成年未经治疗的跨性别个体的生殖器男性化重建:一个案例报告
Clement Parat1,2, Aurelie Schirmann3,4, Nicolas Morel-Journel1,2
1Department of Urology, Lyon Sud Hospital, Hospices Civils de Lyon, Lyon, France.
Translational andrology and urology
|March 21, 2025
概括
对于患有部分雄激素不敏感综合征 (PAIS) 的成年人来说,男性化生殖器重建手术是可行的. 这个案例显示成功的阴茎直和延长没有尿路整形术,改善了30岁患者的性功能.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 遗传学 是一个遗传学.
背景情况:
- 部分雄激素不敏感综合征 (PAIS) 在性和性别发展方面提出了复杂的挑战.
- 由于PAIS的特征是严重的缺,小阴茎和双裂阴囊,因此需要仔细考虑性别分配和性别确定.
研究的目的:
- 描述一个患有PAIS的成年患者的男性化生殖器重建的手术管理.
- 评估阴茎直和延长作为成年人的初始手术干预的可行性.
主要方法:
- 一名患有PAIS的30岁患者接受了男性化生殖器造形手术.
- 手术技巧包括用双Y角切口进行洞穴整形术, metoidioplasty 植入物,半阴囊尿路整形术和阴囊收获.
主要成果:
- 患者成功地实现了阴茎直和延长.
- 手术后报告了患者对性功能的高满意度.
结论:
- 对于PAIS的生殖器重建手术可以推迟到成年.
- 这一案例突出了成功的外科手术结果的可能性,并提出了关于社会接受和患者在跨性别变异中的自决权的问题.
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