Specific needs for managing continence in the transgender community 

  • Nurses working with transgender men who have transitioned to female need to be aware of and educate clients around prostate issues.
  • For men who are transitioning to female, often don’t have their prostate removed, so there are potential prostate issues (prostate cancer) that need to be considered. 
  • For people with catheters, if they haven’t had gender reassignment surgery but are presenting, for example, as a female, they need to be mindful because they may have an enlarged prostate.
  • Some people are embarrassed to ask for help with toileting because they were uncertain of how individuals would react to their bodies and the process they have undergone. 
  • Interviews with transgender clients found identification, respect for the individual, partnership, referral and support, and diversity were key for service providers when working with transgender patients. 

Guide to LGBTI inclusive service from ACON:https://www.acon.org.au/. They suggest that;

  • Providers do not assume all service users are heterosexual and/or cisgender.
  • Be aware of the unique social and emotional issues that LGBTI people face.
  • Respond supportively when someone discloses they’re LGBTI.
  • Challenge homophobia and transphobia and ensure your policies reflect this.
  • Demonstrate that your practice is inclusive of LGBTI people.
  • Develop appropriate and inclusive referral pathways for LGBTI clients.

Support, care and information for LGBTI individuals

A lesbian, gay, bisexual, transgender and intersex (LGBTI) health and wellbeing policy and resource unit can be found here: 


The National peak health organization in Australia is for organizations and individuals that provide health-related programs, services and research with a focus on lesbian, gay, bisexual, transgender, and intersex people (LGBTI) and other sexuality, gender, and bodily diverse people/communities.


Careers Victoria provides care and support to family members and friends who have a disability, mental illness, chronic condition, terminal illness or who are frail. They work closely with the government and other support organisations to improve the lives of caring families throughout Victoria. 


Q life provides anonymous & free LGBTI peer support & referral for people wanting to talk about sexuality, identity, gender, bodies, feelings or relationships. 


What is intersex?

Intersex people are born with sex characteristics (including genitals, gonads and chromosome patterns) that do not fit typical binary notions of male or female bodies.

Intersex is an umbrella term used to describe a wide range of natural bodily variations.

With continence, this needs to be taken into account when caring for people 

continence care for transgender