利用基于桡动脉的前臂游离皮瓣行全尿道再造术在跨性别者中的应用。
Total urethral construction with the radial artery-based forearm free flap in the transsexual.
机构信息
St Peter's Andrology Centre and the Institute of Urology, London, UK.
出版信息
BJU Int. 2010 Oct;106(8):1206-10. doi: 10.1111/j.1464-410X.2010.09247.x.
OBJECTIVE
to report our experience of using a radial artery-based forearm free flap urethroplasty (RAFFFU) inside a pre-fashioned pedicled pubic phalloplasty for female-to-male gender reassignment.
PATIENTS AND METHODS
a neourethra based on the RAFFF was incorporated into a previously constructed phalloplasty in 27 patients. Surgical outcome, patients' satisfaction and voiding sensation of the neourethra were subjectively and prospectively assessed by direct questioning during the follow-up.
RESULTS
after a median follow-up of 9.2 months, all patients who completed the two stages of the procedure were able to void from the tip of the phallus while standing. Donor-site morbidity was minimal, with all patients reporting a complete recovery of forearm sensation and mobility. The overall satisfaction rate was 92%.
CONCLUSIONS
the RAFFFU is the best technique of total urethral construction in female-to-male transsexuals who opt not to undergo a RAFFF phalloplasty.
目的
报告我们在女性到男性性别重置中使用基于桡动脉的前臂游离皮瓣尿道成形术（RAFFFU）的经验，该手术在预制带蒂耻骨阴茎成形术中进行。
患者和方法
在 27 名患者中，将基于 RAFFF 的新尿道纳入先前构建的阴茎成形术中。通过随访期间的直接询问，对手术结果、患者满意度和新尿道的排尿感觉进行了主观和前瞻性评估。
结果
中位随访 9.2 个月后，所有完成两个阶段手术的患者均能够在站立时从阴茎顶端排尿。供区并发症轻微，所有患者均报告前臂感觉和活动完全恢复。总体满意度为 92%。
结论
对于选择不进行 RAFFF 阴茎成形术的女性到男性跨性别者，RAFFFU 是全尿道重建的最佳技术。
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