Transgender
Dmitriy Nikolavsky, MD (he/him/his)
Professor
SUNY Upstate Medical University
Polina Reyblat, MD
Professor
Kaiser Permanente, Los Angeles Medical Center
Richard Santucci, MD (he/him/his)
Crane Center for Transgender Surgery
Ervin Kocjancic, MD (he/him/his)
Professor of Urology
University of Chicago
Course Description: Transgender individuals are becoming more prevalent in society. There are an estimated 1,400,000 individuals in the U.S. with gender dysphoria. Many of these patients will undergo medical and surgical transformation. Transgender patients at various stages of their transformation will present to urological clinics for care. It is important for urologists to understand the transition process and the unique components of caring for transgender patients. Patients may present to a general urologists requesting a simple (early) orchiectomy; what is the safe way to perform this procedure without a fear of compromising scrotal skin for future vaginoplasty?
Hormonally related conditions from the natal sex may still be present. For example, male-to-female patients are still at risk for prostate cancer and benign prostatic hyperplasia even after gender confirmation surgery. The types of gender-affirmation surgery will be discussed, along with management of common complications (i.e., urethral stricture, fistula, neo-vaginal stenosis) and appropriate follow-up after surgery.