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Management of Urologic Complications Following Metoidioplasty and Phalloplasty

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Urological Care for the Transgender Patient

Abstract

Transmasculine genital reconstructive surgery is an important part of gender affirmation for many transgender men. Metoidioplasty and phalloplasty are the two genital reconstructive options that exist for the creation of a neophallus. The unique anatomy of the neophallic urethra and specific surgical steps in its construction can lead to several urologic complications, including urethrocutaneous fistulas, persistent vaginal cavities, and urethral strictures. The role of a urologist in evaluating and treating these complications is imperative.

This chapter will discuss the urologic complications following genital reconstructive surgery in addition to the surgical techniques that can be used to manage these complications.

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Authors and Affiliations

  1. Department of Urology, SUNY Upstate Medical University, Syracuse, NY, USA

    Jessica Schardein & Stephen Blakely

  2. Urology Department, SUNY Upstate Medical University, Syracuse, NY, USA

    Dmitriy Nikolavsky

Authors
  1. Jessica Schardein
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  2. Stephen Blakely
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  3. Dmitriy Nikolavsky
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Correspondence to Jessica Schardein .

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Editors and Affiliations

  1. Urology Department, SUNY Upstate Medical University, Syracuse, NY, USA

    Dmitriy Nikolavsky

  2. Urology Department, SUNY Upstate Medical University, Syracuse, NY, USA

    Stephen A. Blakely

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Schardein, J., Blakely, S., Nikolavsky, D. (2021). Management of Urologic Complications Following Metoidioplasty and Phalloplasty. In: Nikolavsky, D., Blakely, S.A. (eds) Urological Care for the Transgender Patient. Springer, Cham. https://doi.org/10.1007/978-3-030-18533-6_11

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  • DOI: https://doi.org/10.1007/978-3-030-18533-6_11

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  • Online ISBN: 978-3-030-18533-6

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