A Simple Guide for Simple Orchiectomy in Transition-Related Surgeries

摘要

Background: To date, there is no literature on orchiectomy as a stand-alone procedure in the transgender surgical context. Aim: To propose a simple guide to aid health-care professionals caring for transgender and gender nonconforming individuals seeking bilateral simple orchiectomy. Methods: We use expert opinion to provide a novel guide for simple orchiectomy in the transition-related context for health-care professionals caring for transgender and gender nonconforming individuals. A review of relevant literature was also performed focusing on simple orchiectomy and vaginoplasty surgeries for transgender and gender nonconforming individuals. Main Outcome Measure: We describe the indications, surgical approach, preoperative and postoperative assessment, and the risks and bene fits of bilateral simple orchiectomy in the context of gender surgery. Results: This article is the first, to our knowledge, to describe a structured guide to bilateral simple orchiectomy in the context of gender surgery for health-care professionals caring for transgender and gender nonconforming individuals. Clinical Implications: Bilateral scrotal orchiectomy is a simple surgical procedure that has a de fined role in the surgical management of many transgender individuals. Strengths and Limitations: This article provides an approach to simple orchiectomy in the context of gender surgery for health-care professionals. Only guidelines written in English were included. The quality of the included guidelines was not evaluated, but this was beyond the scope of this review. Conclusion: We present a novel guide for health-care professionals caring for transgender and gender nonconforming individuals seeking bilateral simple orchiectomy in the context of gender surgery. Francis C, Grober E, Potter E, et al. A Simple Guide for Simple Orchiectomy in Transition-Related Surgeries. Sex Med Rev 2020;8:492496. Copyright (c) 2019, International Society for Sexual Medicine. Published by Elsevier Inc. All rights reserved.