Historically, transgender people have been marginalized by society and the healthcare system. As changing social mores result in acceptance of transgender individuals with increased access to healthcare for gender transition, urologists will encounter an increasing number of transgender patients. The most common complications after genital gender affirming surgery (GAS) relate to the lower urinary tract and sexual function. Thus, urologists are likely to see more transgender patients for management of urinary and sexual dysfunction.
This Core Curriculum section introduces the urologist to the transgender patient population to facilitate culturally sensitive care, provide information on the process of gender transition, and provide insight on how gender transition affects the genitourinary system. We recommend that readers also refer to Lesson 5 of the 2017 AUA Updates Series: Genital Gender Affirming Surgery for Transgender Patients for additional and more detailed information about gender affirming surgery.1
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