Fisch M, Wammack R, Ahlers J, Sennerich T, Müller S C, Hohenfellner R
Department of Urology, University of Mainz School of Medicine, Germany.
J Urol. 1993 Jan;149(1):122-5. doi: 10.1016/s0022-5347(17)36019-6.
We report on a patient who had undergone female-to-male transsexual surgery and subsequent phalloplasty by means of a free latissimus dorsi muscle graft with pudendal nerve coaptation elsewhere 10 years ago. The surgical strategy for implantation and osseous fixation of a penile prosthesis is described. We discuss whether the primary implantation of a penile prosthesis during 1-stage surgical phalloplasty is more advantageous in comparison with the currently favored secondary implantation. Phalloplasty should be represented by a 1-stage surgical procedure encompassing the creation of a neourethra, restoration of tactile and possibly erogenous sensibility, and implantation of a penile prosthesis. The result should have aesthetic value and be pleasing to the patient.
我们报告了一名患者，该患者于10年前在其他地方接受了女性变男性的变性手术及后续通过游离背阔肌移植并吻合阴部神经进行的阴茎成形术。本文描述了阴茎假体植入和骨固定的手术策略。我们讨论了在一期手术阴茎成形术中一期植入阴茎假体与目前更受青睐的二期植入相比是否更具优势。阴茎成形术应以一期手术程序来实施，包括新尿道的创建、触觉以及可能的性敏感恢复，还有阴茎假体的植入。结果应具有美学价值且令患者满意。
