在生殖器性别确认手术后的盆地和性功能障碍:系统性审查和元分析
Mattia Dominoni1,2, Annachiara Licia Scatigno1,2, Marianna Francesca Pasquali1,2
1Department of Clinical, Surgical, Diagnostic and Paediatric Sciences, University of Pavia, Pavia, 27100, Italy.
The journal of sexual medicine
|November 15, 2024
概括
生殖器性别确认手术可以导致跨性别人士的骨盆底功能障碍. 早期咨询和量身定制的骨盆底物理治疗对于更好的手术结果至关重要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 妇科 妇科 妇科 妇科
- 性健康 性的健康
背景情况:
- 生殖器性别确认手术是许多跨性别者的过渡过程中至关重要的组成部分.
- 盆地功能是整体健康和福祉的一个关键方面.
研究的目的:
- 研究生殖器性别确认手术对跨性别人口的骨盆底功能的影响.
- 为了确定骨盆底功能障碍在手术后的患病率,并讨论潜在的治疗方法.
主要方法:
- 一个系统的审查和医学文献的元分析发表到2024年2月29日.
- 在PubMed,EMBASE和Cochrane图书馆中使用相关的关键词进行了搜索.
- 使用观察性研究质量评估 (OSQE) 方法评估研究质量.
主要成果:
- 该审查包括25篇论文,其中17篇用于元分析,并注意到显著的异质性.
- 经过阴道造形手术的变性女性报告骨盆器官脱落 (1-7.5%),尿失禁 (高达15%),刺激性尿道症状 (高达20%),性功能障碍 (25-75%).
- 经过子宫切除和阴茎整形手术的跨性别男性报告了骨盆器官脱落 (3.8%),尿失禁 (高达50%),刺激性尿路症状 (高达37%) 和性功能障碍 (54%).
结论:
- 盆地功能障碍是生殖器性别确认手术后的一个新兴问题.
- 术前咨询,术后明确的指导和量身定制的骨盆底物理治疗对于最佳的结果至关重要.
- 这项研究强调了在跨性别者医疗保健中提高了解和管理盆底问题的必要性.
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