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MASCULINISING URETHROPLASTY TECHNIQUE IN TRANSSEXUALISM TREATMENT
MASCULINISING URETHROPLASTY TECHNIQUE IN TRANSSEXUALISM TREATMENT
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机译：在性交治疗中滥用泌尿整形技术
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摘要
FIELD: medicine.;SUBSTANCE: invention concerns medicine, plastic surgery, can be used in consecutive sexuality operations. Perineum is reconstructed by excising vaginal mucous membrane from urethra herewith forming two independent portions. Mucocutaneous part is rolled up inside to form two isolated tubes - vaginal and urethral, with outlet openings located in lower and upper parts of perineum. Formed vaginal tube is delivered into area of lower pole of the wound by lesser fistula. A Foley's catheter is inserted into bladder through the urethral tube. After hydropreparation of perineum tissues with dissolved anaesthetic and vasoconstrictive preparation, vaginal mucous membrane is isolated from urethra by dissection of mushrooming herewith forming the independent departments - vaginal and urethral. Anterior wall of vagina is separated from posterior wall of urethra along 2-2.5 cm at depth 0.7-1 cm. Interposition of separated tissues of anterior wall of vagina follows between anterior wall of vagina and posterior wall of urethra. Perineum urethra of length 1.5-2 cm is formed.;EFFECT: method allows improving functional and aesthetic effects, reducing surgical risk and surgical injuries, improving clinical effectiveness owing to elimination of damage of a donor hand and a back, reducing mobilisation of local tissues and shortening of perineum neourethra; reducing risk of external neourethral urinary fistulas, providing adequate male urination function, allows for reverse vagina restoration.;12 dwg, 1 ex
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机译：领域：医学。;物质：发明涉及医学，整形外科，可用于连续的性手术。通过从尿道切除阴道粘膜来重建会阴，从而形成两个独立的部分。将粘膜皮肤部分向内卷起，形成两个独立的管-阴道管和尿道管，出口孔位于会阴部的上部和下部。形成的阴道管由小瘘管输送到伤口的下极区域。 Foley导管通过尿道管插入膀胱。用溶解的麻醉药和血管收缩制剂对会阴组织进行加氢制备后，通过解剖蘑菇，从尿道中分离出阴道粘膜，从而形成独立的部门-阴道和尿道。阴道前壁与尿道后壁沿2-2.5厘米分开，深度为0.7-1厘米。阴道前壁的分离组织插入在阴道前壁和尿道后壁之间。形成会阴长度为1.5-2 cm的会阴尿道;效果：该方法可改善功能和美学效果，减少手术风险和手术伤害，由于消除了供体手和背部的损伤而提高了临床效果，减少了局部组织的活动会阴新尿道的缩短;降低外部新尿道瘘管的风险，提供足够的男性排尿功能，允许反向阴道恢复。; 12 dwg，1 ex
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