Gender affirming genitourinary surgeries: radiological perspective
Type:Educational Electronic Presentation
Authors: Susana Fernandez, Sara Moron, Esau Fernadez, Shirin Zarbakhsh, Kevin Acosta, Carmen Martín-Hervás, Paula Hidalgo, Gonzalo Garzón
Keywords:Gender incongruence; gender-affirming surgeries; vaginoplasty; metoidioplasty; phalloplasty
Educational objective
  • Define the concept of gender incongruence and transgender.
  • Learn different types of genitourinary procedures employed for gender affirming surgery.
  • Review imaging modalities used to evaluate surgical changes and complications.
  • Show different cases presented at our institution.

Topic Review



Gender incongruence is defined as a discrepancy between gender identity, gender experienced by an individual, and the assigned sex. Those in whom there is gender incongruence are called transgender. Conversely, when gender identity and assigned sex are aligned, the individual is referred to as cisgender. Person assigned male sex with feminine gender identities would be trangender-women, while those with assigned female sex and masculine gender identities would be trangender-men.

Currently, gender incongruence is recognized as a sexual health condition whose treatment includes multidisciplinary care: hormonal therapy, specialized surgeries, pediatric care... These treatments can greatly improve quality of life of transgender people.

Different surgeries can be performed in these patients. In this paper we will focus... more

Sagittal T2 of cis male anatomy. The Denovellieres' fascia is located in the space between the rectum and the prostate (double orange line). Peritoneal fascia is represented by the red line.
Metoidioplasty: immediate postoperative photo after metoidioplasty.


Gender affirming surgeries are increasingly being performed in our time and carry a risk for complications. Radiologists play an essential role in detecting and evaluating possible complications associated with these surgeries.

Same Authors as...