Bizic Marta, Kojovic Vladimir, Duisin Dragana, Stanojevic Dusan, Vujovic Svetlana, Milosevic Aleksandar, Korac Gradimir, Djordjevic Miroslav L
University Children's Hospital, Tirsova 10, 11000 Belgrade, Serbia.
Institute for Child and Mother's Health "Dr Vukan Cupic", Radoja Dakica 6-8, 11070 Belgrade, Serbia.
ScientificWorldJournal. 2014;2014:638919. doi: 10.1155/2014/638919. Epub 2014 May 26.
Transsexualism is a complex condition in which the person experiences the inconsistency between the desired gender and their biological gender. Absence of the vagina is devastating in male to female transsexuals. Creation of the neovagina is the main surgical problem in these patients. Historically, beginnings of the neovaginal creation have their roots in the treatment of Mayer-Rokitansky syndrome and conditions such as cloacal anomalies, certain intersex disorders, vaginal malignancies, or severe vaginal trauma, but have more recently found great purpose in male to female sex reassignment surgery. Many operative procedures have been described but none is ideal. Therefore, the search for new, improved solutions continues. In neovaginoplasty reconstruction of the vulvovaginal complex is performed in its entity. The gold standard in neovaginal reconstruction in male to female sex reassignment surgery is penile skin inversion technique with or without scrotal flaps, which enables adequate sensation of the neovagina, good neovaginal depth, good erotic sensitivity of the neclitoris, and esthetically acceptable labia minora and maiora.
易性癖是一种复杂的状况，患者会经历期望的性别与生理性别之间的不一致。对于男变女的易性癖者来说，没有阴道是极具毁灭性的。构建新阴道是这些患者面临的主要外科问题。从历史上看，新阴道构建的起源可追溯到对梅罗综合征以及泄殖腔畸形、某些两性畸形疾病、阴道恶性肿瘤或严重阴道创伤等病症的治疗，但最近在男变女性别重置手术中发现了其重大意义。已经描述了许多手术方法，但都不尽理想。因此，对新的、改进的解决方案的探索仍在继续。在新阴道成形术中，会对整个外阴阴道复合体进行重建。男变女性别重置手术中新阴道重建的金标准是阴茎皮瓣翻转技术，可带或不带阴囊皮瓣，这种技术能使新阴道有足够的感觉、良好的深度、阴蒂有良好的性敏感，并且小阴唇和大阴唇在美学上也能被接受。
