生殖器性别确认阴茎构造,尿道延长和阴道切除后的尿路症状
Michele Fascelli1, Kamran P Sajadi2, Daniel D Dugi1
1Urology, Plastic and Reconstructive Surgery, Transgender Health Program, Oregon Health and Sciences University, Portland, OR, USA.
Translational andrology and urology
|June 12, 2023
概括
经历阴茎重建的跨性别和非二进制个体通常会经历尿道并发症,如管和狭窄. 了解这些常见问题是改善患者护理和生殖器性别确认手术后的结果的关键.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 肯定性别的护理.
背景情况:
- 越来越多的跨性别和非二进制 (TGNB) 个人寻求阴茎重建.
- 尿道延长是一个共同的目标,旨在使静止排尿空白.
- 在生殖器性别确认手术 (GGAS) 后,尿功能变化和并发症很常见.
研究的目的:
- 在GGAS中描述目前的阴茎结构选择与尿道延长.
- 审查常见的尿道并发症,专注于尿失禁.
- 增强对症状和管理的理解,以改善患者的治疗结果.
主要方法:
- 审查当前性别确认的阴茎建设技术.
- 分析报告的尿路并发症,包括尿路皮质和狭窄.
- 诊断辅助的讨论:尿液流量计,尿道图,囊镜,MRI.
主要成果:
- 尿路皮质是术后最常见的并发症 (发病率为15-70%).
- 尿道狭窄也需要评估.
- 甲状腺整形显示较低的狭窄率 (2%) 和片 (9%).
- 其他问题包括滴水,尿道分流器和阴道残留物.
结论:
- 经过阴茎建设的TGNB患者面临各种尿路症状,影响生活质量.
- 由于独特的解剖学,在肯定环境中由泌尿科医生进行量身定制的评估至关重要.
- 对并发症和管理的熟悉程度提高可以提高患者咨询和结果.
相关概念视频
Nursing Assessment of the Genitourinary System I: Health History
33
The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
33
Disorders of the Male Reproductive System
474
Men's health issues are increasingly recognized as significant, with several conditions posing common threats. Among these, testicular cancer is especially prevalent in younger men, particularly those aged 20 to 35 years. The disease often manifests as a painless mass in the testicles, sometimes accompanied by a sensation of heaviness or a dull ache.
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
Prostate disorders are another major concern. These conditions can impair urinary flow due to the prostate's location around the urethra....
474
Urethra
1.2K
The urethra is a hollowed tubular organ through which urine is expelled from the body. This structure extends from the bladder to the external opening, allowing urine to be released.
The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male...
The anatomy of the urethra differs between males and females. In females, the urethra is short, measuring about 3–4 cm in length, and opens anterior to the vaginal opening. In males, the urethra is longer and passes through the penis, serving dual purposes: expelling urine and ejaculating semen. The male...
1.2K
Urologic Endoscopic Procedure: Cystoscopic Examination
97
Meaning of Cystoscopic Examination:Cystoscopy is an essential diagnostic tool in urology that is used to assess the structure and function of the genitourinary system. It provides a direct view of the urethra, bladder, and, in some cases, the ureteral openings. This procedure helps detect structural abnormalities, infections, cancers, and blockages in the urinary tract. There are two types of cystoscopy:Flexible cystoscopy is commonly performed in outpatient settings due to its less invasive...
97
Anatomy of the Genitourinary System II: Bladder and Urethra
139
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...
139
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


