Hage J Joris, van Turnhout Arjen A W M
Department of Plastic and Reconstructive Surgery at the Antoni van Leeuwenhoek Hospital, Amsterdam, The Netherlands.
Ann Plast Surg. 2006 Sep;57(3):312-6. doi: 10.1097/01.sap.0000221625.38212.2e.
In 1996, metaidoioplasty was introduced as an alternative to phalloplasty in female-to-male transsexuals. To assess the long-term outcome in 70 consecutive patients (mean follow-up 8 years), we established the characteristics of postoperative events and additional surgical procedures. Metaidoioplasty and primary or secondary scrotoplasty was uneventful in 8 patients. In the other patients, postoperative events included immediate postoperative complications (n = 23), urethral fistulas (n = 26) or strictures (n = 25), or loss (n = 22) or dislocation (n = 34) of testicular prostheses. An average of 2.6 surgical procedures per patient was needed to complete genital confirmation and cope with all events. Additional phalloplasty was performed or scheduled in 17 patients. We conclude that genital reassignment by metaidoioplasty cannot usually be completed in 1 step and that phalloplasty is feasible subsequent to metaidoioplasty. We still consider metaidoioplasty to be a method of choice in selected patients.
1996年，阴茎成形术被引入作为女性向男性变性者阴茎再造术的替代方法。为评估70例连续患者（平均随访8年）的长期结果，我们确定了术后事件及额外手术操作的特征。8例患者的阴茎成形术及一期或二期阴囊成形术顺利。在其他患者中，术后事件包括术后即刻并发症（23例）、尿道瘘（26例）或尿道狭窄（25例），或睾丸假体丢失（22例）或移位（34例）。每位患者平均需要2.6次手术操作来完成生殖器确认并应对所有事件。17例患者接受了或计划接受额外的阴茎再造术。我们得出结论，阴茎成形术进行生殖器重新分配通常无法一步完成，阴茎再造术在阴茎成形术后是可行的。我们仍然认为阴茎成形术是部分患者的首选方法。
