Dr. Dugi specializes in reconstructive surgery for problems of the urinary and genital system. He has advanced training in the treatment of urethral and ureteral strictures, as well as complex problems such as buried penis, adult complications of hypospadias, genital lymphedema, and recto-urethral fistula.

In 2016, Dr. Dugi began to focus on gender-affirming genital surgery for people across the gender spectrum. He offers gender-affirming vaginoplasty and vulvoplasty, orchiectomy, and metoidioplasty, as well as revision surgeries. He also offers care for complications of these and other genital surgeries done elsewhere.

In addition to surgical care, Dr Dugi was co-founder of OHSU's Transgender Health Program in 2012.  He is the program’s Director of Surgical Services, one of the most comprehensive and highest volume gender programs in the nation. He is the Fellowship director for OHSU’s Gender-affirming and Genitourinary Reconstructive Surgery fellowship. He is active in advocacy, education, and research.

Select Publications:

Shoureshi P, Dy GW, Dugi D.  Neovaginal Canal Dissection in Gender-Affirming Vaginoplasty. Journal of Urology 2021 Apr;205(4):1110-1118. doi: 10.1097/JU.0000000000001516. 

Butler C, Dugi D.  A Urologist’s Guide to Caring for Transgender Women.  AUA Update Series January 2022.

Lin-Brande M, Clennon E,  Sajadi K, Djordjevic M, Dy G,  Dugi D. Metoidioplasty with Urethral Lengthening: A Stepwise Approach. Urology. 2021 Jan;147:319-322. doi: 10.1016/j.urology.2020.09.013. Epub 2020 Sep 22.

Hougen HY, Dugi DD 3rd, Berli JU, Sajadi KP.  Outcomes of Transperineal Gender-Affirming Vaginectomy and Colpocleisis.  Female Pelvic Med Reconstr Surg. 2020 Mar 19. doi: 10.1097/SPV.0000000000000843.

Shoureshi P, Dugi D.  Penile Inversion Vaginoplasty Technique. Urol Clin N Amer. 2019 Nov;46(4):511-525. doi: 10.1016/j.ucl.2019.07.006

Jiang DD, Swenson E, Masona M, Turner KR, Dugi D, Hedges JC,  Hecht SL.  Effects of estrogen on spermatogenesis in transgender women.  Urology 2019 2019 Oct;132:117-122. doi: 10.1016/j.urology.2019.06.034. 

Jiang D, Gallagher S, Burchill L, Berli J, Dugi D.  Implementation of a Pelvic Floor Physical Therapy Program for Transgender Women Undergoing Gender-Affirming Vaginoplasty. Obstet Gynecol 2019;133:1003-11.

Jiang D, Witten J, Berli J, Dugi D.  Does Depth Matter? Factors Affecting Choice of Vulvoplasty over Vaginoplasty as Gender-affirming Genital Surgery for Trans-feminine Individuals.  Journal of Sexual Medicine. 2018;15:902-906.

Dugi D, Simhan J, Morey AF.  Urethroplasty for Stricture Disease: Contemporary Techniques and Outcomes.  Urology. 2016;89:12-18.

Morey AF, Brandes S, Dugi D, Armstrong JH, Breyer BN, Broghammer JA, Erickson BA, Holzbeierlein J, Hudak SJ, Pruitt JH, Reston JT, Santucci RA, Smith TG 3rd, Wessells H; American Urological Association.  Urotrauma: AUA guideline. J Urol. 2014;192:327-35.

Thakar H, Dugi D.  Skin Grafting of the Penis. Urologic Clinics of North America, 2013;40:439-48.

Dugi D, Morey AF, Gupta A, Nuss GR, Sheu GL, Pruitt JH. American Association for the Surgery of Trauma grade 4 renal injury substratification into grades 4a (low risk) and 4b (high risk).  J Urol. 2010;183:592-7.

Select Book Chapters:

Putnam C, Scull D, Steckler M, Dugi D, Dy G, Berli J.  “Bottom Surgery.” In: Affirmed: An Inclusive Guide to Medical and Surgical Transition.  Gallagher S, ed. 2020.

Penkin A, Berli J, Dugi D.  “Preoperative Preparation and Perioperative Considerations for Gender-Affirming Genital Surgery. In: Urological Care for the Transgender Patient.  Nikolavsky D and Blakely SA, eds, 2021.

Thakar H, Dugi D. “Practical Plastic Surgery: Techniques for the Reconstructive Urologist”  In: Advanced Male Urethral And Genital Reconstruction Surgery, 2nd edition, Brandes S, Morey A, ed. 2013.

Morey A, Dugi D. Chapter 27, Genital and Lower Urinary Tract Trauma. In: Campbell-Walsh Urology, 10th Edition, 2011.