Review
doi: 10.1016/j.ucl.2019.07.005.Orchiectomy as Bridge or Alternative to Vaginoplasty
Affiliations
- PMID:31582025
- DOI: 10.1016/j.ucl.2019.07.005
Item in Clipboard
Review
Orchiectomy as Bridge or Alternative to Vaginoplasty
Marah C Hehemann et al. Urol Clin North Am.2019 Nov.
Display options
Format
Display options
Format
Abstract
Simple orchiectomy for gender affirmation is a low-risk, minimally invasive, generalizable procedure that eliminates circulating endogenous testosterone, allowing reduced hormonal supplementation. This article describes a technique that serves as a step in definitive phenotypic transition while maximally preserving healthy tissue for future sex reassignment surgery. Orchiectomy should be offered routinely as a bridge or alternative to vaginoplasty, particularly in the setting of limited access to specialized centers for transgender surgery.
Keywords: Gender dysphoria; Gender identity; Orchiectomy; Sex reassignment surgery; Transgender.
Copyright © 2019 Elsevier Inc. All rights reserved.
Similar articles
- [SEX REASSIGNMENT SURGERY WITH LAPAROSCOPIC SIGMOID COLON VAGINOPLASTY IN A MALE TO FEMALE TRANSSEXUAL: A CASE REPORT].Ichihara K, Masumori N.Ichihara K, et al.Nihon Hinyokika Gakkai Zasshi. 2016;107(2):126-128. doi: 10.5980/jpnjurol.107.126.Nihon Hinyokika Gakkai Zasshi. 2016.PMID:28442672Japanese.
- Management of Vaginoplasty and Phalloplasty Complications.Schardein JN, Zhao LC, Nikolavsky D.Schardein JN, et al.Urol Clin North Am. 2019 Nov;46(4):605-618. doi: 10.1016/j.ucl.2019.07.012. Epub 2019 Aug 31.Urol Clin North Am. 2019.PMID:31582033Review.
- Gender Affirmation Surgery, Transfeminine.Elyaguov J, Schardein JN, Sterling J, Nikolavsky D.Elyaguov J, et al.Urol Clin North Am. 2022 Aug;49(3):437-451. doi: 10.1016/j.ucl.2022.05.001. Epub 2022 Jun 29.Urol Clin North Am. 2022.PMID:35931435Review.
- Male-to-Female Gender-Affirming Surgery Using Nile Tilapia Fish Skin as a Biocompatible Graft.Rodríguez ÁH, Lima Júnior EM, de Moraes Filho MO, Costa BA, Bruno ZV, Filho MPM, Amaral de Moraes ME, Rodrigues FAR, Paier CRK, Bezerra LRPS.Rodríguez ÁH, et al.J Minim Invasive Gynecol. 2020 Nov-Dec;27(7):1474-1475. doi: 10.1016/j.jmig.2020.02.017. Epub 2020 Mar 3.J Minim Invasive Gynecol. 2020.PMID:32142893
- Vaginoplasty Modifications to Improve Vulvar Aesthetics.Watanyusakul S.Watanyusakul S.Urol Clin North Am. 2019 Nov;46(4):541-554. doi: 10.1016/j.ucl.2019.07.008.Urol Clin North Am. 2019.PMID:31582028Review.
Cited by
- Clinical outcomes of radiation therapy for transgender and gender-expansive people with cancer.Mansur A, Kempf AM, Bitterman DS, Patel CG, Dyer MA, Haas-Kogan DA, Liu KX, Smart AC.Mansur A, et al.Front Oncol. 2023 Sep 7;13:1135400. doi: 10.3389/fonc.2023.1135400. eCollection 2023.Front Oncol. 2023.PMID:37746299Free PMC article.
- Endocrine, gender dysphoria, and sexual function benefits of gender-affirming bilateral orchiectomy: patient outcomes and surgical technique.Stelmar J, Victor R, Yuan N, Smith SM, Mallavarapu S, Sandhu S, Garcia MM.Stelmar J, et al.Sex Med. 2024 Aug 29;12(4):qfae048. doi: 10.1093/sexmed/qfae048. eCollection 2024 Aug.Sex Med. 2024.PMID:39211910Free PMC article.
- Initial clinical experience with simple orchiectomy procedures in the context of transition-related surgeries.Hana T, Raveendran L, Grober E, Potter E, Blodgett N, Krakowsky Y.Hana T, et al.Int J Transgend Health. 2020 Jun 9;21(4):403-409. doi: 10.1080/26895269.2020.1774030. eCollection 2020.Int J Transgend Health. 2020.PMID:34993518Free PMC article.
- Gender-Affirming Surgery and Cancer: Considerations for Radiation Oncologists for Pelvic Radiation in Transfeminine Patients.Smart AC, Liu KX, Domogauer JD, Rodriguez-Russo C, Jones B, Dickstein DR, Mancias JD, Shiloh RY, Wintner A, Zietman AL, Marshall DC, Dyer MA, Russo AL.Smart AC, et al.Int J Radiat Oncol Biol Phys. 2023 Oct 1;117(2):301-311. doi: 10.1016/j.ijrobp.2023.05.028. Epub 2023 May 24.Int J Radiat Oncol Biol Phys. 2023.PMID:37230432Free PMC article.Review.
- Genistein and Sex Hormone Supplementation Modulated Hepatic PPARα, δ, and γ Subtypes and STAT1 Expressions in a NASH Rat Model with Bilateral Orchidectomy.Okrit F, Chayanupatkul M, Siriviriyakul P, Wanpiyarat N, Werawatganon D.Okrit F, et al.Biomedicines. 2024 Feb 21;12(3):483. doi: 10.3390/biomedicines12030483.Biomedicines. 2024.PMID:38540097Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources