Orchiectomy as Bridge or Alternative to Vaginoplasty.

Simple orchiectomy for gender affirmation is a low-risk, minimally invasive, generalizable procedure that eliminates circulating endogenous testosterone, allowing reduced hormonal supplementation. This article describes a technique that serves as a step in definitive phenotypic transition while maximally preserving healthy tissue for future sex reassignment surgery. Orchiectomy should be offered routinely as a bridge or alternative to vaginoplasty, particularly in the setting of limited access to specialized centers for transgender surgery.

The Urologic clinics of North America. 2019 Nov [Epub]

Marah C Hehemann, Thomas J Walsh

Division of Urology, NorthShore University HealthSystem, 2180 Pfingsten Road, #3000, Glenview, IL 60026, USA., Department of Urology, University of Washington, 1959 Northeast Pacific Street, BB-1121, Box 356510, Seattle, WA 98195, USA. Electronic address: .

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