Urology case report - Emergency penectomy for the transfeminine patient

Paul Kim; James Kovacic; Kathleen Lockhart; Wenjie Zhong; Justin Vass

doi:10.1016/j.eucr.2023.102471

Urology case report - Emergency penectomy for the transfeminine patient

Urol Case Rep. 2023 Jun 26:50:102471. doi: 10.1016/j.eucr.2023.102471. eCollection 2023 Sep.

Authors

Paul Kim^{1

2}, James Kovacic^{1

2}, Kathleen Lockhart^{1

2}, Wenjie Zhong^{1

2}, Justin Vass^{1

2}

Affiliations

¹ North Shore Urology Research Group, St Leonards, Australia.
² Department of Urology, Royal North Shore Hospital, St Leonards, Australia.

Abstract

Management of gender dysphoria and healthcare for transgender and non-binary patients is a growing field in Australia and abroad. Currently, gender-affirming surgery is not offered under Australia's national public health insurance. We present an unusual case of emergency penectomy required for a 57-year-old woman assigned-male-at-birth from rural Australia after a self-inflicted chemical burn. This case report outlines the surgical challenges of partial penectomy and neo meatus formation to allow for future gender-affirming surgery and highlights the lack of infrastructure within the public healthcare system for management of gender dysphoria both in rural and metropolitan settings.

Publication types

Case Reports