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We aim to describe approaches in identifying complications associated with these procedures as well as the various reparative techniques that can be utilized to reestablish the neourethral tract.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We prepared a guide to diagnostic and procedural interventions for urologic complications following transmasculine genital reconstructive surgery based on our clinical experience as well as those of our colleagues. We reviewed all current peer\u2010reviewed publications based on this topic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>These procedures have a considerable revision rate for urologic complications, which include urethrocutaneous fistulae, persistent vaginal remnant, and urethral strictures. These complications often present simultaneously and require appropriate workup and treatment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Several reconstructive techniques can be employed to restore the neourethral tract, as we describe in detail.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.25100","type":"journal-article","created":{"date-parts":[[2022,11,24]],"date-time":"2022-11-24T22:39:28Z","timestamp":1669329568000},"page":"979-989","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation and management of urologic complications following transmasculine genital reconstructive surgery"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3749-0336","authenticated-orcid":false,"given":"Jason","family":"Elyaguov","sequence":"first","affiliation":[{"name":"Department of Urology SUNY Upstate Medical University  Syracuse New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman","family":"Isakov","sequence":"additional","affiliation":[{"name":"Department of Urology SUNY Upstate Medical University  Syracuse New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dmitriy","family":"Nikolavsky","sequence":"additional","affiliation":[{"name":"Department of Urology SUNY Upstate Medical University  Syracuse New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,24]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"How many adults and youth identify as transgender in the United States(June 2022). 2022. 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