Mount Sinai Center for Transgender Medicine and Surgery, New York City, New York; Icahn School of Medicine at Mount Sinai, New York City, New York.
Mount Sinai Center for Transgender Medicine and Surgery, New York City, New York; Icahn School of Medicine at Mount Sinai, New York City, New York.
Endocr Pract. 2022 Apr;28(4):420-424. doi: 10.1016/j.eprac.2022.02.007. Epub 2022 Feb 22.
Gender-affirming surgeries are becoming increasingly common in the United States. For many transgender and gender-diverse patients, gender-affirming surgery is a critical aspect of their overall health and wellness and has a significant impact on their social functioning. Although often the role of the primary care provider, endocrinology specialists may also need to counsel their patients and collaborate with surgical teams.
This narrative review provides an overview of the preoperative assessment and perioperative management for the most common gender-affirming surgeries.
Preoperative assessment prior to gender-affirming surgeries can resemble assessment for other surgeries.
In the absence of data specific to gender-affirming surgeries, risk stratification and amelioration must use surrogate data from other populations.
在美国，性别肯定手术变得越来越普遍。对于许多跨性别和性别多样化的患者来说，性别肯定手术是他们整体健康和幸福的关键方面，对他们的社交功能有重大影响。尽管初级保健提供者通常扮演着重要角色，但内分泌专家也可能需要为他们的患者提供咨询，并与手术团队合作。
本叙述性综述提供了最常见的性别肯定手术的术前评估和围手术期管理概述。
性别肯定手术前的术前评估可以类似于其他手术的评估。
在缺乏专门针对性别肯定手术的数据的情况下，风险分层和改善必须使用来自其他人群的替代数据。
