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Imaging the acute complications of gender-affirming surgeries: a primer for radiologists in the emergency setting

  • Siddhi Hegde,
  • Evelyn F. Carroll,
  • Florence X. Doo,
  • Beth Drzewiecki,
  • Kyle K. Jensen,
  • Madeleine Sertic,
  • Theodore T. Pierce

摘要

Gender-affirming surgery (GAS) is increasingly being performed. GAS is tailored to the patient leading to a diverse spectrum of radiologic post-operative findings. Radiologists who are unfamiliar with expected anatomic alterations after GAS may misdiagnose important complications leading to adverse patient outcomes. This collaborative multi-institutional review aims to:

Describe relevant embryology and native anatomy.

Describe relevant Gender-Affirming Surgery (GAS) techniques and expected neo-anatomy with associated complications, including common terminology.

Review expected imaging appearance of neo-anatomy/postoperative findings.

Review multi-modality [ultrasound, plain film, retrograde urethrogram, computed tomography] emergent imaging findings.

Understand unique patient evaluation and imaging protocol considerations in the GAS population.

Discuss pearls and pitfalls of imaging in the acute post-GAS setting.