Masculinizing genital surgery: An imaging primer for the radiologist

Alvin W. Annen, Aaron L. Heston, Daniel D. Dugi, Geolani W. Dy, Rachel Bluebond-Langner, Kyle K. Jensen, Jens Urs Berli

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


OBJECTIVE. Masculinizing genital surgeries for transgender individuals are currently performed at only a select few centers; however, radiologists in any geographic region may be confronted with imaging studies of transgender patients. The imaging findings of internal and external genital anatomy of a transgender patient may differ substantially from the imaging findings of a cisgender patient. This article provides the surgical and anatomic basis to allow appropriate interpretation of preoperative and postoperative imaging findings. We also expand on the most common complications and associated imaging findings. CONCLUSION. As these procedures become more commonplace, radiologists will have a growing role in the care of transgender patients and will be faced with new anatomic variants and differential diagnoses. Familiarity with these anatomic variations and postoperative complications is crucial for the radiologist to provide an accurate and useful report.

Original languageEnglish (US)
Pages (from-to)W27-W36
JournalAmerican Journal of Roentgenology
Issue number1
StatePublished - 2020


  • Imaging
  • Metoidioplasty
  • Phalloplasty
  • Preoperative CT angiography
  • Radiology
  • Transgender
  • Urethroplasty

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging


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