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関連する概念動画

Socioemotional Experience and Gender Development01:30

Socioemotional Experience and Gender Development

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Social-emotional experiences and cultural influences play significant roles in shaping gender development. During middle childhood, from ages 6 to 11, peer groups become dominant in reinforcing gender norms. Children in this age group often align with same-gender peer groups, which actively encourage behaviors that conform to traditional gender roles. For instance, boys may be discouraged from engaging in activities perceived as feminine, reinforcing culturally dictated norms about masculinity...
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The lower urinary system consists of the urinary bladder and urethra, which are essential in storing and expelling urine from the body. Together with the internal and external sphincters, these structures work together to regulate urination effectively.Anatomy of the BladderThe urinary bladder is a muscular, stretchable organ behind the pubic bone and in front of the rectum. In females, the bladder is positioned anterior to the vagina and inferior to the uterus, while in males, it is located...
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Kidney, Ureter, and Bladder (KUB) StudiesKidney, Ureter, and Bladder (KUB) studies are standard diagnostic imaging procedures used to assess the anatomy of the urinary system. They are commonly utilized for patients experiencing abdominal pain or urinary symptoms. By using a simple X-ray of the abdomen, KUB studies can reveal structural and pathological abnormalities within the kidneys, ureters, and bladder. These studies are particularly valuable in diagnosing kidney stones, urinary...
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Social psychologists have documented that feeling good about ourselves and maintaining positive self-esteem is a powerful motivator of human behavior (Tavris & Aronson, 2008). In the United States, members of the predominant culture typically think very highly of themselves and view themselves as good people who are above average on many desirable traits (Ehrlinger, Gilovich, & Ross, 2005). Often, our behavior, attitudes, and beliefs are affected when we experience a threat to our...
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性別適合手術後の過活動膀胱

Patrick Ho1, Camille Torres1, Francisco Andrade2

  • 1Department of Urology, Mount Sinai Hospital, New York, NY, 1 Gustave L. Levy Place, New York, NY 10029.

Urology
|February 8, 2026
PubMed
まとめ

乳房切除術は、トランスジェンダー女性の過活動膀胱（OAB）の症状を悪化させ、生活の質を低下させる可能性があります。特に高齢の患者や腹膜フラップ（PFV）による乳房切除術を受けた患者で顕著ですが、OAB症状全体への影響は限定的である可能性があります。

キーワード:
過活動膀胱乳房切除術トランスジェンダー女性生活の質腹膜フラップ高齢患者報告アウトカム

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科学分野:

  • 泌尿器科学; 性別適合手術; 患者報告アウトカム

背景:

  • 過活動膀胱（OAB）は、頻尿や夜間頻尿を伴う尿意切迫感を特徴とする疾患である。乳房切除術は、トランスジェンダー女性の性別適合手術の重要な構成要素である。既存のOAB症状に対する乳房切除術の影響は、さらなる調査が必要である。

研究 の 目的:

  • トランスジェンダー女性における乳房切除術後の過活動膀胱症状の変化を評価する。手術後のOAB症状悪化に関連する潜在的な危険因子を特定する。

主な方法:

  • 乳房切除術を受けた53人のトランスジェンダー女性の後ろ向き縦断研究。手術前後の過活動膀胱質問票短縮版（OAB-q SF）を使用した。年齢と乳房切除術の種類別に層別化された症状の苦痛と健康関連QOL（HRQL）スコアの変化を分析した。

主要な成果:

  • 乳房切除術後、HRQLの統計的に有意な低下が観察された（p=0.020）。高齢患者（44〜71歳）は、症状の苦痛（p=0.020）とHRQL（p=0.008）の最も有意な悪化を経験した。腹膜フラップ（PFV）による乳房切除術は、HRQLの有意な低下（p=0.023）と関連していた。

結論:

  • 乳房切除術は、トランスジェンダー女性におけるOAB症状の増加とQOLの低下につながる可能性がある。高齢とPFVは、症状悪化の危険因子として特定されている。これらの変化の臨床的意義は、全体的な影響が限定的である可能性があるため、さらなる研究に値する。