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首页> 外文期刊>The journal of sexual medicine >Metoidioplasty as a single stage sex reassignment surgery in female transsexuals: Belgrade experience.
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Metoidioplasty as a single stage sex reassignment surgery in female transsexuals: Belgrade experience.

机译：经皮整形术作为女性变性者的单阶段性再分配手术：贝尔格莱德的经验。

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INTRODUCTION: Metoidioplasty represents one of the variants of phalloplasty in female transsexuals. Its main characteristic is that it is a one-stage procedure. It involves lengthening and straightening of hypertrophied clitoris to create a neophallus, urethral lengthening to enable voiding while standing, and scrotal reconstruction with insertion of testicle prostheses. AIM: Our aim is to describe our technique and highlight its advantages. METHODS: Between September 2002 and April 2007, 82 female transsexuals, aged 18-54 years (mean age 31) underwent one-stage metoidioplasty. Clitoris is lengthened and straightened by division of clitoral ligaments and short urethral plate. Urethroplasty is done with combined buccal mucosa graft and genital skin flaps. Scrotum is created from labia majora in which two testicle prostheses are inserted. Simultaneously, female genitalia are removed. MAIN OUTCOME MEASURES: Patients' personal satisfaction about sensitivity and length of neophallus, possibility to void in standing position, real length of reconstructed urethra as well as complication rate comparing to other published data. RESULTS: The median follow-up was 32 months (range 14-69). The mean neophallic length was 5.7 cm (range 4-10). Voiding in standing position was reported in all patients, while dribbling and spraying were noticed in 23 cases and solved spontaneously. There were two urethral strictures and seven fistulas that required secondary minor revision. All patients reported preserved sensation and normal postoperative erection. Testicle prostheses rejection was not observed in any of the patients. CONCLUSIONS: Metoidioplasty is a single-stage and time-saving procedure. It could be an alternative to total phalloplasty in female transsexuals who do not wish to have sexual intercourse. Also, it represents a first step in cases where additional augmentation phalloplasty is required.
机译：简介：胃膜整形术是女性变性者中阴茎成形术的一种变体。它的主要特点是它是一个分阶段的过程。它涉及肥大的阴蒂的拉长和拉直，以形成新的腓骨;尿道的拉长，以使站立时排空;以及阴囊的重建，并插入睾丸假体。目的：我们的目的是描述我们的技术并突出其优势。方法：在2002年9月至2007年4月之间，对82位年龄在18-54岁（平均年龄31岁）的女性变性者进行了一次阶段性金属成形术。阴蒂通过分割阴蒂韧带和短尿道板而延长和拉直。联合颊粘膜移植和生殖器皮瓣进行尿道成形术。阴囊是由大阴唇制成的，其中插入了两个睾丸假体。同时，去除女性生殖器。主要观察指标：与其他已发表的数据相比，患者对新药的敏感性和长度，站立姿势排尿的可能性，尿道重建的实际长度以及并发症发生率的个人满意度。结果：中位随访时间为32个月（范围14-69）。平均新眼节长度为5.7 cm（范围4-10）。据报道，所有患者均站立站立，但有23例发现盘带和喷洒，并自发解决。有两个尿道狭窄和七个瘘管，需要进行次要的小修。所有患者均报告感觉保持正常，术后勃起正常。在所有患者中均未观察到睾丸假体排斥反应。结论：胃窦整形术是一个单阶段且节省时间的过程。对于不希望发生性行为的女性变性者，它可以替代全阴茎成形术。同样，它是需要额外的隆起阴茎成形术的第一步。

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