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首页> 外文期刊>The journal of sexual medicine >Long-Term Sensitivity and Patient-Reported Functionality of the Neoclitoris After Gender Reassignment Surgery
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Long-Term Sensitivity and Patient-Reported Functionality of the Neoclitoris After Gender Reassignment Surgery

机译：在性别重新分配手术后Neoclitoris的长期敏感性和患者报告的功能

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ABSTRACT Introduction: A cornerstone of treating gender dysphoria for transgender women is gender reassignment surgery (GRS) encompassing vaginoplasty and clitoroplasty. The neoclitoris is harvested as a flap with a neurovascular pedicle from the proximal dorsal part of the glans penis. Few long-term follow-ups exist on postoperative sensation and patient-reported sexual functionality of the neoclitoris. Aim: To examine the sensitivity of the neoclitoris and its relation to orgasm and sexual function at least 1 year after GRS. Methods: Twenty-two patients were included, with a mean follow-up of 37 months (range = 12-63) after initial surgery. Tactile and vibratory sensitivities were measured with Semmes-Weinstein monofilaments and the Bio-Thesiometer vibratory measurement device, respectively. A questionnaire was provided to the patients, as were interview questions about body image, orgasm, pain, and general satisfaction with the surgery. Main Outcome Measures: Tactile and vibratory sensitivities of the neoclitoris and questionnaire on satisfaction with orgasm, sexual function, and general satisfaction. Results: The average tactile threshold for the clitoris was 12.5 g/mm2 and the average vibratory threshold was 0.3 mum. Most participants (86%) experienced orgasm after surgery, had no or little pain, and were satisfied with the surgery. No statistical correlation was found between better or worse objective pressure and vibratory thresholds and patient answers to questions about the clitoris in the Body Image Scale for Transsexuals questionnaire. Conclusion: The neoclitoris derived from the glans penis in GRS provides long-term clitoral sensation that is erogenous. Overall, the vast majority of patients who undergo male-to female GRS experience orgasm and are satisfied with the surgery.
机译：摘要介绍：治疗变性妇女的性别困难的基石是包括阴道成形术和阴性成形术的性别重新分配手术（GRS）。 Neoclitoris被收获为具有来自龟头近端部分的瓣膜椎弓虫的皮瓣。在术后感觉和患者报告的Neoclitoris的性功能上存在很少有长期随访。目的：介绍Neoclitoris的敏感性及其与性高潮和性功能的关系至少1年。方法：包括二十二名患者，初始手术后，平均随访37个月（范围= 12-63）。用Semmes-Weinstein单丝和生物瞳数计振动测量装置测量触觉和振动敏感性。向患者提供问卷，以及对身体形象，性高潮，疼痛和手术的一般满意的面试问题。主要观察措施：Neoclitoris的触觉和振动敏感性和问卷满意，性欲，性功能和一般满意度。结果：阴蒂的平均触觉阈值为12.5g / mm 2，平均振动阈值为0.3毫米。大多数参与者（86％）在手术后经历了高潮，没有或少疼痛，并对手术感到满意。在更好或更差的客观压力和振动阈值和患者对阴蒂的问题上的答案之间没有发现统计相关性，对变形问卷的身体图像规模的阴蒂的问题。结论：来自GRS中龟头阴茎的新频道提供了一种是一种性感的长期阴性感。总体而言，绝大多数经过男性对女性GRS的患者体验性高潮，对手术感到满意。

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