{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T22:27:12Z","timestamp":1791239232060,"version":"4.1.0"},"reference-count":34,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","goldjournal.net","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Urology"],"published-print":{"date-parts":[[2023,10]]},"DOI":"10.1016\/j.urology.2023.07.003","type":"journal-article","created":{"date-parts":[[2023,7,19]],"date-time":"2023-07-19T23:45:47Z","timestamp":1689810347000},"page":"98-104","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":10,"special_numbering":"C","title":["Outcomes of Orchiectomy for Gender-affirming Surgery: A National Surgical Quality Improvement Program Study"],"prefix":"10.1016","volume":"180","author":[{"given":"Anna J.","family":"Saltman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miguel I.","family":"Dorante","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael M.","family":"Jonczyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Chiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas C.","family":"Bene","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khushabu","family":"Kasabwala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian B.","family":"Freniere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.urology.2023.07.003_bib1","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1080\/26895269.2022.2038334","article-title":"Surgical satisfaction and quality of life outcomes reported by transgender men and women at least one year post gender-affirming surgery: a systematic literature review","volume":"23","author":"Javier","year":"2022","journal-title":"Int J Transgender Health"},{"key":"10.1016\/j.urology.2023.07.003_bib2","doi-asserted-by":"crossref","first-page":"2990","DOI":"10.1007\/s00266-021-02150-5","article-title":"Getting to the bottom of patient experiences with genital gender affirmation surgery: a qualitative analysis of online reviews","volume":"45","author":"Moog","year":"2021","journal-title":"Aesthet Plast Surg"},{"key":"10.1016\/j.urology.2023.07.003_bib3","doi-asserted-by":"crossref","first-page":"611","DOI":"10.1001\/jamasurg.2021.0952","article-title":"Association between gender-affirming surgeries and mental health outcomes","volume":"156","author":"Almazan","year":"2021","journal-title":"JAMA Surg"},{"key":"10.1016\/j.urology.2023.07.003_bib4","doi-asserted-by":"crossref","first-page":"388e","DOI":"10.1097\/PRS.0000000000004123","article-title":"Gender-affirming surgery in persons with gender dysphoria","volume":"141","author":"Weissler","year":"2018","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.urology.2023.07.003_bib5","doi-asserted-by":"crossref","DOI":"10.1097\/01.GOX.0000828800.32296.60","article-title":"Legislations mandating insurance coverage are highly effective in delivering surgical care of transgender patients","volume":"10","author":"Faletsky","year":"2022","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"10.1016\/j.urology.2023.07.003_bib6","unstructured":"Department of Health and Human Services: NCD 140.3, Transsexual Surgery; 2014."},{"key":"10.1016\/j.urology.2023.07.003_bib7","doi-asserted-by":"crossref","first-page":"492","DOI":"10.1016\/j.sxmr.2019.11.004","article-title":"A simple guide for simple orchiectomy in transition-related surgeries","volume":"8","author":"Francis","year":"2020","journal-title":"Sex Med Rev"},{"key":"10.1016\/j.urology.2023.07.003_bib8","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.ucl.2019.07.005","article-title":"Orchiectomy as bridge or alternative to vaginoplasty","volume":"46","author":"Hehemann","year":"2019","journal-title":"Urol Clin N Am"},{"key":"10.1016\/j.urology.2023.07.003_bib9","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1080\/26895269.2020.1749921","article-title":"Orchiectomy in transgender individuals: a motivation analysis and report of surgical outcomes","volume":"21","author":"van der Sluis","year":"2020","journal-title":"Int J Transgender Health"},{"key":"10.1016\/j.urology.2023.07.003_bib10","doi-asserted-by":"crossref","first-page":"403","DOI":"10.1080\/26895269.2020.1774030","article-title":"Initial clinical experience with simple orchiectomy procedures in the context of transition-related surgeries","volume":"21","author":"Hana","year":"2020","journal-title":"Int J Transgender Health"},{"key":"10.1016\/j.urology.2023.07.003_bib11","doi-asserted-by":"crossref","first-page":"777","DOI":"10.1016\/j.jamcollsurg.2008.07.018","article-title":"Blueprint for a New American College of Surgeons: national surgical quality improvement program","volume":"207","author":"Birkmeyer","year":"2008","journal-title":"J Am Coll Surg"},{"key":"10.1016\/j.urology.2023.07.003_bib12","unstructured":"R: The R Project for Statistical Computing. Accessed February 15, 2023. \u3008https:\/\/www.r-project.org\/\u3009."},{"key":"10.1016\/j.urology.2023.07.003_bib13","unstructured":"James S, Herman J, Rankin S, Keisling M, Mottet L, Anafi M. The Report of the 2015 U.S. Transgender Survey; 2016. Accessed September 17, 2022. https:\/\/www.ustranssurvey.org\/2015-reports."},{"key":"10.1016\/j.urology.2023.07.003_bib14","unstructured":"World Professional Association for Transgender Health. Standards of Care for the Health of Transsexual, Transgender, and Gender Nonconforming People [7th Version]; 2012."},{"issue":"Suppl 1","key":"10.1016\/j.urology.2023.07.003_bib15","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1080\/26895269.2022.2100644","article-title":"Standards of care for the health of transgender and gender diverse people, version 8","volume":"23","author":"Coleman","year":"2022","journal-title":"Int J Transgender Health"},{"key":"10.1016\/j.urology.2023.07.003_bib16","doi-asserted-by":"crossref","first-page":"3869","DOI":"10.1210\/jc.2017-01658","article-title":"Endocrine treatment of gender-dysphoric\/gender-incongruent persons: an endocrine society clinical practice guideline","volume":"102","author":"Hembree","year":"2017","journal-title":"J Clin Endocrinol Metab"},{"key":"10.1016\/j.urology.2023.07.003_bib17","article-title":"Elevated t\/e2 ratio is associated with an increased risk of cerebrovascular disease in elderly men","volume":"8","author":"Gong","year":"2013","journal-title":"PLoS One"},{"key":"10.1016\/j.urology.2023.07.003_bib18","first-page":"179","article-title":"Imbalance of testosterone\/estradiol promotes male CHD development","volume":"22","author":"Zheng","year":"2012","journal-title":"Biomed Mater Eng"},{"key":"10.1016\/j.urology.2023.07.003_bib19","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1089\/trgh.2016.0016","article-title":"Transwomen and the metabolic syndrome: is orchiectomy protective?","volume":"1","author":"Nelson","year":"2016","journal-title":"Transgender Health"},{"key":"10.1016\/j.urology.2023.07.003_bib20","doi-asserted-by":"crossref","DOI":"10.1016\/j.metop.2022.100173","article-title":"The effects of gender-affirming hormone therapy on cardiovascular and skeletal health: a literature review","volume":"13","author":"Chan Swe","year":"2022","journal-title":"Metab Open"},{"key":"10.1016\/j.urology.2023.07.003_bib21","article-title":"Endogenous testosterone and mortality due to all causes, cardiovascular disease, and cancer in men.pdf","author":"Khaw","year":"2007","journal-title":"J Am Heart Assoc"},{"issue":"4","key":"10.1016\/j.urology.2023.07.003_bib22","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1530\/EJE-10-1038","article-title":"A long-term follow-up study of mortality in transsexuals receiving treatment with cross-sex hormones","volume":"164","author":"Asscheman","year":"2011","journal-title":"Eur J Endocrinol"},{"key":"10.1016\/j.urology.2023.07.003_bib23","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/j.maturitas.2019.08.010","article-title":"Cardiovascular implications of gender-affirming hormone treatment in the transgender population","volume":"129","author":"Dutra","year":"2019","journal-title":"Maturitas"},{"key":"10.1016\/j.urology.2023.07.003_bib24","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1016\/j.urology.2018.07.023","article-title":"Effects of feminizing hormones on sperm production and malignant changes: microscopic examination of post orchiectomy specimens in transwomen","volume":"121","author":"Kent","year":"2018","journal-title":"Urology"},{"key":"10.1016\/j.urology.2023.07.003_bib25","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1017\/jme.2022.87","article-title":"Utilization and costs of gender-affirming care in a commercially insured transgender population","volume":"50","author":"Baker","year":"2022","journal-title":"J Law Med Ethics"},{"key":"10.1016\/j.urology.2023.07.003_bib26","doi-asserted-by":"crossref","first-page":"2771","DOI":"10.21037\/tau-20-954","article-title":"Cancer screening in the transgender population: a review of current guidelines, best practices, and a proposed care model","volume":"9","author":"Sterling","year":"2020","journal-title":"Transl Androl Urol"},{"key":"10.1016\/j.urology.2023.07.003_bib27","article-title":"A transgender woman with testicular cancer: a new twist on an old problem","author":"Wolf-Gould","year":"2015","journal-title":"LGBT Health"},{"issue":"3","key":"10.1016\/j.urology.2023.07.003_bib28","first-page":"347","article-title":"The effect of estrogen therapy on spermatogenesis in transgender women","volume":"2","author":"Sinha","year":"2021","journal-title":"F S Rep"},{"key":"10.1016\/j.urology.2023.07.003_bib29","doi-asserted-by":"crossref","first-page":"194","DOI":"10.1097\/PRS.0000000000007452","article-title":"Incidence of cancer and premalignant lesions in surgical specimens of transgender patients","volume":"147","author":"Jacoby","year":"2021","journal-title":"Plast Reconstr Surg"},{"key":"10.1016\/j.urology.2023.07.003_bib30","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1111\/cen.13835","article-title":"Gender-affirming hormone therapy and the risk of sex hormone-dependent tumours in transgender individuals-a systematic review","volume":"89","author":"McFarlane","year":"2018","journal-title":"Clin Endocrinol"},{"key":"10.1016\/j.urology.2023.07.003_bib31","doi-asserted-by":"crossref","DOI":"10.1089\/lgbt.2021.0224","article-title":"Gender affirmation surgery on the rise: analysis of trends and outcomes","author":"Chaya","year":"2022","journal-title":"LGBT Health"},{"issue":"7","key":"10.1016\/j.urology.2023.07.003_bib32","doi-asserted-by":"crossref","first-page":"609","DOI":"10.1001\/jamasurg.2017.6231","article-title":"Temporal trends in gender-affirming surgery among transgender patients in the United States","volume":"153","author":"Canner","year":"2018","journal-title":"JAMA Surg"},{"key":"10.1016\/j.urology.2023.07.003_bib33","unstructured":"Movement Advancement Project | Healthcare Laws and Policies. Accessed December 8, 2022. \u3008https:\/\/www.lgbtmap.org\/equality-maps\/healthcare_laws_and_policies\u3009."},{"key":"10.1016\/j.urology.2023.07.003_bib34","doi-asserted-by":"crossref","first-page":"1276","DOI":"10.1097\/JU.0000000000002900","article-title":"Genital hypoplasia in gender-affirming vaginoplasty: prior orchiectomy, penile length, and other factors to guide surgical planning","volume":"208","author":"Sineath","year":"2022","journal-title":"J Urol"}],"container-title":["Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090429523005939?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0090429523005939?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,25]],"date-time":"2025-09-25T03:12:32Z","timestamp":1758769952000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0090429523005939"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":34,"alternative-id":["S0090429523005939"],"URL":"https:\/\/doi.org\/10.1016\/j.urology.2023.07.003","relation":{},"ISSN":["0090-4295"],"issn-type":[{"value":"0090-4295","type":"print"}],"subject":[],"published":{"date-parts":[[2023,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Outcomes of Orchiectomy for Gender-affirming Surgery: A National Surgical Quality Improvement Program Study","name":"articletitle","label":"Article Title"},{"value":"Urology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.urology.2023.07.003","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}