Abstract

The young patient and her parents presented to the ED early in the evening. The patient complained of vaginal bleeding; the NP estimated that there was at least 500 mL of blood loss on arrival to the ED. The patient also reported that she had already lost more blood at home. The NP called the patient's surgeon whose office was several hours away. The surgeon recommended consulting with the local urology office because the uterine tissue was similar to urethral tissue. The local urologists, however, had no experience treating complications of gender reassignment surgery.