Siemssen P A, Matzen S H
Department of Plastic Surgery, Rigshospitalet, University of Copenhagen, Denmark.
Scand J Plast Reconstr Surg Hand Surg. 1997 Mar;31(1):47-50. doi: 10.3109/02844319709010504.
During the period 1984-1994 33 patients were admitted to the department of plastic surgery for the purpose of neovaginal construction. They comprised 22 patients with vaginal agenesis or aplasia and 11 transsexual men. In most cases neovaginal construction was done by blunt dissection and lining with a split thickness skin graft from the thigh, and in the cases of sex-reassignment surgery genital skin was also used. The two groups differed as the patients with vaginal agenesis or aplasia had remarkably few complications compared with the transsexual group. The most common complications were defects in the skin grafts and vaginal stenosis. The transsexuals therefore had an extended recovery period including several admissions and visits to the outpatient clinic. The difference in genotype does not explain the high complication rate in the transsexual group as eight in the vaginal agenesis or aplasia group had Morris syndrome (testicular feminisation (XY)). However, the phenotype may be of importance in vaginal construction as the male (transsexual) pelvis is narrow and the levator muscles are stronger than those in the female pelvis.
1984年至1994年期间，33例患者因构建新阴道而入住整形外科。其中包括22例阴道发育不全或发育不良患者以及11例变性男性。在大多数情况下，新阴道构建采用钝性分离法，并使用大腿的中厚皮片进行衬里，在性别重置手术的病例中也使用了生殖器皮肤。两组存在差异，因为与变性组相比，阴道发育不全或发育不良的患者并发症明显较少。最常见的并发症是皮片缺损和阴道狭窄。因此，变性患者的恢复期延长，包括多次住院和门诊就诊。基因型的差异并不能解释变性组的高并发症发生率，因为阴道发育不全或发育不良组中有8例患有莫里斯综合征（睾丸女性化（XY））。然而，表型在阴道构建中可能很重要，因为男性（变性）骨盆狭窄，提肌比女性骨盆的提肌更强。
