Hage J J, Bouman F G, Bloem J J
Department of Plastic and Reconstructive Surgery, Academic Hospital, Free University, Amsterdam, The Netherlands.
Plast Reconstr Surg. 1993 Apr;91(5):914-21. doi: 10.1097/00006534-199304001-00029.
Genital construction in female-to-male transsexuals also should involve giving the labial region a scrotum-like appearance. A review of the literature on this subject is given. In our hospital, the construction of a scrotum in which testicular prostheses are implanted has been performed usually in combination with lengthening of the pars fixa of the urethra. A bifid scrotum is constructed using a V-Y advancement of the labial skin. Although implant expulsion (in 7 percent) and dislocation of implants (in 11 percent) were encountered in this series of 50 patients, the technique itself is easy to perform and seems to have few major drawbacks. The scars are small and hidden in the scrotal folds and hair. Tissue expansion prior to implantation of the testicular prostheses in the labial skin has proven to be unnecessary with this technique.
女性向男性变性者的生殖器构建还应使阴唇区域呈现出类似阴囊的外观。本文对该主题的文献进行了综述。在我们医院，构建植入睾丸假体的阴囊通常与延长尿道固定部相结合。采用阴唇皮肤的V-Y推进法构建双叶阴囊。在这组50例患者中，虽出现了植入物排出（7%）和植入物脱位（11%）的情况，但该技术本身操作简便，且似乎没有什么重大缺陷。疤痕小，隐藏在阴囊皱襞和毛发中。事实证明，采用该技术时，在阴唇皮肤中植入睾丸假体前进行组织扩张并无必要。
