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  • Title: Orchiectomy as Bridge or Alternative to Vaginoplasty.
    Author: Hehemann MC, Walsh TJ.
    Journal: Urol Clin North Am; 2019 Nov; 46(4):505-510. PubMed ID: 31582025.
    Abstract:
    Simple orchiectomy for gender affirmation is a low-risk, minimally invasive, generalizable procedure that eliminates circulating endogenous testosterone, allowing reduced hormonal supplementation. This article describes a technique that serves as a step in definitive phenotypic transition while maximally preserving healthy tissue for future sex reassignment surgery. Orchiectomy should be offered routinely as a bridge or alternative to vaginoplasty, particularly in the setting of limited access to specialized centers for transgender surgery.
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