From the Department of Plastic Surgery, University of Pittsburgh Medical Center; Oregon Health and Science University School of Medicine; and the Department of Surgery, Division of Plastic Surgery, and the Department of Urology, Oregon Health and Science University.
Plast Reconstr Surg. 2021 Feb 1;147(2):480-483. doi: 10.1097/PRS.0000000000007579.
Genital masculinizing gender-affirming surgery is a growing field. Because of a spectrum of gender identity, gender expression, sexual expression, patient desires, and patient tolerance for complications, options for surgery vary accordingly. Shaft-only phalloplasty avoids urethral lengthening, but may still be accompanied by hysterectomy, vaginectomy, scrotoplasty, clitoroplasty (burying of the clitoris), glansplasty, and placement of erectile devices and testicular implants. Patients who desire retention of vaginal canal patency are candidates for vaginal preservation vulvoscrotoplasty; however, there is a paucity of literature describing the procedure and its outcomes. In this article, the authors review the technique used by the senior author at Oregon Health and Science University and report surgical outcomes for four patients. Future studies regarding patient-recorded outcome measures, aesthetics, sexual function, urologic function, patient satisfaction, and conversion to other options will help surgeons better understand patients pursuing gender-affirming surgery through shaft-only phalloplasty.
生殖器男性化性别肯定手术是一个不断发展的领域。由于性别认同、性别表达、性表达、患者的愿望以及患者对并发症的耐受程度的差异，手术选择也相应地有所不同。仅阴茎成形术避免了尿道延长，但仍可能伴有子宫切除术、阴道切除术、阴囊成形术、阴蒂成形术（阴蒂埋藏）、龟头成形术以及勃起装置和睾丸植入物的放置。希望保留阴道通畅的患者是阴道保留型外阴-阴囊成形术的候选者；然而，关于该手术及其结果的文献却很少。在本文中，作者回顾了俄勒冈健康与科学大学资深作者使用的技术，并报告了 4 名患者的手术结果。关于患者记录的结果测量、美学、性功能、泌尿科功能、患者满意度和转为其他选择的未来研究将帮助外科医生更好地了解通过仅阴茎成形术追求性别肯定手术的患者。
