• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>The journal of sexual medicine >Intestinal vaginoplasty revisited: A review of surgical techniques, complications, and sexual function
【24h】

Intestinal vaginoplasty revisited: A review of surgical techniques, complications, and sexual function

机译：再次行肠阴道成形术：外科技术，并发症和性功能的审查

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Introduction: Vaginal (re)construction is essential for the psychological well-being of biological women with a dysfunctional vagina and male-to-female transgender women. However, the preferred method for vagina (re)construction with respect to functional as well as aesthetic outcomes is debated. Regarding intestinal vaginoplasty, despite the asserted advantages, the need for intestinal surgery and subsequent risk of diversion colitis are often-mentioned concerns. The outcomes of vaginal reconstructive surgery need to be appraised in order to improve understanding of pros and cons. Aims: To review literature on surgical techniques and clinical outcomes of intestinal vaginoplasty. Methods: Electronic databases and reference lists of published articles were searched for primary studies on intestinal vaginoplasty. Studies were included if these included at least five patients and had a minimal follow-up period of 1 year. No constraints were imposed with regard to patient age, indication for vaginoplasty, or applied surgical technique. Outcome measures were extracted and analyzed. Main Outcome Measures: Main outcome measures were surgical procedure, clinical outcomes, and outcomes concerning sexual health and quality of life. Results: Twenty-one studies on intestinal vaginoplasty were included (including 894 patients in total). All studies had a retrospective design and were of low quality. Prevalence and severity of procedure-related complications were low. The main postoperative complication was introital stenosis, necessitating surgical correction in 4.1% of sigmoid-derived and 1.2% of ileum-derived vaginoplasties. Neither diversion colitis nor cancer was reported. Sexual satisfaction rate was high, but standardized questionnaires were rarely used. Quality of life was not reported. Conclusion: Based on evidence presently available, it seems that intestinal vaginoplasty is associated with low complication rates. To substantiate these findings and to obtain information about functional outcomes and quality of life, prospective studies using standardized measures and questionnaires are warranted.
机译：简介：阴道（重建）对于阴道功能失调的生物学女性和男女跨性别女性的心理健康至关重要。然而，关于功能性和美学效果方面阴道重建的首选方法一直存在争议。关于小肠阴道成形术，尽管具有明显的优势，但经常需要进行肠外科手术以及随后发生转移性结肠炎的风险。阴道重建手术的结果需要评估，以增进对利弊的了解。目的：回顾有关肠阴道成形术的手术技术和临床结果的文献。方法：检索电子数据库和已发表文章的参考文献清单，以进行肠道阴道成形术的基础研究。如果这些研究至少包括五名患者，且随访时间最少为1年，则纳入研究。对于患者年龄，阴道成形术适应症或手术技术没有施加任何限制。结果指标被提取和分析。主要结果指标：主要结果指标是手术过程，临床结果以及与性健康和生活质量有关的结果。结果：包括21项关于肠道阴道成形术的研究（共894例患者）。所有研究均采用回顾性设计，质量低下。与手术相关的并发症的患病率和严重性较低。术后的主要并发症为肠管狭窄，需要手术矫正的乙状结肠为4.1％，回肠为阴道成形术的为1.2％。既没有报道转移性结肠炎也没有癌症。性满意度高，但很少使用标准化的问卷。没有生活质量报告。结论：根据目前可获得的证据，肠阴道成形术似乎与低并发症发生率相关。为了证实这些发现并获得有关功能结局和生活质量的信息，有必要使用标准化措施和问卷进行前瞻性研究。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号