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在阴茎倒置阴道整形过程中直肠损伤

Talia Stark¹, Kenan Celtik¹, Jess Ting²

¹Department of Urology, Icahn School of, Medicine Mount Sinai Hospital, New York, NY.

|June 8, 2024

概括

在性别确认性阴道造形术中,直肠损伤很少发生 (0.89%). 通过结直肠外科手术及时识别和修复可以预防直肠阴道,尽管阴道狭窄仍然是一个风险.

科学领域:

外科手术的结果
肯定性别的护理.
重建性手术是一种重建性手术.

背景情况:

直肠损伤 (RI) 和直阴 (RVF) 是性别肯定性阴道整形 (GAV) 的潜在并发症.
了解RI的发生率和管理对于改善患者的治疗结果至关重要.

研究的目的:

评估性别肯定性阴道整形手术 (GAV) 期间直肠损伤 (RI) 和随后的直肠阴道 (RVF) 的发生率,管理和结果.

主要方法:

从2016年1月到2022年9月接受GAV的患者的回顾性审查.
分析与直肠损伤有关的术前,术后和术后发现.
计算了描述性统计数据.

主要成果:

在1011例初级GAV病例中,9例发生了直肠损伤 (0.89%).
一名患者出现了直阴道,这与先前的围外科手术和缺乏手术前的半导体镜有关.
三名接受全深GAV的患者 (50%) 经历了术后阴道狭窄.

结论:

在GAV期间的直肠损伤在经验丰富的手中不常见.
术内识别,多层修复和结直肠外科手术咨询是预防RVF的关键.
虽然可以完成全深阴道整形手术,但必须向患者咨询阴道狭窄的风险.

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