在生殖器性别确认手术中尿路重建:检查我们的手术并发症盲点
Gaines Blasdel1, Geolani W Dy2, Dmitriy Nikolavsky3
1From the Department of Urology, New York University.
Plastic and reconstructive surgery
|June 8, 2023
概括
在性别确认手术中的泌尿器官并发症尚未完全理解. 未来的研究应该将患者报告的结果与外科医生报告的数据结合起来,使用IDEAL框架进行全面评估.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 确立性别的手术.
- 外科手术的结果
背景情况:
- 在生殖器性别确认手术中的泌尿病并发症没有得到很好的量化.
- 现有的数据有局限性,仅靠患者报告的结果无法解决这些"盲点".
- 快速发展的外科技术和跨性别健康因素可能会加剧这些知识差距.
研究的目的:
- 审查关于生殖器性别确认手术中的泌尿病并发症的现有文献.
- 将外科医生报告的并发症与其他来源的数据进行对比.
- 通过系统审查和专家意见的结合来估计并发症率.
主要方法:
- 一篇关于过去十年出版的系统评论的叙事评论.
- 对外科医生报告的并发症与来自非外科医生来源的同行评审数据的分析.
- 包括专家意见,以帮助估计并发症率.
主要成果:
- 阴道整形术的并发症包括肉体狭窄症 (516.3%) 和阴道狭窄症 (714.3%).
- 在非外科医生报告的队列中,报告了更高的排泄功能障碍,失禁和误导的尿流.
- 囊整形/囊整形的结果包括囊 (1425%),尿道狭窄/骨髓狭窄 (812.2%),在交替的队列中囊和狭窄的比例更高.
结论:
- 目前的文献不充分地描述了生殖器性别确认手术的泌尿病并发症.
- 标准化,验证的患者报告的结果措施是必要的.
- 未来的研究应该纳入IDEAL手术创新框架和外科医生报告的并发症评估.
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