Fang R H, Chen C F, Ma S
Department of Surgery, Veterans General Hospital, Taipei, Taiwan.
Plast Reconstr Surg. 1992 Apr;89(4):679-82; discussion 683.
Sex reassignment surgery has proved to be the best resolution for primary transsexuals. In 1980, Dr. Rubin stated that preservation of the glans to reconstruct the clitoris in male-to-female sex reassignment surgery gave good cosmetic and functional results. In his series, Rubin used the corpus spongiosum as the vascular pedicle of the neoclitoris, but urine leakage is a complication. From 1988 to the present, the dorsal portion of the glans penis with the dorsal neurovascular pedicle has been used here for clitoroplasty in nine male-to-female primary transsexuals. All neoclitorides survived well, with good preservation of light touch and sexual sensation. No urine leakage has occurred. Six patients who were followed reported sexual satisfaction.
变性手术已被证明是原发性易性症患者的最佳解决方案。1980年，鲁宾博士指出，在男性变女性的变性手术中保留龟头来重建阴蒂，能取得良好的外观和功能效果。在他的系列病例中，鲁宾使用海绵体作为新阴蒂的血管蒂，但尿漏是一种并发症。从1988年至今，这里使用带有背侧神经血管蒂的阴茎龟头背侧部分，对9例男性变女性的原发性易性症患者进行阴蒂成形术。所有新阴蒂均存活良好，轻触觉和性感觉保存良好。未发生尿漏。6例接受随访的患者报告有性方面的满意度。
