Westman J C, Zarwell D H
Arch Sex Behav. 1975 Jan;4(1):53-63. doi: 10.1007/BF01541886.
An unusual case of phallic amputation is reported because it highlights the complex issues involved in considering transsexual surgery during early life. The lack of ambiguity regarding this patient's physiological gender at the age of 15 months permitted his management to rest solely on the long-range social and developmental implications of his phallic defect. The impact of this event on the child's family, on the community, and on professional workers was profound, leading to a series of circumstances that affected objectivity and the decision-making process. The decision to retain the male gender was based on the uncertain long-range effects of the loss of capacity for procreation and the surgical procedures and hormone therapy necessitated by gender change.
本文报告了一例罕见的阴茎切断病例，因为它凸显了在儿童早期考虑变性手术时所涉及的复杂问题。该患者在15个月大时生理性别明确，因此其治疗仅基于阴茎缺陷对其长期社会和发育的影响。这一事件对孩子的家庭、社区和专业工作人员产生了深远影响，导致了一系列影响客观性和决策过程的情况。保留男性性别的决定是基于生育能力丧失的不确定长期影响以及性别改变所需的手术程序和激素治疗。
