Dr. Eric Walton

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290 appearances 1 recordings 1 series first heard Jan 2026 last heard 13 Jan

Dr. Eric Walton’s voice in public audio — every appearance, attributed to the second.

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BackTable Urology · Ep. 284 Integrating Gender Affirming Care Into Urology with Dr. Eric Walton · 13 Jan 2026 podcast

So that will affect how we treat them.

But from a screening perspective, they still should be doing prostate cancer screening at the same time interval and the same age frames as your cisgendered patients.

You know, I'm not a gynecologist, but if they have a cervix, then they should be doing cervical cancer screening at the same rate.

From a urinary tract perspective, you're still going to screen for microscopic hematuria the way you would screen someone who hasn't had gender affirming surgery.

Okay.

Yeah.

So our transmasculine patients who've had surgery, they're going to be a little more challenging to manage in this area.

So a metorioplasty patient, their urethras are often the smallest.

So you're probably not going to get a flexible cystoscope in.

And if you need to look in their body, you're probably going to need to use a flexible ureteroscope or a pediatric ureteroscope.

I've not personally used one, but I've also heard you can use a hysteroscope, but I've never seen one.

And then phalloplasty patients, my general approach is the less trauma, the more gentle we can be, the better.

So certainly you could use a flexible ureteroscope, but sometimes the urethra can easily accommodate a flexible cystoscope.

And if they need to be screened, they need to be screened.

We don't want to miss a bladder cancer diagnosis in somebody because they had surgery.

I think in the next five to 10 years, we're going to see a lot of innovation in this space.

We're starting to see a lot more academic centers doing gender affirming surgery, which means I think we're going to see a lot more research.

I think you see the proof of that already at meetings like the AUA and WPATH, where there's just increasing amounts of presentations and posters and abstracts focused on gender affirming care.

I think one area that people are working on right now is patient reported outcomes.

We don't have a lot of good patient reported outcome measures for our gender affirming surgery patients.

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