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Item Type Journal Article
Title Imaging of transgender patients: expected findings and complications of gender reassignment therapy
Creator Shergill et al.
Author Arvind K. Shergill
Author Andrés Camacho
Author Jeanne M. Horowitz
Author Priyanka Jha
Author Susan Ascher
Author Emmanuel Berchmans
Author Jaromir Slama
Author Stephanie Nougaret
Author Ashish P. Wasnik
Author Jessica B. Robbins
Author Manjiri K. Dighe
Author Carolyn L. Wang
Author Jennifer M. Nimhuircheartaigh
Author Jordana Phillips
Author Christine Menias
Author Olga R. Brook
Abstract OBJECTIVES: Gender dysphoria is defined as a conflict between the biological gender and the gender with which the person identifies. Gender reassignment therapy can alter external sexual features to resemble those of the desired gender and are broadly classified into two types, female to male (FTM) and male to female (MTF). In this paper we describe expected findings and complications of gender reassignment therapy. METHODS: Collaborative multi-institutional project supported by Ovarian and Uterine Cancer Disease Focused panel of Society of Abdominal Radiology. RESULTS: Gender dysphoria is defined as a conflict between the biological gender and the gender with which the person identifies. Gender reassignment therapy can alter external sexual features to resemble those of the desired gender and are broadly classified into two types, female to male (FTM) and male to female (MTF). These therapies include hormonal treatment as well as surgical procedures. FTM genital reconstructive therapy includes creation of a neophallus, which can be achieved by metoidioplasty or phalloplasty with mastectomy, along with testosterone administration. MTF gender reassignment surgery includes complete removal of external genitalia with penectomy and orchiectomy, with vaginoplasty, clitoroplasty, labiaplasty, and breast augmentation along with estrogen supplements. CONCLUSION: Surgical techniques alter the standard anatomy and make imaging interpretation challenging if radiologists are unfamiliar with expected post-operative appearances. It is important to recognize the complications related to surgical and non-surgical treatment of gender dysphoria to avoid interpretation errors. Furthermore, increasing the prevalence of transgender patients requires increased sensitivity when interpreting imaging studies to reduce the potential for misdiagnoses in reporting due to frequently incomplete available clinical history.
Publication Abdominal Radiology (New York)
Date Jun 01, 2019
Journal Abbr Abdom Radiol (NY)
Language eng
DOI 10.1007/s00261-019-02061-9
ISSN 2366-0058
Short Title Imaging of transgender patients
Library Catalog PubMed
Extra PMID: 31154481
Tags clinic, Computed tomography, Female, Gender Dysphoria, Humans, Male, Postoperative Complications, Sex reassignment surgery, Transgender
Date Added 2019/06/04 - 15:54:13
Date Modified 2020/09/10 - 10:39:59
Notes and Attachments PubMed entry (Attachment)
PubMed entry (Attachment)


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