Claes Karel E Y, Pattyn Piet, D'Arpa Salvatore, Robbens Cedric, Monstrey Stan J
Department of Plastic Surgery, Ghent University Hospital, Corneel Heymanslaan 10, Ghent 9000, Belgium.
Department of Gastrointestinal Surgery, Ghent University Hospital, Corneel Heymanslaan 10, Ghent 9000, Belgium.
Clin Plast Surg. 2018 Jul;45(3):351-360. doi: 10.1016/j.cps.2018.03.006. Epub 2018 May 1.
The major steps in vaginoplasty are orchiectomy, penile amputation, creation of the neovaginal cavity with lining, and reconstruction of urethral meatus, labia, and clitoris. During pedicled intestinal transfer, an intestinal segment is transferred in a dissected cavity between the bladder and rectum. The bowel harvest is performed by a total laparoscopic technique. It is imperative to create the labia majora and minora, the clitoris, and a clitoral hood to achieve the physiologic and aesthetic equivalent of female external genitalia. Intestinal vaginoplasty seems to be associated with a low rate of adverse events. Life-long vaginal hygiene and dilatation is recommended.
阴道成形术的主要步骤包括睾丸切除术、阴茎切断术、创建带有内衬的新阴道腔以及尿道口、阴唇和阴蒂的重建。在带蒂肠段转移术中，将一段肠段转移至膀胱和直肠之间的分离腔内。肠段获取通过全腹腔镜技术进行。必须形成大阴唇、小阴唇、阴蒂和阴蒂包皮，以实现与女性外生殖器在生理和美学上的等效。肠阴道成形术似乎与不良事件发生率较低相关。建议进行终身阴道卫生护理和扩张。
