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胚胎等效物在男性向女性性别重置手术中的应用。

Application of embryonic equivalents in male-to-female sex reassignment surgery.

作者信息

Thalaivirithan Balakrishnan Margabandu, Sethu Maithreyi, Ramachandran Dinesh Karuvakkurichi, Kandasamy Mahadevan, Janardhanam Jaganmohan

机构信息

Department of Plastic Reconstructive and Faciomaxillary Surgery, Madras Medical College, Chennai, Tamil Nadu, India.

出版信息

Indian J Plast Surg. 2018 May-Aug;51(2):155-166. doi: 10.4103/ijps.IJPS_62_18.

DOI:10.4103/ijps.IJPS_62_18
PMID:30505085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6219371/
Abstract

INTRODUCTION

The feeling of incongruence between phenotypic sex and psychological recognition of self-gender is termed gender dysphoria. Transsexualism is the most extreme form of this disorder.

AIMS AND OBJECTIVES

The aims and objectives of the study are to evaluate the esthetic and functional outcome of embryonic equivalents-based male-to-female sex reassignment surgery in transwomen using the institutional scoring system.

MATERIALS AND METHODS

Thirty transwomen who had undergone male-to-female embryonic equivalents-based sex reassignment surgery (MFEEbSRS) from October 2012 to March 2016 were retrospectively studied. The outcome was evaluated by two independent plastic surgeons, based on interview with the individuals, visual assessment, and measurements.

SURGICAL TECHNIQUE

Clitoris was created from reduced glans on dorsal penile pedicle mounted on the crura of the conjoined corpora cavernosa. De-gloved unfurled proximal penile skin formed the introitus, hood for clitoris and labia minora. Neo-external urethral meatus was fashioned from the distal portion of the bulbar urethra. Distal de-gloved inverted penile tube flap was used for the creation of neovagina. Reduced scrotal flaps formed the labia majora.

OBSERVATION AND RESULTS

The maximum length of neovagina in the study was 12 cm, and the average length was 9.8 cm. Based on our institutional scoring system for the assessment of esthetic and functional outcome, we got excellent results in all transwomen.

CONCLUSION

The esthetic and functional outcome in all the patients was good. All patients were relieved of their primordial feminine tension and satisfied with the surgery. Their personality, lifestyle, and self-esteem improved remarkably following surgery.

摘要

引言

表型性别与自我性别心理认知之间的不一致感被称为性别焦虑。易性癖是这种障碍最极端的形式。

目的

本研究的目的是使用机构评分系统评估基于胚胎等效组织的男性向女性变性手术在变性女性中的美学和功能结果。

材料与方法

回顾性研究了2012年10月至2016年3月期间接受基于胚胎等效组织的男性向女性变性手术（MFEEbSRS）的30名变性女性。由两名独立的整形外科医生根据对个体的访谈、视觉评估和测量来评估结果。

手术技术

阴蒂由安装在联合海绵体脚的阴茎背侧蒂上缩小的龟头形成。去套状展开的近端阴茎皮肤形成阴道口、阴蒂包皮和小阴唇。新尿道外口由球部尿道远端部分制成。远端去套状倒置阴茎管皮瓣用于创建新阴道。缩小的阴囊皮瓣形成大阴唇。

观察与结果

本研究中新阴道的最大长度为12厘米，平均长度为9.8厘米。根据我们机构用于评估美学和功能结果的评分系统，我们在所有变性女性中都取得了优异的结果。

结论

所有患者的美学和功能结果良好。所有患者都缓解了原始的女性紧张情绪，并对手术满意。术后他们的个性、生活方式和自尊都有显著改善。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0168/6219371/8783f17fe362/IJPS-51-155-g020.jpg
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