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Chapter 12 - Urogynecological Disorders

from Section B - Practicing Transgynecology

Published online by Cambridge University Press:  22 December 2022

By
Kathryn Bell ,
Rachel Oliver  and
Tina Rashid
Edited by
Mick van Trotsenburg ,
Rixt A. C. Luikenaar  and
Maria Cristina Meriggiola
Mick van Trotsenburg
Affiliation:
Sigmund Freud PrivatUniversität, Wien
Rixt A. C. Luikenaar
Affiliation:
Rebirth Health Center, Utah
Maria Cristina Meriggiola
Affiliation:
Università di Bologna
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Summary

Urogynecological disorders in trans women are a significant burden to individuals and negatively influence quality of life. For trans women post gender-affirmative surgery (GAS), prevalence of overactive bladder is high, whereas urinary incontinence and pelvic organ prolapse are reported less frequently. The etiology of urogynecological disorders in trans women remains under-investigated, with limited literature available to guide clinicians. We discuss the prevalence, pathophysiology, and management of overactive bladder, urinary incontinence, and pelvic floor dysfunction, including neovaginal lining and pelvic organ prolapse, for trans women, at both pre- and postoperative stages. Urogynecological disorders of trans men are not addressed in this chapter, as this group of persons visits a gynecological office only by exception, and complaints pre-GAS do not differ from cisgender women.

Type
Chapter
Information
Context, Principles and Practice of TransGynecology
Managing Transgender Patients in ObGyn Practice
 , pp. 89 - 96
Publisher: Cambridge University Press
Print publication year: 2022

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