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Article

The Role of a Multidisciplinary Approach in Gender Affirmation Surgery: What to Expect and Where Are We Currently?

by
Alessia Celeste Bocchino
1,*,
Andrea Cocci
2,
Alessandro Zucchi
3,
Riccardo Bartoletti
3,
Antonello De Lisa
1 and
Girolamo Morelli
3,*
1
Department of Urology, Santissima Trinità Hospital, University of Cagliari, 09121 Cagliari, Italy
2
Department of Urology, Careggi Hospital, University of Florence, 50139 Florence, Italy
3
Urology Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, 56124 Pisa, Italy
*
Authors to whom correspondence should be addressed.
Uro 2022, 2(3), 179-190; https://doi.org/10.3390/uro2030022
Submission received: 14 May 2022 / Revised: 20 July 2022 / Accepted: 20 August 2022 / Published: 23 August 2022
(This article belongs to the Special Issue Quality of Life and Patient Engagement: What News in Urology and Andrology?)
Review Reports Versions Notes

Abstract

Gender Affirmation Surgeries (GASs), erstwhile called Sex Reassignment Surgeries (SRSs), may be necessary for transgender individuals to change their bodily sexual characteristics and thereby affirm their gender identity. GASs encompass all medically necessary interventions to relieve gender dysphoria and should be available to patients who wish to, and who meet the surgical criteria of the World Professional Association for Transgender Health (WPATH) and Standards of Care (SOC). The comprehensive clinical assessment involves many health specialists, including general practitioners, psychologists, psychiatrists, speech therapists, endocrinologists, surgeons, anesthesiologists, nurses, and other healthcare professionals. To define the patients’ complex care needs and their objectives, high-volume specialized centers, accredited training programs, skilled surgeons and health professionals specializing in transgender care within a multidisciplinary team are essential. Currently, the most prominent challenges are related to ethical issues such as the treatment of underage individuals, fertility, parenting and the potential for regret after GAS. Finally, although GAS has been practiced for more than half a century, data on long-term follow-up represents a further topic for investigation.
Keywords: gender dysphoria; gender non-conforming; transsexualism; gender identity; transgender; sex; sex reassignment surgery; gender affirmation surgery; reconstructive surgical procedures; multidisciplinary approach gender dysphoria; gender non-conforming; transsexualism; gender identity; transgender; sex; sex reassignment surgery; gender affirmation surgery; reconstructive surgical procedures; multidisciplinary approach

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MDPI and ACS Style

Bocchino, A.C.; Cocci, A.; Zucchi, A.; Bartoletti, R.; De Lisa, A.; Morelli, G. The Role of a Multidisciplinary Approach in Gender Affirmation Surgery: What to Expect and Where Are We Currently? Uro 2022, 2, 179-190. https://doi.org/10.3390/uro2030022

AMA Style

Bocchino AC, Cocci A, Zucchi A, Bartoletti R, De Lisa A, Morelli G. The Role of a Multidisciplinary Approach in Gender Affirmation Surgery: What to Expect and Where Are We Currently? Uro. 2022; 2(3):179-190. https://doi.org/10.3390/uro2030022

Chicago/Turabian Style

Bocchino, Alessia Celeste, Andrea Cocci, Alessandro Zucchi, Riccardo Bartoletti, Antonello De Lisa, and Girolamo Morelli. 2022. "The Role of a Multidisciplinary Approach in Gender Affirmation Surgery: What to Expect and Where Are We Currently?" Uro 2, no. 3: 179-190. https://doi.org/10.3390/uro2030022

APA Style

Bocchino, A. C., Cocci, A., Zucchi, A., Bartoletti, R., De Lisa, A., & Morelli, G. (2022). The Role of a Multidisciplinary Approach in Gender Affirmation Surgery: What to Expect and Where Are We Currently? Uro, 2(3), 179-190. https://doi.org/10.3390/uro2030022

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