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经皮电神经刺激(TENS)在性别确认性生殖器重建后恢复性功能中的应用:一种假设。

Application of transcutaneous electrical nerve stimulation (TENS) for restoring sexual function after gender-affirming genital reconstruction: a hypothesis.

作者信息

Tahmasbi Fateme

机构信息

Urology Department, Faculty of Medicine, Tabriz University of Medical Sciences, Azadi Street-Golgasht Ave, Tabriz, East Azarbaijan 5166/15731, Iran.

Research Center for Evidence-based Medicine, Iranian EBM Centre: A JBI Centre of Excellence, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.

出版信息

Ther Adv Urol. 2025 Jul 20;17:17562872251358125. doi: 10.1177/17562872251358125. eCollection 2025 Jan-Dec.

DOI:10.1177/17562872251358125
PMID:40698023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12280264/
Abstract

Gender-affirming genital reconstruction surgeries (GAGRS) are essential procedures aimed at aligning transgender individuals' physical characteristics with their gender identity. While these surgeries have been shown to improve psychological well-being and overall mental health, they often come with challenges, particularly in preserving sexual sensation and function. Despite advancements in surgical strategies, postoperative sexual rehabilitation remains an underexplored aspect of gender-affirming care. Emerging evidence suggests that transcutaneous electrical nerve stimulation (TENS) may offer a promising noninvasive approach to enhancing sexual function. This paper explores the role of TENS in sexual rehabilitation following GAGRS, emphasizing the need for a more comprehensive approach that goes beyond anatomical reconstruction.

摘要

性别肯定性生殖器重建手术(GAGRS)是旨在使跨性别者的身体特征与其性别认同相一致的重要手术。虽然这些手术已被证明可改善心理健康和整体精神健康,但它们往往伴随着挑战,尤其是在保留性感觉和功能方面。尽管手术策略有所进步,但术后性康复仍是性别肯定性护理中一个未得到充分探索的方面。新出现的证据表明,经皮电刺激神经疗法(TENS)可能为增强性功能提供一种有前景的非侵入性方法。本文探讨了TENS在GAGRS后性康复中的作用,强调需要一种超越解剖重建的更全面的方法。

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本文引用的文献

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Application of Transcutaneous Electrical Acupoint Stimulation (TEAS) for Management of Postoperative Pain After Gynecological Surgeries: A Meta-Analysis.经皮穴位电刺激(TEAS)在妇科手术后疼痛管理中的应用:一项Meta分析
Pain Manag Nurs. 2025 Feb;26(1):111-124. doi: 10.1016/j.pmn.2024.12.005. Epub 2025 Jan 11.
2
The role of transcutaneous electrical nerve stimulation (TENS) in rehabilitation of cerebral palsy: a systematic review.经皮电神经刺激(TENS)在脑瘫康复中的作用:一项系统综述。
Dev Neurorehabil. 2025 Jan;28(1):52-61. doi: 10.1080/17518423.2024.2439560. Epub 2024 Dec 23.
3
Nerve Transfer to Restore Genital Sensation in Women with Low Spinal Lesion: The Female TOMAX Procedure.神经移植恢复低位脊髓损伤女性的生殖器感觉:女性TOMAX手术
Plast Reconstr Surg Glob Open. 2024 Nov 12;12(11):e6315. doi: 10.1097/GOX.0000000000006315. eCollection 2024 Nov.
4
Tibial nerve stimulation in the management of primary sexual dysfunction in patients with multiple sclerosis: a pilot randomized control trial.胫骨神经刺激治疗多发性硬化症患者原发性性功能障碍的前瞻性随机对照试验。
Neurol Sci. 2024 Dec;45(12):5849-5858. doi: 10.1007/s10072-024-07687-2. Epub 2024 Jul 16.
5
Maximizing surgical outcomes with gender affirming hormone therapy in gender affirmation surgery.在性别肯定手术中通过性别肯定激素疗法实现手术效果最大化。
J Clin Transl Endocrinol. 2024 May 31;36:100355. doi: 10.1016/j.jcte.2024.100355. eCollection 2024 Jun.
6
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Transl Androl Urol. 2024 Feb 29;13(2):274-292. doi: 10.21037/tau-22-681. Epub 2024 Feb 21.
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Urology. 2024 Jan;183:e320-e322. doi: 10.1016/j.urology.2023.10.009. Epub 2023 Oct 29.
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