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Chapter 13 - Painful and Frequent Micturition

from Section B - Practicing Transgynecology

Published online by Cambridge University Press:  22 December 2022

By
Rachel Oliver ,
Kathryn Bell  and
Tina Rashid
Edited by
Mick van Trotsenburg ,
Rixt A. C. Luikenaar  and
Maria Cristina Meriggiola
Mick van Trotsenburg
Affiliation:
Sigmund Freud PrivatUniversität, Wien
Rixt A. C. Luikenaar
Affiliation:
Rebirth Health Center, Utah
Maria Cristina Meriggiola
Affiliation:
Università di Bologna
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Summary

Painful and frequent micturition is a common cause of bothersome lower urinary tract symptoms (LUTS) in transgender populations, particularly in those undergoing gender-affirming surgery (GAS). Hormonal and surgical changes to the lower urinary tract may predispose patients to such symptoms. We discuss the prevalence, pathophysiology, and potential causes of painful and frequent micturition in transgender patients, including urethral stricture disease, urethral fistulae, urinary tract infection, dermatological disorders, primary bladder pathologies, and pelvic floor dysfunction.

Type
Chapter
Information
Context, Principles and Practice of TransGynecology
Managing Transgender Patients in ObGyn Practice
 , pp. 97 - 102
Publisher: Cambridge University Press
Print publication year: 2022

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References

Haylen, BT, de Ridder, D, Freeman, RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn 2010;29(1):4–20.Google Scholar
Melloni, C, Melloni, G, Rossi, M, et al. Lower urinary tract symptoms in male-to-female transsexuals: short term results and proposal of a new questionnaire. Plast Reconstr Surg Glob Open 2016;4(3):e655.CrossRefGoogle Scholar
Lawrence, A. Patient-reported complications and functional outcomes of male-to-female sex reassignment surgery. Arch Sex Behav 2006; 35(6):717–727.CrossRefGoogle ScholarPubMed
Hoebeke, P, Selvaggi, G, Ceulemans, P, et al. Impact of sex reassignment surgery on lower urinary tract function. Eur Urol 2005;47(3):398–402.Google Scholar
Srinivasan, S, Soni, S. Effect of sex reassignment surgery on lower urinary tract function: a questionnaire-based study. Int J Med Res Prof 2017;3(4):215–218.Google Scholar
Kim, SY, Bang, W, Kim, MS, et al. Analysis of the prevalence and factors associated with nocturia in adult Korean men. Sci Rep 2017;7:41714.CrossRefGoogle ScholarPubMed
Nassiri, N, Maas, M, Basin, M, Cacciamani, GE, Doumanian, LR. Urethral complications after gender reassignment surgery: a systematic review. Int J Impot Res 2020;33(8):793–800.CrossRefGoogle ScholarPubMed
Van d Grift, TC, Pigot, G, Boudhan, S, et al. A longitudinal study of motivations before and psychosexual outcomes after genital gender-confirming surgery in transmen. J Sex Med 2017;14(12):1621–1628.Google Scholar
Parsons, M, Tissot, W, Cardozo, L, et al. Normative bladder diary measurements: night versus day. Neurourol Urodyn 2007;26:465–473.CrossRefGoogle ScholarPubMed
Veerman, H, de Rooij, FPW, Al-Tamimi, M, et al. Functional outcomes and urological complications after genital gender-affirming surgery with urethral lengthening in transgender men. J Urol 2020;204(1):104–109.CrossRefGoogle ScholarPubMed
Rachlin, K, Hansbury, G, Pardo, ST. Hysterectomy and oopherectomy experiences of female-to-male transgender individuals. Int J Transgend 2010;12(3):155–166.CrossRefGoogle Scholar
Kuhn, A, Hiltebrand, R, Birkhäuser, M. Do transsexuals have micturition disorders? Eur J Obstet Gynecol Reprod Biol 2007;131(2):226–230.Google Scholar
Trum, H, Hoebeke, P, Gooren, L. Sex reassignment of transsexual people from a gynaecologist’s and urologist’s perspective. Acta Obstet Gynecol Scand 2015;94(6):563–567.CrossRefGoogle ScholarPubMed
Bertolotto, M, Liguori, G, Bucci, S, et al. MR imaging in patients with male-to-female sex reassignment surgery: postoperative anatomy and complications. Br J Radiol 2017;90:20170062.Google Scholar
Santos, F, Leite, R, Custodio, A, et al. Testosterone stimulates growth and secretory activity of the female prostate in the adult gerbil. Biol Reprod 2006;75:370–379.CrossRefGoogle ScholarPubMed
Saad, F, Yassin, A, Haider, A, Gooren, L. Effects of testosterone on the lower urinary tract go beyond the prostate: new insights, new treatment options. Arab J Urol 2011;9:147–152.CrossRefGoogle ScholarPubMed
Biancardi, M, Santos, F, Madi-Rvazzi, L, et al. Testosterone promotes an anabolic increase in the rat female prostate (Skene’s paraurethral gland) which acquires a male ventral prostate phenotype. Anat Rec (Hoboken) 2010;293(12):2163–2175.Google Scholar
Tek, M, Balli, E, Cimen, B, et al. The effect of testosterone replacement therapy on bladder functions and histology in ochiectomized mature male rats. Urology 2010;75(4):886–890.CrossRefGoogle ScholarPubMed
Bryson, C, Honig, S. Genitourinary complications of gender-affirming surgery. Curr Urol Rep 2019;20(6):31.CrossRefGoogle ScholarPubMed
Jun, MS, Santucci, RA. Urethral stricture after phalloplast. Transl Androl Urol 2019;8(3):266–272.CrossRefGoogle Scholar
Dunford, C, Bell, K, Rashid, T. Genital reconstructive surgery in male to female transgender patients: a systematic review of primary surgical techniques, complication profiles, and functional outcomes from 1950 to present day. Eur Urol Focus 2021;7(2):464–471.CrossRefGoogle ScholarPubMed
Middleton, I, Holden, F. Urological issues following gender reassignment surgery. Br J Nurs 2017 (urology supplement);26:18.Google Scholar
Stantucci, RA. Urethral complications after transgender phalloplasty: strategies to treat them and minimize their occurrence. Clin Anat 2018;31(2):187–190.Google Scholar
Foxman, B. Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. Am J Med 2002;8(suppl. 1A):5S–13S.Google Scholar
Bailey, RR. Urinary tract infection: some recent concepts. Can Med Assoc J 1972;107(4):316–330.Google ScholarPubMed
Toolenaar, TA, Freundt, I, Wagenvoort, JH, et al. Bacterial flora of the sigmoid neovagina. J Clin Microbiol 1993;31(12):3314–3316.CrossRefGoogle ScholarPubMed
Weyers, S, De Sutter, P, Hoebeke, S, et al. Gynaecological aspects of the treatment and follow-up of transsexual men and women. Facts Views Vis Obgyn 2010; 2(1):35–54.Google ScholarPubMed
Combaz, N, Kuhn, A. Long-term urogynecological complications after sex reassignment surgery in transsexual patients: a retrospective study of 44 patients and diagnostic algorithm proposal. Am J Urol Res 2017;2:38–43.Google Scholar
De Haseth, K, Buncamper, M, Ozer, M, et al. Symptomatic neovaginal candidiasis in transgender women after penile inversion vaginoplasty: a clinical case series of five consecutive patients. Transgend Health 2018;3(1):105–108.CrossRefGoogle ScholarPubMed
Radix, A, Harris, A, Belkind, U, Ting, J, Goldstein, Z. Chlamydia trachomatis infection of the neovagina in transgender women. Open Forum Infect Dis 2019;6(11):ofz470.Google Scholar
Bodsworth, N, Davies, S. Gonococcal infection of the neovagina in a male-to-female transsexual. Sex Transm Dis 1994;21(4):211–212.CrossRefGoogle Scholar
Nikolavsky, D, Hughes, M, Zhao, L. Urologic complications after phalloplasty or metoidioplasty. Clin Plast Surg 2018;45(3):425–435.CrossRefGoogle ScholarPubMed
Chaudhry, S, Craig, P, Calonje, E, Neill, S. Genital lichen sclerosus in a case of male-to-female gender reassignment. Clin Exp Dermatol 2006;31(5):656–658.CrossRefGoogle Scholar
Nickel, JC. Interstitial cystitis: characterisation and management of an enigmatic urologic syndrome. Rev Urol 2002;4(3):112–121.Google ScholarPubMed
Kim, H-J. Update on the pathology and diagnosis of interstitial cystitis/bladder pain syndrome: a review. Int Neurourol J 2016;20(1):13–17.CrossRefGoogle ScholarPubMed
Bailey, RR. Urinary tract infection: some recent concepts. Can Med Assoc J 1972;107(4):316–330.Google ScholarPubMed
Peters, KM, Carrico, DJ. Frequency, urgency and pelvic pain: treating the pelvic floor versus the epithelium. Curr Urol Rep 2006;7(6):450–455.Google Scholar
Butrick, CW. Pelvic floor hypertonic disorders: identification and management. Obstet Gynecol Clin North Am 2009;36(3):707–722.CrossRefGoogle ScholarPubMed
Wallace, SL, Miller, LD, Mishra, K. Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women. Curr Opin Obstet Gynecol 2019;31(6):485–493.CrossRefGoogle ScholarPubMed
Jiang, DD, Gllagher, S, Burchill, L, Berli, J, Dugi, D. Implementation of a pelvic floor physical therapy program for transgender women undergoing gender-affirming vaginoplasty. Obstet Gynecol 2019;133(5):1003–1011.Google Scholar
Manrique, O, Adabi, K, Huang, T, et al. Assessment of pelvic floor anatomy for male-to-female vaginoplasty and the role of physical therapy on functional and patient-reported outcomes. Ann Plast Surg 2019;82(6):661–666.Google Scholar
Nygaard, I, Barber, M, Burgio, K, et al. Prevalence of symptomatic pelvic floor disorders in US women. JAMA 2008;300(11):1311–1316.Google Scholar
James, SE, Herman, JL, Rankin, S, et al. The Report of the 2015 U.S. Transgender Survey. Washington, DC: National Center for Transgender Equality, 2016.Google Scholar
Bandini, E, Fischer, A, Ricca, V, et al. Childhood maltreatment in subjects with male-to-female gender identity disorder. Int J Impot Res 2001;23:276–285.Google Scholar
Kussin-Shoptaw, AL, Fletcher, JB, Reback, CJ. Physical and/or sexual abuse is associated with increased psychological and emotional distress among transgender women. LGBT Health 2017;4(4):268–274.Google Scholar
Cicowski, SB, Dunivan, GC, Komesu, YM, Rogers, RG. Sexual abuse history and pelvic floor disorders in women. South Med J 2013; 106(12):675–678.CrossRefGoogle Scholar
Beck, JJH, Elzevier, HW, Pelger, RCM, Putter, H, Voorham-van der Zalm, PJ. Multiple pelvic floor complaints are correlated with sexual abuse history. J Sex Med 2009;6(1):193–198.Google Scholar
De Brouwer, IJ, Elaut, E, Becker-Hebly, I, et al. Aftercare needs following gender-affirming surgeries: findings from the ENIGI Multicenter European Follow-Up Study. J Sex Med 2021;18(11):1921–1932.CrossRefGoogle ScholarPubMed

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