相关实验视频
Updated: Jul 27, 2025

07:28
Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
19.0K
临床医生应该如何在跨性别和变性人群中进行生殖器重建手术的决策?
Frances Grimstad1, Jessica Kremen2, Elizabeth R Boskey3
1Pediatric and adolescent gynecologist at Boston Children's Hospital in Massachusetts and an assistant professor of obstetrics, gynecology, and reproductive biology at Harvard Medical School.
AMA journal of ethics
|June 7, 2023
概括
生殖器重建手术 (GRS) 为跨性别和性别多样性 (TGD) 个人以及具有跨性别特征/性别发展差异 (I/dsd) 的人提供选择. 对GRS的道德决策和知情同意必须优先考虑患者的自主权,以获得公平的护理.
科学领域:
- 医学伦理 医学伦理
- 手术创新 在外科创新.
- 确认性别的护理
背景情况:
- 生殖器重建手术 (GRS) 服务于各种人群,包括跨性别和性别多样性 (TGD) 个体以及具有性别发展特征/差异 (I/dsd) 的人.
- 虽然结果可能相似,但GRS的决策过程在TGD和I/dsd个体之间以及不同生命阶段之间有很大差异.
研究的目的:
- 分析跨性别和性别多样性 (TGD) 和跨性别/性别发展差异 (I/dsd) 人群的生殖器重建手术 (GRS) 的伦理考虑.
- 倡导临床伦理的改革,以加强患者在GRS知情同意过程中的自主权.
主要方法:
- 审查管理生殖器重建手术的伦理框架.
- 对TGD和I/dsd个人的GRS决策过程的分析.
- 对GRS伦理学的社会文化影响的检查.
主要成果:
- 目前对GRS的伦理方法受到社会文化对性别和性行为的看法的影响.
- 在GRS的知情同意过程中,TGD和I/dsd群体之间存在显著的差异.
- 患者的自主权在GRS决策中并不总是以中心为中心.
结论:
- 改革临床伦理学至关重要,以将TGD和I/dsd个体的自主权集中在GRS知情同意中.
- 确保医疗保健中的正义需要公平的GRS决策和所有性别和性别多样性个体的同意过程.
- 对GRS的伦理准则必须适应,以充分支持TGD和I/dsd个人的权利和选择.
相关概念视频
Psychosurgery
81
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
81
Kidney Transplant II: Surgical Procedure
37
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
37
Urinary Tract Calculi VI: Surgical Management
11
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
11
Inflammatory Bowel Disease V: Surgical Management
174
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
174

