Fang R H, Lin J T, Ma S
Department of Surgery, Veterans General Hospital-Taipei, Taiwan, Republic of China.
Microsurgery. 1994;15(5):349-52. doi: 10.1002/micr.1920150512.
One of the primary goals of phalloplasty on female to male transsexuals is to void while standing. However, achieving competence of the neourethra, sensation, and rigidity of the neophallus still present a challenge. Over a 5 year period (1988-1993), 56 phalloplasties using sensate free forearm flaps were performed for 56 primary female transsexuals. The urethrocutaneous fistula rate was 38/56 and one flap totally necrosed. However, when the flap was prefabricated with a tubed graft of vaginal mucosa for the 28 cases (the later part of the series), there were less complications and a lower fistula rate within this portion of the neourethra. Although the whole procedure was time consuming, it was worthwhile and patient satisfaction was high.
女性向男性变性者阴茎成形术的主要目标之一是能够站立排尿。然而，新尿道的功能、感觉以及新阴茎的硬度仍面临挑战。在1988年至1993年的5年期间，为56名原发性女性变性者实施了56例采用带感觉的游离前臂皮瓣的阴茎成形术。尿道皮肤瘘发生率为38/56，1例皮瓣完全坏死。然而，对于其中28例（该系列后期部分）采用阴道黏膜管状移植物预制皮瓣时，新尿道这部分的并发症较少且瘘发生率较低。尽管整个手术耗时，但很值得，患者满意度较高。
