
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