Division of Urology, University of Utah School of Medicine, Salt Lake City, Utah.
Division of Plastic Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, Utah.
Fertil Steril. 2021 Oct;116(4):924-930. doi: 10.1016/j.fertnstert.2021.07.004. Epub 2021 Aug 14.
Gender dysphoria, the discordance between one's gender identity and anatomy, affects nearly 25 million people worldwide, and the prevalence of transgender and non-binary identities is increasing because of greater acceptance and awareness. Because of the improved accessibility to gender-affirming surgery (GAS), many providers will care for patients during and after gender transition. For trans men (female-to-male), GAS represents a combination of procedures rather than a single surgery. The particular combination of masculinizing procedures is chosen on the basis of informed patient-provider discussions regarding the patient's goals and anatomy and implemented through a multidisciplinary team approach. In this review, we describe the common procedures comprising masculinizing GAS to improve delivery of specialized care for this patient population.
性别焦虑，即个体的性别认同与解剖结构之间的不一致，影响着全球近 2500 万人，由于人们对跨性别和非二元性别认同的接受度和意识不断提高，跨性别和非二元性别认同的比例也在不断增加。由于性别肯定手术（GAS）的可及性提高，许多医生会在患者进行性别转换期间和之后为其提供护理。对于跨男性（女变男），GAS 代表了一系列程序的组合，而不是单一的手术。特定的男性化手术组合是根据患者和医生就患者的目标和解剖结构进行的知情讨论选择的，并通过多学科团队方法来实施。在这篇综述中，我们描述了构成男性化 GAS 的常见程序，以改善对这一患者群体的专门护理。
