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首页> 外文期刊>The journal of sexual medicine >How Big is Too Big? The Girth of Bestselling Insertive Sex Toys to Guide Maximal Neophallus Dimensions
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How Big is Too Big? The Girth of Bestselling Insertive Sex Toys to Guide Maximal Neophallus Dimensions

机译：太大了多大？ 畅销插入性玩具的围绕引导最大的Neophallus尺寸

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Abstract Background In our practice we have encountered 4 female-to-male transgender patients seeking neophallus revision surgery for girth precluding penetrative vaginal or anal intercourse. Despite this, there is little evidence available to guide transitioning patients in neophallus sizing. In this work we examined the dimensions of bestselling realistic dildos, presuming that the most popular dimensions would reflect population preferences for penetrative toys and phalluses. Aim To determine a maximal upper limit for girth compatible with penetrative intercourse based on measurements of bestselling realistic dildos and published erect penile dimensions. Methods We collected measurements for “realistic dildos” designated as bestsellers for the top 5 Alexa.com-rated online adult retailers in the United States and for Amazon.com . We compared these with measurements of dildos available at Good Vibrations in San Francisco and with studies of erect natal dimensions. We compared all data with measurements of 4 index patients whose neophallus girth prevented penetrative intercourse. Outcomes Length and circumference of overall bestselling and largest bestselling realistic dildos as reported on top websites and measured by investigators. Results The average insertive length of the compiled dildos (16.7 ± 1.6 cm) was 1 SD longer than natal functional erect penile length as reported in the literature (15.7 ± 2.6 cm); however, their average circumference (12.7 ± 0.8 cm) mirrored natal erect penile girth (12.3 ± 1.3). The average girth of vendors' top 3 largest-girth dildos was 15.1 ± 0.9 cm, 2 SD wider than natal erect penile girth. Index patients had an average length of 16.3 ± 3.2 cm and an average girth of 17.6 ± 1.3 cm. Index patient girth was 4 to 5 SD wider than the average natal erect girth. Clinical Implications Based on our data, we suggest that a surgically created neophallus should have a girth no wider than 15.1 cm after implantation of an inflatable penile prosthesis. This corresponds to 2 SD wider than the average natal man's erect girth. Strengths and Limitations Strengths include in-person measurements of patients whose girth prevented penetrative intercourse, the large number of dildos assessed, and correlations with in-person measurements. Limitations include the inability to account for the pliability of different materials, whether dildos were used for vaginal and/or anal insertion, the limited sample of 4 transmen for in-person measurement, and the absence of implanted inflatable penile prostheses in index neophalluses. Conclusions Neophallus girth wider than 15.1 cm could lead to difficulty in penetrative intercourse for many individuals. A conservative recommendation for neophallus girth is 13 to 14 cm, or 0.5 to 1.5 SD wider than natal erect penile girth. Isaacson D, Aghili R, Wongwittavas N, Garcia M. How Big is Too Big? The Girth of Bestselling Insertive Sex Toys to Guide Maximal Neophallus Dimensions. J Sex Med 2017;14:1455–1461.
机译：摘要背景在我们的实践中，我们遇到了4名女性对患者寻求Neophallus修正手术的患者，用于抑制渗透性阴道或肛交。尽管如此，很少有证据可用于引导Neophallus尺寸的过渡患者。在这项工作中，我们检查了畅销逼真的假阳具的尺寸，推测最受欢迎的尺寸会反映渗透性玩具和白血病的人口偏好。目的是基于畅销现实假阳具的测量和公开的竖立阴茎尺寸的测量来确定与穿透性交相容的最大上限。方法采集了“现实假阳具”的测量，以指定为美国前5名Alexa.com级的在线成人零售商和Amazon.com的“现实假阳具”。我们将这些与旧金山良好振动的假阳具进行了比较，并研究了勃起的自然尺寸的研究。我们将所有数据与4名指数患者进行了测量，其新奥尔斯呼壤阻止穿透性交。在顶部网站上报告的总体畅销和最大畅销现实假阳具的长度和周长，并通过调查人员来衡量。结果编译的假阳具的平均插入长度（16.7±1.6厘米）比在文献中报道的基于Natal功能直立阴茎长度的1 SD（15.7±2.6厘米）;然而，它们的平均圆周（12.7±0.8厘米）镜像网球直立阴茎周长（12.3±1.3）。厂商前3个最大圆形假阳具的平均周长为15.1±0.9厘米，比Natal直立阴茎周长宽。指数患者的平均长度为16.3±3.2厘米，平均周长为17.6±1.3厘米。指数患者周长比平均NATAL竖立周长宽4至5 SD。基于我们的数据，临床意义，我们建议在植入充气阴茎假体后，手术创造的新奥普鲁斯应该在15.1厘米的腰围。这对应于2个SD宽，而不是平均NATAL MAN的勃起周长。优点和限制的优点包括对患者的患者的内部测量，其围绕渗透性性交，评估的大量假阳具以及与人的相关性的相关性。限制包括无法考虑不同材料的柔韧性，无论假阳具是否用于阴道和/或肛门插入，对于人的内部测量的4个变送的有限样品，并且在指数新孔中没有植入的可充气阴茎假体。结论Neophallus周长宽于15.1厘米可能导致许多人的渗透性交难以困难。对于Neophallus周围的保守建议是13至14厘米，或比Natal直立阴茎周长宽的0.5至1.5 SD。 Isaacson D，Aghili R，Wongwittavas N，Garcia M.多大了？畅销插入性玩具的围绕引导最大的新孔尺寸。 J SEX MED 2017; 14：1455-1461。

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