Pusica Slavica, Stojanovic Borko, Bencic Marko, Bizic Marta, Atanasijevic Tatjana, Djordjevic Miroslav L
Belgrade Centre for Genitourinary Reconstructive Surgery, 11000 Belgrade, Serbia.
School of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Life (Basel). 2023 Nov 15;13(11):2212. doi: 10.3390/life13112212.
Femininizing gender affirmation surgery includes the creation of external female genitalia such as a new clitoris, labia, and vagina with removal of the glans and urethral remnants and full corpora cavernosa. We evaluated the possibility of using preserved cavernosal bodies with glans and urethral remnants for potential live-donor penile transplantation. Between March 2021 and February 2023, penile microvascular dissection followed by gender-affirming vaginoplasty was performed in 41 patients aged 18 to 57 years (mean 30.5 years). The mean follow-up was 15 months (ranging from 6 to 26 months). The removed penile entities were properly measured. The corpora cavernosa were completely preserved in all cases; the length of remaining anterior urethra ranged from 12.70 cm to 16.40 cm, while the mean glans remnant volume was 85.37% of the total volume. All patients reported satisfactory results after gender-affirming vaginoplasty. Microvascular penile dissection in gender-affirming vaginoplasty is simple and safe, suggesting a good possibility of using the full corpora cavernosa, glans, and anterior urethra remnants for live-donor penile transplantation.
女性化性别肯定手术包括创建外部女性生殖器，如新的阴蒂、阴唇和阴道，同时切除龟头和尿道残余物以及完整的海绵体。我们评估了使用保留有龟头和尿道残余物的海绵体用于潜在活体供体阴茎移植的可能性。在2021年3月至2023年2月期间，对41名年龄在18至57岁（平均30.5岁）的患者进行了阴茎微血管解剖，随后进行了性别肯定性阴道成形术。平均随访时间为15个月（6至26个月）。对切除的阴茎实体进行了适当测量。所有病例的海绵体均完全保留；剩余前尿道长度为12.70厘米至16.40厘米，而龟头残余物的平均体积占总体积的85.37%。所有患者在性别肯定性阴道成形术后均报告了满意的结果。性别肯定性阴道成形术中的微血管阴茎解剖简单且安全，这表明使用完整的海绵体、龟头和前尿道残余物进行活体供体阴茎移植具有很大的可能性。
