手术并发症,阴道出血,和实践考虑在患者经历性别确认子宫切除术的患者
Christine Pando1, Leah R Gerlach2, Sai Alekha Challa3
1Department of Obstetrics and Gynecology, Medical College of Wisconsin (Drs. Pando and Francis), Milwaukee, Wisconsin.
Journal of minimally invasive gynecology
|June 1, 2024
概括
接受性别确认子宫切除术的丸激素治疗的变性患者面临更高的手术内阴道破伤风险和更多的阴道出血报告. 这凸显了为这些人提供最新的手术前咨询的必要性.
科学领域:
- 生殖医学 生殖医学
- 内分泌学 在内分泌学.
- 手术瘤学手术瘤学
背景情况:
- 性别肯定性子宫切除术是跨性别个体性别肯定的一个关键组成部分.
- 了解这一群体的手术风险和医疗保健利用对于优化护理至关重要.
- 丸激素治疗通常由跨性别男性和非二进制个体使用,可能会影响手术结果.
研究的目的:
- 为了比较使用丸激素的跨性别患者和接受微创性子宫切除术的 cisgender 控制者之间的手术并发症和医疗保健利用率.
- 在性别确认手术的背景下,识别与使用丸激素相关的特定风险.
主要方法:
- 这是一项回顾性队列研究,将88名接受丸激素治疗的跨性别患者与242名接受微创子宫切除术的 cisgender 对照患者进行比较.
- 收集了90天内手术内和术后并发症,电子病历 (EMR) 消息,电话,急诊室访问和诊所访问的数据.
- 医疗保健使用原因被分类,以确定趋势.
主要成果:
- 的使用者比较年轻,BMI较低,而且更有可能是无卵性.
- 在丸激素组中增加了需要修复的手术内周围损伤的风险 (RR 3.3).
- 在丸激素组中,通过EMR或电话报告的阴道出血的发生率更高 (RR 1.74);术后阴道雌激素的使用增加.
结论:
- 手术前使用丸激素可能会增加手术内阴道破伤和术后阴道出血的风险.
- 这些发现支持需要加强手术前咨询,以了解在丸激素治疗中的跨性别患者潜在的手术风险.
- 这些证据有助于对性别确认子宫切除术的安全性概况的持续了解.
更多相关视频
07:37Author Spotlight: Advancing Human Ovarian Repair and Cancer Studies with Surface Epithelium Organoids
Published on: August 16, 2024
1.2K
11:53Laparoscopic Oocyte Retrieval and Cryopreservation during Vaginoplasty for Treatment of Mayer-Rokitansky-Kuster-Hauser Syndrome
Published on: May 10, 2022
3.5K
相关概念视频
01:20Disorders of the Male Reproductive System
393
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....
393
01:24Disorders of the Female Reproductive System
352
The female reproductive system can be affected by several disorders, including Premenstrual Syndrome (PMS), Premenstrual Dysphoric Disorder (PMDD), endometriosis, and various forms of cancer. PMS and PMDD are cyclical conditions that cause physical and emotional distress, with symptoms that include edema, mood swings, and food cravings. PMDD is a more severe form of PMS characterized by increased symptom severity that peaks during the luteal phase and tends to improve or resolve shortly after...
352
01:28Menopause
155
Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
155
01:22Birth Control Methods
230
Vasectomy is a surgical form of male sterilization that involves severing and sealing the vasa deferentia, preventing sperm from mixing with semen during ejaculation. Because a vasectomy does not impact the testes' ability to produce testosterone, hormone levels, libido, and sexual function generally remain unchanged. While vasectomy is highly effective in preventing pregnancy, with a success rate near 99.85%, rare cases of recanalization (spontaneous reconnection) can occur. Although...
230