Rasper Alison M, Terlecki Ryan P
Department of Urology, Wake Forest Baptist Health, Winston-Salem, NC, USA.
Transl Androl Urol. 2017 Apr;6(2):216-221. doi: 10.21037/tau.2016.11.02.
Penile transplantation is a novel approach to management of penile loss in the developing field of composite tissue allotransplantation (CTA). Prior management for significant penile loss has been free flap phalloplasty with issues related to function, cosmesis, and functional loss from the location of flap harvest. Transplantation has been an evolving field with advancement in CTA over the past several decades leading to the option of penile transplant. Management of penile injury with replantation provided some preliminary groundwork on the technical aspects for penile transplantation. Additionally, penile transplantation raises many ethical, emotional, and psychological considerations with need for patience amidst ongoing advancement within the field.
阴茎移植是复合组织异体移植(CTA)这一发展领域中治疗阴茎缺失的一种新方法。此前,对于严重阴茎缺失的治疗方法是游离皮瓣阴茎成形术,但存在功能、美观以及因皮瓣切取部位导致的功能丧失等相关问题。在过去几十年里,随着CTA技术的进步,移植领域不断发展,从而出现了阴茎移植这一选择。阴茎再植术对阴茎损伤的治疗为阴茎移植的技术方面提供了一些初步基础。此外,阴茎移植引发了许多伦理、情感和心理方面的考量,在该领域不断发展的过程中需要保持耐心。