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    Readers react to blog post about transgender community

    The recent blog post, “The transgender community: Urology has a role and a responsibility,” by Henry Rosevear, MD, prompted comments from several readers. Given the interest in this topic, Urology Times has compiled these comments below. Please provide feedback of your own by posting a comment in the box below, or by sending the editors an email at [email protected] 

     

    Henry,

    Thank you for your recent thoughtful editorial in Urology Times about care of transgender patients.

    Perfect timing—just 2 weeks ago, I gave a urology grand rounds lecture entitled "surgical care of transgender patients," and we invited one of our hospital medical oncologists who heads the LGBT medicine program here at University of Pennsylvania. The information was well received by the urology residents (and the few faculty who dared attend).

    However in my research for this talk, I too was struck by the absence of any AUA guidelines or white paper statements on the topic of gender dysphoria. The only peer-reviewed consensus information comes from the WPATH [World Professional Association for Transgender Health] guidelines, where at least they are making an effort to standardize care for patients who seek medical/hormonal treatment and possible gender reassignment surgery.

    As you may know, the AAMC [Association of American Medical Colleges] is developing a curriculum for medical schools to address issues of gender-related clinical care, and it is just being piloted this past year at a few medical centers.

    I agree with you in that there is significant opportunity here for us in urology to become involved in this field, where there is rapidly growing demand but a relative dearth of solid clinical information and research. After all, genital surgery is what we do.

    Joe Harryhill, MD

    Philadelphia

    Next: "Please be considerate of making sure the CAH community is provided with factual, evidence-based information as well."

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