Transgender Medicine: My Approach

April 4, 2016

The World Professional Association for Transgender Health (WPATH) is a multidisciplinary organization committed devoted to transgender health. As the understanding and treatment of gender identity disorders progresses, there will be more opportunity for collaboration across medical and surgical subspecialties.

As a reconstructive surgeon who is also a urologist, my interest in transgender medicine extends well beyond the operating room.  In fact, my interest in patients with gender identity disorders began from my work in sexual health and intimacy. Some of my first patients seeking sex reassignment surgery were patients I helped with genital pain and issues of sexual function.

Preoperatively, I will be gathering information on voiding dysfunction, specifically concerns related to prostate health, as well as looking at sexual desire, arousal, erection, orgasm and ejaculation.

Many individuals are not engaged in a sexual relationship with a partner prior to definitive genital surgery such as vaginoplasty.  Some will have good sexual desire, but pain with nighttime erections.

A successful surgical outcome is extremely important, but I am focused on the treatment of the complete individual. My goal is that my female patients will have satisfying intimate relationships and sexual function after surgery.

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