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经会阴股薄肌成形术修复男变女跨性别者直肠-新阴道瘘

The Repairing of the Recto-Neovaginal Fistula in a Male-to-Female Transgender Through Perineal Graciloplasty.

作者信息

Omarov Nail, Tatar Sedat

机构信息

General Surgery, Koç University Hospital, Istanbul, TUR.

Plastic Surgery, Koç University Hospital, Istanbul, TUR.

出版信息

Cureus. 2021 Jun 20;13(6):e15784. doi: 10.7759/cureus.15784.

DOI:10.7759/cureus.15784
PMID:34168935
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8215372/
Abstract

Rectovaginal fistulas, which are abnormal epithelial-lined connections between the rectum and vagina, are challenging to treat. Treatment of recto-neovaginal fistulas is more complicated due to the altered perineal anatomy in individuals undergoing gender reassignment surgery. We present a recto-neovaginal fistula that occurred after reassignment surgery male-to-female transgender case of a was successfully treated with restorative perineal graciloplasty.

摘要

直肠阴道瘘是指直肠与阴道之间存在异常的上皮内衬连接，治疗颇具挑战性。由于接受性别重置手术的个体会阴解剖结构发生改变，直肠-新阴道瘘的治疗更为复杂。我们报告了一例男性变女性跨性别者在性别重置手术后发生直肠-新阴道瘘的病例，该病例通过修复性会阴股薄肌成形术成功治愈。

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本文引用的文献

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Postoperative Complications following Primary Penile Inversion Vaginoplasty among 330 Male-to-Female Transgender Patients.330 例男性转女性 transgender 患者行原发性阴茎反转阴道成形术后的术后并发症。
J Urol. 2018 Mar;199(3):760-765. doi: 10.1016/j.juro.2017.10.013. Epub 2017 Oct 12.
2
Outcome of Vaginoplasty in Male-to-Female Transgenders: A Systematic Review of Surgical Techniques.男变女跨性别者阴道成形术的结果：手术技术的系统评价
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Tech Coloproctol. 2024 Nov 12;28(1):154. doi: 10.1007/s10151-024-03025-y.
跨性别者的医疗保健状况：政策、法律和医疗框架。
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Nat Rev Urol. 2011 May;8(5):274-82. doi: 10.1038/nrurol.2011.46. Epub 2011 Apr 12.
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Operative results and quality of life after gracilis muscle transposition for recurrent rectovaginal fistula.股薄肌转位治疗复发性直肠阴道瘘的手术结果及生活质量
Dis Colon Rectum. 2009 Jul;52(7):1290-5. doi: 10.1007/DCR.0b013e3181a74700.
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Feminizing genitoplasty in adult transsexuals: early and long-term surgical results.成年变性者的女性化生殖器成形术：早期及长期手术结果
BJU Int. 2007 Sep;100(3):607-13. doi: 10.1111/j.1464-410X.2007.07017.x.
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Prevalence and demography of transsexualism in Belgium.比利时易性癖的患病率及人口统计学特征。
Eur Psychiatry. 2007 Apr;22(3):137-41. doi: 10.1016/j.eurpsy.2006.10.002. Epub 2006 Dec 26.
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[Surgical treatment of male-to-female transsexuals: a ten-year experience assessment].
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