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The Department of Urology follows the World Professional Association for Transgender Health \(WPATH\) guidelines, and letters are required for pelvic surgery.) /E (Yes. The Department of Urology follows the World Professional Association for Transgender Health \(WPATH\) guidelines, and letters are required for pelvic surgery.) /Pg 7 0 R /K [1] >> endobj 25 0 obj << /Type /StructElem /S /H3 /T (Do I need to completely stop hormones to have surgery?) /E (Do I need to completely stop hormones to have surgery?) /Pg 7 0 R /K [16] >> endobj 26 0 obj << /Type /StructElem /S /H4 /T (No. Your estrogen dose will be lowered in the immediate preoperative and post-operative period, but it will not be completely stopped.) /E (No. Your estrogen dose will be lowered in the immediate preoperative and post-operative period, but it will not be completely stopped.) /Pg 7 0 R /K [17] >> endobj 27 0 obj << /Type /StructElem /S /H3 /T (What is the post-op care pathway?) /E (What is the post-op care pathway?) /Pg 7 0 R /K [10] >> endobj 28 0 obj << /Type /StructElem /S /H4 /T (For vaginoplasty: Local 7 days after surgery; Follow-up 2 weeks, 6 weeks, 12 weeks, 6 months, 12 months For Orchiectomy: Same day discharge; Follow-up 6 weeks For hysterectomy: Same day discharge; Follow-up 6 weeks) /E (For vaginoplasty: Local 7 days after surgery; Follow-up 2 weeks, 6 weeks, 12 weeks, 6 months, 12 months For Orchiectomy: Same day discharge; Follow-up 6 weeks For hysterectomy: Same day discharge; Follow-up 6 weeks) /Pg 7 0 R /K [11] >> endobj 29 0 obj << /Type /StructElem /S /H3 /T (Do I need to dilate after full depth vaginoplasty surgery? ) /E (Do I need to dilate after full depth vaginoplasty surgery? ) /Pg 7 0 R /K [12] >> endobj 30 0 obj << /Type /StructElem /S /H4 /T (Yes, however frequency of dilation varies for adults based on time from surgery.) /E (Yes, however frequency of dilation varies for adults based on time from surgery.) /Pg 7 0 R /K [13] >> endobj 31 0 obj << /Type /StructElem /S /H3 /T (Do I need to dilate after zero depth vaginoplasty surgery?) /E (Do I need to dilate after zero depth vaginoplasty surgery?) /Pg 7 0 R /K [14] >> endobj 32 0 obj << /Type /StructElem /S /H4 /T (No. Only the external vulva structures are created in adults during zero depth vaginoplasty surgery, so there is no vaginal canal.) /E (No. Only the external vulva structures are created in adults during zero depth vaginoplasty surgery, so there is no vaginal canal.) /Pg 7 0 R /K [15] >> endobj 33 0 obj << /Type /StructElem /S /H3 /T (Do I need to have hair removal?) /E (Do I need to have hair removal?) /Pg 7 0 R /K [18] >> endobj 34 0 obj << /Type /StructElem /S /H4 /T (This depends on the type of vaginoplasty you are having. For full depth vaginoplasty with creation of vaginal canal in adults, hair is required. For zero depth vaginoplasty without creation of vaginal canal in adults, no hair removal required.) /E (This depends on the type of vaginoplasty you are having. For full depth vaginoplasty with creation of vaginal canal in adults, hair is required. For zero depth vaginoplasty without creation of vaginal canal in adults, no hair removal required.) /Pg 7 0 R /K [19] >> endobj 35 0 obj << /Type /StructElem /S /H3 /T (Who will be my provider and what type of training do they have? ) /E (Who will be my provider and what type of training do they have? ) /Pg 7 0 R /K [6] >> endobj 36 0 obj << /Type /StructElem /S /H4 /T (To learn more about your care team, visit weillcornell.org/services/urology/adult-gender-affirming-genital-surgery/our-care-team) /E (To learn more about your care team, visit weillcornell.org/services/urology/adult-gender-affirming-genital-surgery/our-care-team) /Pg 7 0 R /K [7] >> endobj 37 0 obj << /Type /StructElem /S /H3 /T (Where are patients seen?) /E (Where are patients seen?) /Pg 7 0 R /K [8] >> endobj 38 0 obj << /Type /StructElem /S /H4 /T (Our clinic is located in the Center for Female Pelvic Health in Manhattan, New York. When you check in with security, instructions on how to locate the center will be provided.) /E (Our clinic is located in the Center for Female Pelvic Health in Manhattan, New York. When you check in with security, instructions on how to locate the center will be provided.) /Pg 7 0 R /K [9] >> endobj 39 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [37] >> endobj 40 0 obj << /Type /StructElem /S /P /E (Please consult with your physician for any specific medical issues or questions that you may have. To schedule a visit,) /Pg 7 0 R /K [20] >> endobj 41 0 obj << /Type /StructElem /S /P /E (please visit bit.ly/4a0TMqs) /Pg 7 0 R /K [21] >> endobj 42 0 obj << /Type /StructElem /S /P /E ( or scan the QR code.) /Pg 7 0 R /K [22] >> endobj 43 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [38] >> endobj 44 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [26] >> endobj 45 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [27] >> endobj 46 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [28] >> endobj 47 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [29] >> endobj 48 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [30] >> endobj 49 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [31] >> endobj 50 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [32] >> endobj 51 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [33] >> endobj 52 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [34] >> endobj 53 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [35] >> endobj 54 0 obj << /Type /StructElem /S /Figure /P 15 0 R /Pg 7 0 R /K [36] >> endobj 55 0 obj << /ca 1 /BM /Normal >> endobj 56 0 obj << /CA 1 /ca 1 /LC 0 /LJ 0 /LW 1 /ML 4 /SA true /BM /Normal >> endobj 57 0 obj << /Type /ExtGState /ca 0.0 >> endobj 58 0 obj << /Length 293 /N 3 /Filter /FlateDecode >> stream x}JԂ(28hiRpi"VSAOHStspu+.c(#ARx@?F[V[G@`*dK$O.K o@6`O,f'˘O asx0A6vf 8{c7%opZ:u Q 0Q٣F *Ԑ(SDGACAajgrx]s PxM cvhO> stream x]=檒e j,`:5dq00fp{,kNL`v4/AH%UUwU1ď$I@hBrK \;_M|=`nwJA- eTLOv5&hY^N*M܆p^SVҞ{!4DM|  %9@$PZlQlCD{G?_;Y C1_V2#R8!!hX0)NiVM#5W1fOMVW!D%|^&Q!)[vH/)0btxﶅߥ #&oj.njt^suӍSRQ\ZS Tq\Cl(m pqz(UZE8o9h-̌Q"/ҦݞENFo~SͿn ̫ib]%iV$7;t(;_S"a>#Hv~_H$Y; #ˆmӑūC":pD6Zo="O(cҠ+Kعs/ZV6.\tA<#9>I42JĽ@[D73l;%  LgDяq¯7 ՈEHS0og<"XGJKu'f5%sU!0xY*}:^7 9He^[Gm¯][,:a/# d*d隧W`Ŝ"Hǫ\"Cjf"Z`g DkEsQȶy:_Db0[ ~Hl^]V!VB<3kt > *܂>!R3E&*][ D»rj]\klba/ R$^0D"K2(H*MUU| E4U,7:^QJYyb;=Urj/k/0BKUomv,H(GD͒cq mkD& KZ!>Kz,ʯ>oٌ `)E"ِD2[gCu75 b9xwh]Js#'>K7! 0XN5.쏈ԙ/d#> @D3Bd|,hlA@ۧ]D!Z[͒PD$Cm΢3=m[V9FJDr]c:UH)L.Q{ӽgDjasp~8WS"| ٖ.jdov"5iY&/\٥`_fr[D*8yzƣS"N)Xޣ#O6?0AVdN^dGH'ԥ]+ ;R*yjj(2~GhljAq*DB7jcvM6 JGl %GD*}ţfRB &Dm]NY3ωާW1B6f0lu R}I Unf B:mh꫄-?oI0ik/olV1QG#"\.ª*;"Y*4 rs}N|땏h#]հ, YcFH*fYç XYoROz>q4[}wVI(5d%[v2j/U"!,Qorp Lͺ4H1@n3ωT|&!oXV*LF*I-xPO7mHؒD:s5F\цH7ޗ\a*r zo)o"҅h%DS$4tHjY#l:E&CS_tGu {BA9~F2q|H˧H+3iHA%@ךCs@oJ{J0qc}IEO^DD֡oHf۩Z_[H]1fOH3-o׏Рn.a$)Uxi nF9d<Ɇ#iXXʢ;#]Hq4 ▱ȸ ?Nw4UG @c#>|!$K#Ux xBޜ&~$p`qAl 1$h$B)~IņZ:ԠNV1T:~ob* .5S=kb]Is;*gzm_rN8SdB:.a FtZ#i0ׇT m$0p@Y+VSKUD*3k2sHJ`(C?\(oy٫,m*RyՒ6[ʹ8k~d̰ ~ڐX2I]h-0d v'wgX21٨mKJ^X^7߯=<2PhUbJLM&bbaavaUۥ__ g>#VSt`x>fe-J1~H6vd9T$Ѳj2i4&R 6md5R̊' ; MHMAz攀Ÿ>$Oܳުs:ܣ=&y.˸ڳ&٣?81/Ӥ#ċ7ڶ9ﾎH#M"a'̡k6Շ"58)ȷJ1Ր<#an%e5ڞ鄛A.G·%|(ѺS"]& `1q꼖F ܨc෰bv1ِb*;CċXlR-2m$z/ #y$=Ü[IBQmh]VaG2L|E`ἓ+^IRa,tpln81q6^o<.gync,LU|*W_mk@N/b }=6t1? 6DxH9?4 HIw$Ļ`i]04:/Zִ9 >'*:)ҟČR<hZm&rz`lKfKRNUpHܯE J=2F%a&>#nEJ&A"&u NDKm2ͿnG bJAsKZqDRŞ,YS TщHfj0W0R} #X˻c igX=MjV"1ߚۻ&[D*ߍm*\o7YO/ .&tCO[DnQ ?llb3[I%hq+'"vy đ[7H_86wtVn"m}ϖ6*D\20qHk<9>-!tFFfۀ> wt8)v:~="bnSisWiOGw%t"} D^ FR7=%o6>z&>3ĨҨMS b)7t"}-P];n>j1wwrܙ|t ϵaoգakNO$AǾ&*#xtznGKd_W>@LfK>!w RO4ʝxR܈┲}~1H_ ,-Ix)l(G8x›$ֻt"}1go0ogB>??E<]kwH5ru$ 呠si umFU;ps4|8VjYN/HnOe{`EFڃYKGh:1q,D!v.:i6 )bf5o]D7j:&碦Ji/!y"B*9x C̫)_ s$f@-#ۤ},t ͉! endstream endobj 60 0 obj << /Length 5594 /Type /XObject /Subtype /Image /Width 551 /Height 80 /ColorSpace /DeviceGray /BitsPerComponent 8 /Filter /FlateDecode >> stream x]v @ @ .(\%P%P%wAdd|ٱc?BB^"wC}`=@|C&z}\HmCS0y~+k]zx+a9^? 5Cx5L4/wӥ0$Lvɗ{)Lj{_HNTu?^qKaB,LP;c0a&ne7( RT04|RcZ(ӵ0 h&/ 3)M,>.WΙ 9t.ՍV$t7;HWJMx-L&Tx҃"蔣Zbu^Bl6goi5* $&+kjSp&b5F;"ᯁ 9)&2%ua"p'wI1H OR.^eM0鬓tV)Awv5W6~PL$o#&&`혒*~ 4[JZcƸ6CmEhak1[Vv&Y)k<3>" 0=VXoj`$CZj*p2\0ٮm6!EhVDۺ,n0ö݆pmՍdk2ƢS([1E"mkv S uD. 5\0!y ûĒ4w%[0~}r]8\Or Eqһ&6YGDc(/M*L&v%&&`y ;mC ݉tS%3al4>hDJ[Nz  %[gx2A1 ?{Rbs=>IFaʮr n%. 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