Atlas of Operative Techniques in Gender Affirmation Surgery

Table of Contents

Part 1. Introduction
1. Developing a Gender Confirmation Program: Surgical Perspectives
2. Perioperative considerations for GCS
3. Standards of Care for GCS

Part 2. Techniques in Feminizing Surgery
4. Facial Feminization
5. Tracheal shave and Voice Surgery
6. Breast augmentation
7. Body Contouring
8. Orchiectomy
9. Penile Inversion vaginoplasty (multiple different techniques)
10. Vaginoplasty with bowel segment
11. Robotics and Peritoneal Pull through Vaginoplasty

Part 3. Techniques in Masculinizing Surgery
12. Facial masculinization
13. Mastectomy
14. RFF phalloplasty
15. MLD phalloplasty
16. ALT phalloplasty
17. Abdominal phalloplasty
18. Metoidioplasty: Variants of Technique
19. Penile prosthesis
20. Scrotoplasty and Testicular implants

Part 4. Surgery Techniques to Manage Complications of GCS
21. Masculinizing Top surgery complications
22. Feminizing Top Surgery Complications
23. Strictures and Fistula after masculinizing surgery
24. Urethral hook-up and management of the clitoris in masculinizing surgery
25. Vaginal remnants, stenosis and fistula after feminizing surgery
26. Vaginectomy and hysterectomy complications
27. Surgery for Regret after GCS
28. Satisfaction and Outcomes after GCS

Part 5. Video Demonstration of Technique
Mastectomy
FFS
Metoidioplasty and Variants of Technique
Penile Inversion Vaginoplasty
Robot Assisted Vaginoplasty
MLD phallo
ALT phalloplasty
RFF phalloplasty
Penile prosthesis after Phalloplasty

Authors

Rajveer S. Purohit Associate Professor, Icahn School of Medicine, Mount Sinai Hospital, USA. Dr. Purohit is the co-director of Reconstructive Urology at the Icahn School of Medicine at Mount Sinai Hospital and Associate Professor in its Department of Urology. In 2018, Mt. Sinai appointed him co-director of its first fellowship in Reconstructive Urology that trains methods of gender affirmation surgery including vaginoplasty, metoidioplasty and phalloplasty.
His areas of research include reconstructive urology, voiding dysfunction, urethral strictures, gender affirmation surgery, mesh complications, reconstructive urology voiding dysfunction, minimally invasive urology, urogynecology, urologic oncology, treatment of complications of surgery and radiation therapy, and erectile dysfunction. His research in urethral strictures revealed that low-stage urethral strictures rarely progresses and does not require surgery. Miroslav L Djordjevic Professor, Belgrade University School of Medicine, Serbia. Dr. Djordjevic is Professor of Surgery, PhD in Urology (Belgrad, 2003), currently practicing at: Belgrade Center for Genital Reconstructive Surgery, Belgrade; School of Medicine, University of Belgrade, Belgrade; Mount Sinai, New York, NY, USA. He published circa 141 titles in peer reviewed manuscripts, book chapters and books. Dr. Miroslav Djordjevic is a leader in the field of urogenital reconstructive surgery and one of the few urologists in the world to encompass treatment of all anomalies of the genital system regardless of gender or age, providing new knowledge of the surgical anatomy of the male and female genitalia. Dr. Djordjevic is the President of the Society for Genitourinary Reconstructive Surgeons (GURS). He is also a member of other urological and surgical associations, including the World Professional Association for Transgender Health (WPATH), the American Urological Association (AUA), and the American Academy of Pediatrics (AAP). He has also received numerous research awards and honors, including awards given by the European Association of Urology, the German Urological Association, and the European Society for Sexual Medicine.