Transgender surgery – Knowledge gap among physicians impacting patient care
| Autor: | Vishnu R. Mani, Adel Hanandeh, Alexius Ramcharan, Brian Donaldson, Aleksandr Kalabin, Sebastian C. Valdivieso |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Phalloplasty
medicine.medical_specialty Urology Population education 030232 urology & nephrology Case Report 03 medical and health sciences 0302 clinical medicine Continuing medical education Transgender medicine Gender-affirming surgery Neourethra Fasciocutaneous flap Curriculum Urethral stricture Transgender surgery education.field_of_study business.industry Neoscrotum Emergency department Diseases of the genitourinary system. Urology Health equity Surgery Dilemma Remnant vagina Oncology Reproductive Medicine Scroto-cutaneous fistula 030220 oncology & carcinogenesis Urethro-vaginal fistula RC870-923 business Psychosocial |
| Zdroj: | Current Urology Current Urology, Vol 15, Iss 1, Pp 68-70 (2021) |
| ISSN: | 1661-7657 1661-7649 |
| Popis: | Transgender surgeries are increasingly performed across the globe and in the United States. Although comprehensive centers exist, which are well equipped to cater and tailor to the needs of this population subset, quite often their resultant complications are handled at a different institution owing to the acuity of the condition. However, interestingly the psychosocial needs, medical pathophysiology, available surgical procedures, and their resultant complications are still not a part of the regular medical curriculum. This translates into inadequate care when physicians from vast majority of institutions that do not routinely perform transgender surgery encounter these patients with complications from gender-affirming surgeries. We present a case of a patient who underwent complex multiple gender-affirming surgeries, presenting to our emergency department with an acute abdomen; this resulted in a diagnostic and management dilemma and review of brief pertinent literature. We recommend that transgender medicine and its basics needs should be exposed to currently practicing physicians by continuing medical education, trainees and medical students alike via incorporation into their curriculum, to decrease health disparities among the lesbian, gay, bisexual, transgender, and queer community. |
| Databáze: | OpenAIRE |
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