Gender Affirming Surgery Flashcards
What are the 3 prerequisites for top surgery?
- 1 letter from mental health professional
- 12+ months of documented hormone therapy
- 18+ yo
What are the 3 prerequisites for bottom surgery?
- 2 letters from mental health professional
- 12+ months of documented hormone therapy
- 18+ yo
T/F: there is currently no prerequisites for facial surgery.
true
what are the 4 post-op instructions that every patient receives after a breast augmentation?
- clean wound daily
- implant massage
- no strenuous activity 4 weeks
- no underwire bra 4 weeks
If a patient complains of breast discomfort and an implant in the wrong spot following breast augmentation what complication should you be worried about?
capsular contracture
what grading system is used to define breast augmentation?
Baker Grade I-IV
What is the treatment for a capsular contracture post-breast augmentation?
surgery and removal of capsule
Following a mastectomy what red flags should you be looking for when removing the JP drain ?
symptoms of expanding hematoma, seroma
with any facial gender surgery you must warn the patient about this adverse effect
the patient will be swollen!
With a septoplasty/ rhinoplasty patients must avoid these 2 things.
- blowing nose
- wearing glasses or masks
Following facial gender surgery how long can swelling persist for?
9-12 months
how long is a typical vaginoplasty case?
8-10 hours
Post-op vaginoplasty how often is dilation and douching required?
- dilation 2x daily
- douching every 3-4 days
T/F: In a patient who underwent a vaginoplasty you DO NOT have to do a PAP smear.
true
what is a red flag we look for during post-op stage I phalloplasty?
cold phallus concerning for flap loss
scrotoplasty have higher rates of this complication
dehiscence
what is a red flag we look for during post-op stage 2 phalloplasty?
decreased urine output into STP over 24 hours
what are the 3 adverse effects of using the forearm as the donor site for a phalloplasty?
- neuroma (most common = radial sensory nerve)
- lymphedema
- vascular access is gone
if a patient complains of urine being trapped or “sitting on fluid” following a phalloplasty what should you be concerned about?
diverticulum
If a patient complains of urine leaking from a site other than the urethral meatus following a phalloplasty what should you be concerned about?
fistula
If a patient complains of difficulty emptying the bladder, urgency, bladder fullness, or post-void dribbling following a phalloplasty what should you be concerned about?
stricture
T/F: a patient who underwent a phalloplasty has no prostate.
true
pain never prostatitis`
What is the WPATH surgical criteria?
- 18+ yo
- 1-2 letters from mental health professional
- no contraindications to surgery
- evidence of a good support system
- hormone therapy for 1 year
- social transition (name change, etc.)
