Division of Plastic and Reconstructive Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60611, United States.
Division of Plastic Surgery, University of Washington Medical Center, Seattle, WA 98195-6410, United States.
J Sex Med. 2024 Sep 3;21(9):827-834. doi: 10.1093/jsxmed/qdae075.
Gender-affirming surgery is being increasingly performed for transgender and gender-diverse individuals diagnosed with gender dysphoria. However, there is a group of patients who may seek outcomes that are either a combination of or altogether different from those of binary procedures such as penile inversion vaginoplasty or phalloplasty.
We describe surgical techniques for less commonly performed gender-affirming genital procedures, in order to introduce these procedures to the medical and surgical community.
Operative techniques for phallus-preserving vaginoplasty, vagina-preserving phalloplasty, and removal of genitalia with creation of perineal urethrostomy are described. Demographic characteristics and complications of these procedures in 16 patients are reported.
Individually customized gender-affirming genital procedures, such as phallus-preserving vaginoplasty, vaginal-preserving phalloplasty, and removal of genitalia and creation of perineal urethrostomy, may better affirm the identities of some gender-diverse patients, and may also preserve desired sexual function of natal genitalia.
性别肯定手术越来越多地为被诊断为性别焦虑的跨性别和性别多样化个体进行。然而，有一群患者可能寻求的结果既不同于二元手术（如阴茎反转阴道成形术或阴茎成形术），也不同于这些手术的组合。
我们描述了不太常见的性别肯定生殖器手术的技术，以便向医疗和外科界介绍这些手术。
介绍了保留阴茎的阴道成形术、保留阴道的阴茎成形术和生殖器切除并建立会阴尿道造口术的手术技术。报告了 16 例患者的这些手术的人口统计学特征和并发症。
个体化定制的性别肯定生殖器手术，如保留阴茎的阴道成形术、保留阴道的阴茎成形术和生殖器切除并建立会阴尿道造口术，可以更好地肯定一些性别多样化患者的身份，并且还可以保留对先天生殖器的期望的性功能。
