Division of Plastic Surgery, University of British Columbia, Vancouver, BC, Canada.
Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.
Arch Sex Behav. 2024 May;53(5):2003-2010. doi: 10.1007/s10508-023-02783-4. Epub 2024 Feb 29.
Penile inversion vaginoplasty (PIV) is a gender-affirming surgical procedure where the skin of the penis and scrotum is reconstructed into the neovaginal lining. To prevent hair-bearing skin from becoming incorporated into the neovaginal canal, transgender patients are encouraged to undergo hair removal of their external genitalia. The goal of this preoperative hair removal is to minimize the risk of potential hair-related complications after vaginoplasty. To better support patients seeking preoperative hair removal and identify current treatment barriers, we surveyed patients about their progress and satisfaction with hair removal. A cross-sectional survey was constructed to assess patient experiences with hair removal in advance of PIV. Sixty-seven patients met the inclusion criteria, of which 46 participated (68.7%). Both laser hair removal (LHR) and electrolysis were used. Although all patients had completed some preoperative hair removal at the time of survey (average of 14 sessions), the cohort completed only two-thirds of their total expected hair clearance. Multiple peri-procedural pain management therapies were employed, but overall satisfaction with pain management was low (57.4 ± 5.0 out of 100). LHR was associated with significantly lower procedural pain compared to electrolysis (p < .001). The average global satisfaction with the hair removal process was 57.9 ± 5.7 and incidents of mistreatment were associated with a statistically significant reduction in overall satisfaction (p = .02). Most patients felt that hair removal was important prior to surgery. Overall, LHR and electrolysis were both utilized as effective preoperative hair removal modalities; however, LHR has better pain tolerability than electrolysis.
阴茎反转阴道成形术（PIV）是一种性别肯定的手术，其中阴茎和阴囊的皮肤被重建为新的阴道衬里。为了防止有毛发的皮肤被纳入新的阴道管，跨性别患者被鼓励去除其外生殖器的毛发。术前脱毛的目的是最大限度地降低阴道成形术后潜在毛发相关并发症的风险。为了更好地支持寻求术前脱毛的患者并确定当前的治疗障碍，我们调查了患者对脱毛的进展和满意度。我们构建了一个横断面调查来评估患者在 PIV 前的脱毛体验。符合纳入标准的 67 名患者中，有 46 名（68.7%）参与了调查。同时使用了激光脱毛（LHR）和电解。尽管所有患者在调查时都已完成一些术前脱毛（平均 14 次），但该队列仅完成了总预期脱毛量的三分之二。采用了多种围手术期疼痛管理疗法，但总体疼痛管理满意度较低（100 分中 57.4±5.0 分）。与电解相比，LHR 与明显较低的手术疼痛相关（p<.001）。对脱毛过程的总体满意度平均为 57.9±5.7，并且治疗不当与总体满意度的显著降低相关（p=.02）。大多数患者认为在手术前脱毛很重要。总体而言，LHR 和电解均被用作有效的术前脱毛方式；然而，LHR 的疼痛耐受性优于电解。
