Atlas of Operative Techniques in Gender Affirmation Surgery

Dr. Purohit is the co-director of Reconstructive Urology at the Icahn School of Medicine at Mount Sinai Hospital and Associate Professor in its Department of Urology. In 2018, Mt. Sinai appointed him co-director of its first fellowship in Reconstructive Urology that trains methods of gender affirmation surgery including vaginoplasty, metoidioplasty and phalloplasty. His areas of research include reconstructive urology, voiding dysfunction, urethral strictures, gender affirmation surgery, mesh complications, reconstructive urology voiding dysfunction, minimally invasive urology, urogynecology, urologic oncology, treatment of complications of surgery and radiation therapy, and erectile dysfunction. His research in urethral strictures revealed that low-stage urethral strictures rarely progresses and does not require surgery. Dr Miroslav L Djordjevic is a Professor of Urology and Surgery at the School of Medicine, University of Belgrade, Serbia and Icahn School of Medicine at Mount Sinai, New York. The main field of his multidisciplinary work is urogenital reconstructive surgery, encompassing treatment of all anomalies of the genital system, regardless of gender or age. Professor Djordjevic has been multiply awarded for his comprehensive scientific work. He is the Editor of many leading Journals and Books, and a member of all relevant international associations in the field of urology and genital reconstructive surgery. Professor Djordjevic has been invited lecturer and Visiting Professor on many universities all around the world. As a member of humanitarian societies, he actively participated in humanitarian missions over the world. Finally, he is the founder and leader of Belgrade Center for Genital Reconstructive Surgery, which is chosen as a fellowship program center by 20-30 foreign colleagues every year. He is the former President of GURS (Genitourinary Reconstructive Surgeons Society). From 2019, Professor Djordjevic joined Urology Department, Icahn School of Medicine at Mount Sinai in New York, United States. From 2022 he is a gender affirming consultant surgeon at Chelsea and Westminster Hospital, London, UK.

Part 1. Introduction
1. Developing a Gender Confirmation Program: Surgical Perspectives
2. Perioperative considerations for GCS
3. Standards of Care for GCS

Part 2. Techniques in Feminizing Surgery
4. Facial Feminization
5. Tracheal shave and Voice Surgery
6. Breast augmentation
7. Body Contouring
8. Orchiectomy
9. Penile Inversion vaginoplasty (multiple different techniques)
10. Vaginoplasty with bowel segment
11. Robotics and Peritoneal Pull through Vaginoplasty

Part 3. Techniques in Masculinizing Surgery
12. Facial masculinization
13. Mastectomy
14. RFF phalloplasty
15. MLD phalloplasty
16. ALT phalloplasty
17. Abdominal phalloplasty
18. Metoidioplasty: Variants of Technique
19. Penile prosthesis
20. Scrotoplasty and Testicular implants

Part 4. Surgery Techniques to Manage Complications of GCS
21. Masculinizing Top surgery complications
22. Feminizing Top Surgery Complications
23. Strictures and Fistula after masculinizing surgery
24. Urethral hook-up and management of the clitoris in masculinizing surgery
25. Vaginal remnants, stenosis and fistula after feminizing surgery
26. Vaginectomy and hysterectomy complications
27. Surgery for Regret after GCS
28. Satisfaction and Outcomes after GCS

Part 5. Video Demonstration of Technique
Mastectomy
FFS
Metoidioplasty and Variants of Technique
Penile Inversion Vaginoplasty
Robot Assisted Vaginoplasty
MLD phallo
ALT phalloplasty
RFF phalloplasty
Penile prosthesis after Phalloplasty