Urol. praxi. 2025;26(3):152-155 | DOI: 10.36290/uro.2025.072
Gender confirmation surgery in historical perspective, current practice, and clinical context
- 1 Sexuologické oddělení, Krajská zdravotní, a. s., Masarykova nemocnice v Ústí nad Labem, o. z.
- 2 Urologické oddělení, Krajská zdravotní, a. s., Nemocnice Litoměřice, o. z.
- 3 FZS UJEP v Ústí nad Labem
- 4 Oddělení rekonstrukční a plastické chirurgie, Krajská zdravotní, a. s., Masarykova nemocnice v Ústí nad Labem, o. z.
- 5 PFF UJEP v Ústí nad Labem
Gender confirmation surgery (GCS) represents a crucial step in the medical transition process for transgender individuals. This article provides a historical overview of the development of these procedures, current indications and contraindications, an overview of commonly used surgical techniques, and the clinical aspects of postoperative care. We focus in detail on the most frequent procedures for trans women and trans men, including their potential complications and long-term outcomes.
Keywords: transgender, gender confirmation surgery, vaginoplasty, phalloplasty, hormone therapy.
Accepted: September 29, 2025; Published: October 17, 2025 Show citation
References
- L'estoile, Pierre de, Brunet G, Bonnefon P. "Mémoires-journaux de Pierre de l'Estoile." (1875).
- Graham D. A Queen of Sodom: Seizing Counter-Reformation to Pursue Queer Liberation in the Life of Kristina of Sweden. Journal of Undergraduate Studies at Trent (JUST). 2024;8(2).
- Turriziani Colonna F, Nunez-Eddy C. Eugen Steinach (1861-1944). In: Embryo Project Encyclopedia. Arizona: Arizona State University. School of Life Sciences. Center for Biology and Society; 2017.
- Padró J. Trans History Spotlight: Bottom Surgery & Dora Rudolfine Richter. In: Plume Health. Dostupný z: https://getplume.co/blog/trans-history-spotlight-bottom-surgery-dora-rudolfine-richter/.
- Meyerowitz J. How sex changed: A history of transsexualit y in the United States. Cambridge: Harvard University Press; 2004.
Go to original source... - Witkin R. Hopkins Hospital: A history of sex-reassignment. The Johns Hopkins Newsletter; 2014. Available from: https://www.jhunewsletter.com/article/2014/05/hopkins-hospital-a-history-of-sex-reassignment-76004/.
- Sexuologická společnost. Stanoviska [online]. [cit. 12. 2. 2025]. Available from: https://www.sexuologickaspolecnost.cz/stanoviska.
- Ministerstvo zdravotnictví České republiky. Věstník č. 8/2012 [online]. 2012 [cit. 12. 2. 2025]. Available from: https://mzd.gov.cz/vestnik/vestnik-c-8-2012/.
- Ústavní soud České republiky. Chirurgický zákrok včetně sterilizace jako podmínka úřední změny pohlaví neobstal před Ústavním soudem [online]. [cit. 12. 2. 2025]. Available from: https://www.usoud.cz/aktualne/chirurgicky-zakrok-vcetne-sterilizace-jako-podminka-uredni-zmeny-pohlavi-neobstal-pred-ustavnim-soudem.
- Reed GM, First MB, Kogan CS, et al. Innovations and changes in the ICD-11 classification of mental, behavioural and neurodevelopmental disorders. World Psychiatry. 2019;18(1):3-19. Go to original source...
Go to PubMed... - Cooper K, Russell A, Mandy W, et al. The phenomenology of gender dysphoria in adults: a systematic review and meta-synthesis. Clin Psychol Rev. 2020;80:101875. Go to original source... Go to PubMed...
- Coleman E, Radix AE, Bouman WP, et al. J. Standards of Care for the Health of Transgender and Gender Diverse People, Version 8. Int J Transgend Health. 2022;23(Suppl 1): S1-S259. Go to original source... Go to PubMed...
- Heston AL, Esmonde NO, Dugi DD 3rd, et al. Phalloplasty: techniques and outcomes. Transl Androl Urol. 2019;8(3): 254-265. Go to original source... Go to PubMed...
- Schuettfort VM, Graf RR, Vetterlein MW, et al. Patient-reported outcomes after one-stage neourethral reconstruction in transmen with phalloplasty-associated strictures and fistulas. World J Urol. 2024;42(1):553. Go to original source... Go to PubMed...
- Marable J, Etcheverry M, Bailey L, et al. Fertility Options for Transgender Patients: How Can Physicians Provide More Inclusive Care? Georgetown Medical Review. 2022;6(1). Go to original source...