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Chapter 18 - Gender-affirming Hysterectomy for Trans Men

from Section C - Gynecological Surgery for Transgender Males

Published online by Cambridge University Press:  22 December 2022

By
Timothee Fruhauf ,
Austin D. Peer  and
Stephen Martin
Edited by
Mick van Trotsenburg ,
Rixt A. C. Luikenaar  and
Maria Cristina Meriggiola
Mick van Trotsenburg
Affiliation:
Sigmund Freud PrivatUniversität, Wien
Rixt A. C. Luikenaar
Affiliation:
Rebirth Health Center, Utah
Maria Cristina Meriggiola
Affiliation:
Università di Bologna
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Summary

All routes of hysterectomy are feasible and safe when performed for gender affirmation, without documented increased risk of complications. Minimally invasive approaches are most commonly used, each with particular benefits for trans men in terms of scarring, preservation of vaginal epithelium, and conservation of vasculature for future gender-affirming surgeries. Perioperative implications of testosterone use are individualized and should be discussed preoperatively. Hysterectomy can be combined with other gender-affirming surgeries including mastectomy, vaginectomy, metoidioplasty, or phalloplasty with specific benefits noted for concurrent vaginectomy.

Type
Chapter
Information
Context, Principles and Practice of TransGynecology
Managing Transgender Patients in ObGyn Practice
 , pp. 139 - 144
Publisher: Cambridge University Press
Print publication year: 2022

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References

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