Fang R H, Kao Y S, Ma S, Lin J T
Veterans General Hospital, Taipei, Taiwan, Republic of China.
Br J Plast Surg. 1999 Apr;52(3):217-22. doi: 10.1054/bjps.1998.3027.
From July 1994 to December 1996, 22 cases of primary female transsexualism received phalloplasty using free radial forearm osteocutaneous flaps in The Veterans General Hospital, Taipei, Taiwan. Follow-up period ranged from 6 months to 35 months. No complete flap loss and one partial loss (10% reduction) were noted after operation. The urethrocutaneous fistula rate was 40.9%, needing fistula repair surgery. Urethral stricture was noted in three cases (13.7%). Significant donor forearm morbidity was noted in two cases (9.1%) including one who suffered from radius bone fracture. All preserved 'clitorises' had intact erotic sensation and all neophalli gained protective sensation within 9 months. No 'penile fracture' was noted. In nine cases that have regular sexual activities, the sexual performance was rated as satisfactory. We share our experience and recommend that the free radial forearm osteocutaneous tubing flap is a promising choice for phalloplasty in female-to-male transsexuals.
1994年7月至1996年12月，台湾台北荣民总医院对22例原发性女性易性癖患者采用游离桡骨前臂骨皮瓣进行阴茎成形术。随访时间为6个月至35个月。术后未出现皮瓣完全坏死，1例部分坏死（减少10%）。尿道皮肤瘘发生率为40.9%，需要进行瘘修补手术。3例（13.7%）出现尿道狭窄。2例（9.1%）供体前臂出现明显并发症，其中1例发生桡骨骨折。所有保留的“阴蒂”均有完整的性感觉，所有再造阴茎在9个月内获得保护性感觉。未发现“阴茎骨折”。9例有规律性生活的患者，性功能评定为满意。我们分享我们的经验，并推荐游离桡骨前臂骨皮管瓣是女性变男性易性癖患者阴茎成形术的一个有前景的选择。
