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    Transgender surgery: Videos demonstrate cutting-edge techniques


    Simple orchiectomy for transgender patients




    In this video, we demonstrate our technique and special considerations for orchiectomy in transgender patients. Principles include use of a vertical midline scrotal incision and maximal preservation of underlying tissue to facilitate potential future genital reconstruction.

    Dr. Zhao: There are several psychologic and medical benefits of orchiectomy for male-to-female transgender patients. This video elegantly demonstrates how orchiectomy for gender affirmation differs from orchiectomy for oncologic purposes. For transgender patients, preservation of scrotal skin and Dartos is important as some patients will eventually undergo penile inversion vaginoplasty, in which the scrotal skin is used to line the neovagina, and the Dartos is used to add volume to the labia majora.

    Dr. Hotaling: Here, Dr. Walsh and colleagues from the University of Washington demonstrate meticulous tissue handling and preservation of the anatomic planes during an orchiectomy for a male-to-female transgender patient. They show how optimal exposure allows a relatively high orchiectomy through a scrotal approach while preserving tissue for future reconstruction.

    Geolani W. Dy, MDGeolani W. Dy, MD Thomas J. Walsh, MD, MSThomas J. Walsh, MD, MS

    Dr. Dy is a fifth-year urology resident and Dr. Walsh is associate professor of urology at the University of Washington School of Medicine, Seattle.


    Section Editor James M. Hotaling, MD, MSSection Editor James M. Hotaling, MD, MS Dr. Hotaling is assistant professor of surgery (urology) at the Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City.


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