Department of Urology, Foch Hospital, Suresnes, France.
Department of Urology, Foch Hospital, Suresnes, France.
Fr J Urol. 2024 Mar;34(2):102583. doi: 10.1016/j.fjurol.2024.102583. Epub 2024 Feb 6.
Andrology and urogenital reconstruction are emerging disciplines in French urology. The aim of our study was to evaluate the evolution of andrological surgical procedures over the period 2013-2022 using national data.
We collected national common classification of medical acts (CCAM) coding data for all procedures involving andrological surgery from the Scansanté internet platform set up by the Technical Agency for Information on Hospitalisation, which collects prospectively from healthcare structures all procedures coded according to CCAM coding. All surgical procedures in andrology were selected. The inclusion period extended from 2013 to 2022.
In 10 years, the number of vasectomies has increased tenfold, with 29,890 cases in 2022. Vaso-vasostomies remain marginal, with 80 cases per year. Trans-identity surgeries are rising sharply. Vaginoplasties have multiplied by 4 (333 in 2022) and masculinising surgeries have multiplied by 10 (234 in 2022). Penile prosthesis surgery has increased slightly over 10 years. The number of testicular biopsies has remained stable over time, as has the number of surgeries for curvature of the penis.
Two andrological surgeries are showing very strong growth: vasectomy and transgender surgery. The emergence of these 2 activities is linked to societal aspirations. Urologists need to be trained to meet this demand.
Grade 4.
男性医学和泌尿生殖重建是法国泌尿科的新兴学科。我们的研究目的是使用国家数据评估 2013 年至 2022 年期间男性外科手术程序的演变。
我们从 Scansanté 互联网平台收集了所有涉及男性医学手术的国家共同分类医疗行为 (CCAM) 编码数据，该平台由医疗机构设立，负责前瞻性地从医疗机构收集根据 CCAM 编码的所有程序。选择了所有男性医学手术。纳入期从 2013 年延长至 2022 年。
10 年来，输精管切除术的数量增加了十倍，2022 年有 29890 例。血管吻合术仍然很少见，每年有 80 例。跨性别手术急剧增加。阴道成形术增加了四倍（2022 年为 333 例），男性化手术增加了十倍（2022 年为 234 例）。阴茎假体手术在 10 年内略有增加。睾丸活检的数量随时间保持稳定，阴茎弯曲手术的数量也是如此。
两种男性医学手术正在显示出非常强劲的增长：输精管切除术和变性手术。这 2 项活动的出现与社会愿望有关。泌尿科医生需要接受培训以满足这一需求。
4 级。
