Middleton Iffy, Holden Fiona Ann
Lead Nurse Genital Reconstruction, Parkside Hospital, Wimbledon.
Clinical Nurse Practitioner, University College London Hospitals NHS Foundation Trust and St Peter's Andrology Centre, London.
Br J Nurs. 2017 Oct 12;26(18):S28-S33. doi: 10.12968/bjon.2017.26.18.S28.
It has been estimated that 0.2% of the UK population identifies as transgender. For those who seek gender reassignment, the pathway can involve the expertise of multiple disciplines, including primary care, psychology, endocrinology and speech and language therapy. A small but significant number of the transgender population will also elect to undergo gender-affirming genital surgery in order to achieve gender congruence. In the UK, very few specialist centres provide genital gender-affirming surgery for trans-men and women. The population accessing these services spans the entire UK, and with such geographical dispersion, trans-patients with uro-genital complications after surgery in both the short and long term are likely to present locally, with initial assessment/management often conducted in a non-specialist setting. This article aims to help familiarise nurses with genital gender reassignment/affirming surgery and the resultant altered anatomy. It explores the urological issues trans-men and women may experience as a consequence of surgery.
据估计，英国0.2%的人口认定自己为跨性别者。对于那些寻求性别重新分配的人来说，整个过程可能涉及多个学科的专业知识，包括初级保健、心理学、内分泌学以及言语和语言治疗。一小部分但数量可观的跨性别者也会选择接受性别确认性生殖器手术，以实现性别认同。在英国，很少有专科中心为跨性别男性和女性提供性别确认性生殖器手术。使用这些服务的人群遍布整个英国，由于地域如此分散，跨性别患者在手术后无论短期还是长期出现泌尿生殖系统并发症时，很可能在当地就诊，最初的评估/管理通常在非专科环境中进行。本文旨在帮助护士熟悉性别确认性生殖器手术以及由此导致的解剖结构变化。它探讨了跨性别男性和女性可能因手术而出现的泌尿学问题。
