切口术对变性男性下尿路功能的影响
Freek P W de Rooij1,2,3, Brechje L Ronkes1,2, Freek A Groenman2,4
1Department of Urology, Amsterdam University Medical Center, Amsterdam, The Netherlands.
International journal of transgender health
|October 30, 2023
概括
跨性别男性的结肠切除术可以暂时恶化下泌尿道功能,5%的人经历了持续的问题,防止进一步的性别确认手术. 大多数泌尿功能问题在手术后的几个月内就会解决.
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:
- 切口术对跨性别男性下尿路功能 (LUTF) 的影响基本上是未知的.
- 现有的数据主要集中在泌尿道感染和结肠切除术后的保留率上.
研究的目的:
- 为了研究结肠切除术对跨性别男性下尿路功能的影响.
- 为了评估客观和主观的变化在空白后colpectomy.
主要方法:
- 在2018年1月至2020年10月期间接受了结肠切除术的跨性别男性的回顾性图表审查.
- 主要结果的分析:客观和主观的变化.
- 二次结果:通过尿道导管的持续时间和需要干净的间歇性自我导管 (CISC).
主要成果:
- 机器人辅助腹腔镜大肠切除术 (RaLC) 和阴道大肠切除术 (VC) 后最大流量下降.
- 国际前列腺症状评分的增加在VC后更频繁地观察到.
- 5%的患者经历了持续的排泄功能障碍,防止了进一步的生殖器性别确认手术.
结论:
- 大多数客观和主观的下泌尿道功能变化后的colpectomy是暂时的.
- 持续的排泄功能障碍影响的比例很小,影响了随后的性别确认手术.
- 机器人辅助腹腔镜结肠切除术在没有导管的初始试验中,与阴道结肠切除术相比,显示出更高的成功率.
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