Voiding Dysfunction in Transgender Patients: What We Know and What We Do Not Know.

IF 2.5 2区医学 Q2 UROLOGY & NEPHROLOGY

Current Urology Reports Pub Date : 2024-11-05 DOI:10.1007/s11934-024-01234-4

Gabriela Gonzalez, Jennifer T Anger

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Abstract

Purpose of review: Transgender and non-binary patients (TGNB) undergoing gender affirming genital surgery may experience perioperative voiding dysfunction. This review aims to outline and analyze literature about gender affirming pelvic surgery urinary complications, evaluation, and treatment.

Recent findings: If a patient is seeking bottom surgery, then urinary goals and pre-operative symptoms should be discussed with respect to variable post-operative outcomes. Urologists should also be aware of the effect that gender affirming hormone therapy has on urinary symptoms. Urethral strictures and urethrocutaneous fistulae occur after feminizing and masculinizing procedures and may manifest as LUTS. Although there is no standardized approach for managing post-operative voiding issues, we present available options. The evaluation of TGNB patients is ideally affirming and tailored to the patient. Long-term urinary and voiding outcomes measurements after vaginoplasty and phalloplasty are also needed, as current validated questionnaires do not capture these symptoms well in TGNB patients.

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变性患者的排尿功能障碍：我们知道什么，我们不知道什么。

审查目的：接受性别确认生殖器手术的变性和非二元患者（TGNB）可能会在围手术期出现排尿功能障碍。本综述旨在概述和分析有关性别肯定盆腔手术泌尿系统并发症、评估和治疗的文献：最近的研究结果：如果患者想要进行下体手术，那么就应该讨论排尿目标和术前症状，以了解术后的不同结果。泌尿科医生还应了解性别平权激素疗法对泌尿系统症状的影响。女性化和男性化手术后会出现尿道狭窄和尿道皮肤瘘，并可能表现为尿失禁。虽然目前还没有处理术后排尿问题的标准化方法，但我们将介绍可供选择的方案。对 TGNB 患者的评估最好是根据患者的具体情况进行。阴道成形术和阴茎成形术后还需要进行长期的排尿和排空结果测量，因为目前有效的调查问卷并不能很好地反映 TGNB 患者的这些症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Urology Reports UROLOGY & NEPHROLOGY-

CiteScore

4.60

自引率

3.80%

发文量

期刊介绍： This journal intends to review the most important, recently published findings in the field of urology. By providing clear, insightful, balanced contributions by international experts, the journal elucidates current and emerging approaches to the care and prevention of urologic diseases and conditions. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as benign prostatic hyperplasia, erectile dysfunction, female urology, and kidney disease. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.