跨性别患者的空白功能障碍:我们知道的和我们不知道的
Gabriela Gonzalez1, Jennifer T Anger2
1Department of Urology, Davis School of Medicine, University of California, Sacramento, CA, USA.
Current urology reports
|November 5, 2024
概括
变性人和非二进制患者在经过性别确认的生殖器手术后可能面临尿道问题. 本综述涵盖了这些常见的排泄功能障碍的并发症,评估和治疗方法.
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.
- 外科手术的结果
背景情况:
- 经过性别肯定性生殖器手术的跨性别和非二进制 (TGNB) 个人可能会经历经手术后排泄功能障碍.
- 了解这些尿道并发症对于患者护理至关重要.
研究的目的:
- 审查和分析现有的关于性别确认骨盆手术后尿道并发症的文献.
- 概述目前对TGNB患者排泄功能障碍的评估和治疗策略.
主要方法:
- 关于性别肯定性生殖器手术和尿路结果的研究文献综述.
- 分析报告的并发症,诊断方法和管理选择.
主要成果:
- 在手术前讨论尿路目标和症状至关重要,因为手术后的结果变化很大.
- 性别确认激素治疗可以影响尿路症状.
- 尿道狭窄和尿道皮是潜在的并发症,表现为下尿路症状 (LUTS).
- 目前还没有一种标准化的方法来处理手术后排泄问题,但有很多选择可供选择.
- 患者的评估应该是肯定和个性化的.
- 需要对TGNB患者的长期结果数据和验证的问卷.
结论:
- 在性别肯定性生殖器手术后,排空功能障碍是一个重大问题.
- 进一步的研究和标准化的结果措施是必要的,以改善对TGNB患者的护理.
相关概念视频
Disorders of the Urinary System
239
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
239
Urinary Bladder
429
The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
429
The Micturition Reflex
460
Urination, or micturition involves the coordination of the bladder's detrusor muscle and two sphincters to ensure controlled bladder emptying.
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...
460
Physiology of Urine Formation
3.2K
Urine formation is an essential function of the human body. It plays a critical role in maintaining homeostasis by regulating the volume and composition of body fluids. The kidneys, the primary organs involved in this process, filter blood to remove waste products and excess substances, ultimately producing urine.
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
3.2K


