Larry I. Lipshultz, MD presented “Transgender Surgery 2018: Revisiting an Old Paradigm” during the 23rd Annual Innovations in Urologic Practice on September 14, 2018 in Santa Fe, New Mexico.

How to cite: Lipshultz, Larry I. Transgender Surgery 2018: Revisiting an Old Paradigm” September 14, 2018. Accessed [date today].


Transgender Surgery 2018: Revisiting an Old Paradigm – Summary:

Larry I. Lipshultz, MD, provides an up-to-date definition of gender dysphoria and criteria for urologic transgender surgery. He also shares an interview with a patient prior to surgery and a review, in movie format, of an actual operative procedure.


This presentation focuses on up-to-date diagnostic criteria for gender dysphoria and the treatment of patients consenting to undergo bottom transition surgery. Currently, gender dysphoria impacts about 1.4 million Americans. This presentation reviews the University of Texas/Baylor College of Medicine experience from 1975 to 1995. During that time, this institution provided care to 40 transgender women. An interview with a patient prior to surgery reveals the importance of bottom transition surgery for certain patients. A review, in movie format, then illustrates an actual operative procedure.

This lecture also discusses the effect of estrogen therapy on patients, criteria for surgery clearance, postoperative care, and adverse complications following surgery. Future research should address unmet needs in this area, such as long-term medical and mental health outcomes, ultimate comorbid conditions, and adjuvant transgender interventions, such as speech therapy and appearance coaching.

About Innovations in Urologic Practice

Innovations in Urologic Practice (IUP) is an annual CME-accredited conference devoted to updating urologists on the rapidly changing healthcare environment. Topics focus on innovative diagnostic and treatment strategies, controversies, new and currently developing technologies, and challenges in today’s urologic practice. Dr. Lipshultz presented this lecture during the 23rd IUP in 2018. Please visit this page in order to learn more about future IUP meetings.