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迎来阴茎移植时代。

Ushering in the era of penile transplantation.

作者信息

Rasper Alison M, Terlecki Ryan P

机构信息

Department of Urology, Wake Forest Baptist Health, Winston-Salem, NC, USA.

出版信息

Transl Androl Urol. 2017 Apr;6(2):216-221. doi: 10.21037/tau.2016.11.02.

Abstract

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.

摘要

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。

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本文引用的文献

3
Penis Allotransplantation in Beagle Dog.比格犬阴茎异体移植
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Curr Opin Organ Transplant. 2014 Dec;19(6):531-44. doi: 10.1097/MOT.0000000000000140.
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Ethical issues in penile transplantation.阴茎移植中的伦理问题。
Asian J Androl. 2010 Nov;12(6):795-800. doi: 10.1038/aja.2010.88. Epub 2010 Sep 13.
10
History of solid organ transplantation and organ donation.实体器官移植与器官捐赠的历史。
Crit Care Clin. 2009 Jan;25(1):165-84, ix. doi: 10.1016/j.ccc.2008.12.001.

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