Evidence map›Paper›PMID 41296060›Full record

ArticleInternational urogynecology journal2026

Gender-Affirming Bilateral Orchiectomy for the Urogynecologist.

Sara Rahman, Cecile A Ferrando

Abstract readVideo-Audio Media
PubMed Publisher
In one paragraph

Article in International urogynecology journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Sara RahmanDivision of Urogynecology & Pelvic Floor Disorders, Obstetrics & Gynecology Institute Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH, 44195-0001, USA. rahman.sara@gmail.com.ORCID 0000-0001-8357-2706
Cecile A FerrandoDivision of Urogynecology & Reconstructive Pelvic Surgery Department of OBGYN & Reproductive Sciences, UC San Diego, San Diego, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and hypothesisAccess to gender-affirming care has improved for transgender individuals, yet significant barriers to surgical interventions persist. Bilateral orchiectomy is a straightforward, same-day procedure that plays a crucial role in gender affirming care. This article and accompanying video outline the indications for this procedure and provide a step-by-step demonstration of the surgical technique.

methodsWe describe the surgical steps of gender-affirming bilateral orchiectomy, highlighting its similarities to vaginal gynecologic procedures. We also discuss indications for gender-affirming bilateral orchiectomy, review testicular anatomy and its parallels to ovarian anatomy, surgical technique, and postoperative care.

resultsThe senior author, a board-certified urogynecologist, has performed over 100 bilateral orchiectomies with excellent outcomes. Given the political and systemic challenges transgender patients face in accessing surgical care, this video underscores the role of urogynecologists and gynecologists in providing this essential service.

conclusionsThis video illustrates indications and technique for bilateral orchiectomy in gender-affirming care, emphasizing its overlap with vaginal surgical skills. Increased exposure to this procedure may encourage urogynecologists and gynecologists to incorporate it into their practice with minimal additional training.

Indexed as

Gender-Affirming SurgeryOrchiectomyFemaleGynecologyHumansMaleTestisTransgender PersonsUrologyGender affirming surgeryLGBTQTransgender healthUrogynecology

Identifiers

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.