Hage J J, Karim R B
Department of Plastic and Reconstructive Surgery, Academic Hospital of the Free University, The Netherlands.
Ann Plast Surg. 1996 Jun;36(6):621-4. doi: 10.1097/00000637-199606000-00010.
The results of vaginoplasty by inversion of penile and scrotal skin in male-to-female transsexuals, in general, are satisfying. Cosmetic and functional considerations dictate the construction of a neoclitoris ventral to the urethral orifice. Embryologically, the glans penis and clitoris are homologues and mutual substitution seems to be the logical approach. In this paper, the long-term results in the first 60 patients using the pedicled sensate neoclitoroplasty according to Brown are presented and discussed. It has proven to be a safe technique that leads to satisfying cosmetic and functional results in nearly all patients. It should be considered state of the art in primary gender-confirming surgery for male-to-female transsexuals.
一般来说，男性变女性易性癖患者采用阴茎阴囊皮肤翻转法进行阴道成形术的效果令人满意。出于美观和功能的考虑，需在尿道口腹侧构建一个新阴蒂。从胚胎学角度来看，阴茎头和阴蒂是同源器官，相互替代似乎是合理的方法。本文介绍并讨论了根据布朗技术对首批60例患者进行带蒂感觉神经新阴蒂成形术的长期效果。事实证明，这是一种安全的技术，几乎能让所有患者获得令人满意的美观和功能效果。它应被视为男性变女性易性癖患者初次性别确认手术的先进技术。
