top of page

BackTable / Urology / Podcast / Episode #75

Genital Gender Affirmation Surgery

with Dr. Richard Santucci

In this episode of BackTable Urology, Dr. Esther Han (USMD Hospital) and Dr. Richard Santucci (Crane Center) discuss genital gender affirming surgery techniques and postoperative management.

Be part of the conversation. Put your sponsored messaging on this episode. Learn how.

Genital Gender Affirmation Surgery with Dr. Richard Santucci on the BackTable Urology Podcast)
Ep 75 Genital Gender Affirmation Surgery with Dr. Richard Santucci
00:00 / 01:04

BackTable, LLC (Producer). (2023, January 18). Ep. 75 – Genital Gender Affirmation Surgery [Audio podcast]. Retrieved from https://www.backtable.com

Free CME

Reflect on how this Podcast applies to your day-to-day and earn free AMA PRA Category 1 CMEs. Follow the button below to claim your credits on CMEfy.

BackTable CMEfy button

Stay Up To Date

Follow:

Subscribe:

Sign Up:

Podcast Contributors

Dr. Richard Santucci discusses Genital Gender Affirmation Surgery on the BackTable 75 Podcast

Dr. Richard Santucci

Dr. Richard Santucci is a surgeon at the Crane Center for Transgender Surgery in Asutin, Texas.

Dr. Esther Han discusses Genital Gender Affirmation Surgery on the BackTable 75 Podcast

Dr. Esther Han

Dr. Esther Han is a reconstructive urologist with Orlando Health in Florida.

Synopsis

First, Dr. Santucci discusses his career pivot from academic trauma reconstruction to private practice gender affirming reconstruction. After 17 years at Detroit Medical Center as director of trauma reconstruction fellowship, he left his position to learn gender-affirming surgery at the Crane Center in Austin, Texas. He was drawn to gender affirming surgery because of the dynamic techniques and novel research in the field. Next, the doctors review of vocabulary for transgender patients. Dr. Crane notes that vocabulary is always changing and advises doctors to not assume a patient’s gender or surgical preferences based on appearance. Additionally, Dr. Han explains why using the word “normal” over medically correct terms can confuse and cause discomfort in patients.

Next, Dr. Santucci summarizes the gender affirming surgeries he performs. He explains trans women surgeries, such as full vaginoplasty and vulvoplasty. In trans men, he performs metoidioplasty and phalloplasty. However, Dr. Santucci emphasizes that patients are given the freedom to customize their own surgeries by picking which anatomical parts they would like to keep, change, or remove. Complications, such as urethral strictures and infections may occur in all these surgeries. Additionally, he emphasizes the need for addressing fertility with trans men, as some of them would like to keep their ovaries for egg harvesting.

Then, the doctors discuss the recent change in World Professional Association for Transgender Health (WPATH guidelines), which now only require one letter from a therapist instead of two in order to receive genital surgery; however, insurance companies may require more letters. The doctors also contemplate the presence of post-operative regret, since gender affirming surgery is difficult to reverse. Dr. Santucci explains that regret is often tied to postoperative complications.

Then, he delves deeper into the management of phalloplasty complications, such as postoperative incontinence, postoperative infections, and erosions. He also emphasizes the importance of prostate cancer screening for trans women. Although it is rare, the prostate cancer they develop is testosterone independent, making it more difficult to treat and more aggressive.

Finally, Dr. Santucci shares what a typical week in his life looks like and reflects on how multidisciplinary collaboration in the OR has made his operations more efficient and effective.

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

backtable-earn-free-cme.jpg
backtable-plus-vi-cta.jpg
Become a BackTable Sponsor

Up Next

Solving Semen Analysis Barriers: Innovation & Accessibility with Dr. James Smith on the BackTable Urology Podcast)
Innovating Urology: Surgeons Trailblazing Solutions with Dr. Alexandra Haessler, Dr. Jay Shakuri-Rad, and Dr. Tova Weiss on the BackTable Urology Podcast)
Empowering Clinicians through Quality Improvement Initiatives with Dr. Andrew Harris on the BackTable Urology Podcast)
Urology Advocacy: From Passion to Policy with Dr. Seth Cohen and Dr. Michelle Leach on the BackTable Urology Podcast)
Navigating Physician Partnerships: Understanding Stark Law with Clint Davis and David Soler on the BackTable Urology Podcast)
Perfecting Rectal Spacer Placement for Optimal Care with Dr. Neil Taunk on the BackTable Urology Podcast)

Articles

Topics

Penile Implant Procedure Prep
Phalloplasty Procedure Prep
Vaginoplasty Procedure Prep

Get in touch!

We want to hear from you. Let us know if you’re interested in partnering with BackTable as a Podcast guest, a sponsor, or as a member of the BackTable Team.

Select which show(s) you would like to subscribe to:

Thanks! Message sent.

bottom of page