用尿道延长进行性别肯定性手术后的美托迪奥普拉斯蒂和法洛普拉斯蒂的结果:修改后的德尔菲共识研究
Gaines Blasdel1, Mang L Chen2, Jens Berli3
1University of Michigan Medical School, Ann Arbor, MI.
Urology
|August 8, 2025
概括
外科医生在大多数性别确认手术结果上达成共识,这些手术结果主要是用于metoidioplasty和phalloplasty. 本研究提供了关键陈述,以帮助个人考虑这些程序的决策.
科学领域:
- 泌尿生殖器的重建性手术
- 肯定性别的护理.
- 手术成果研究的研究结果.
背景情况:
- 胸膜整形和胸膜整形是关键的性别确认手术.
- 为了评估手术成功,需要标准化的结果测量.
- 外科医生的共识对于确定相关结果至关重要.
研究的目的:
- 为了实现外科医生的共识,以患者为中心的结果陈述的metoiodioplasty和phalloplasty.
- 建立一个评估性别确认手术有效性的基础.
主要方法:
- 一种经过修改的Delphi方法,使用双轮基于Web的调查.
- 涉及的16-17名外科医生专门从事体塑造和体塑造.
- 共识定义为>=70%的协议;基于反的陈述的代细化.
主要成果:
- 大多数成果陈述实现了高达成共识率.
- 甲状腺整形 (93%),辐射前臂整形 (92%),前侧大腿整形 (100%) 显示出强烈的一致性.
- 在性健康 (100%),非尿道并发症 (100%) 和尿道结果 (89%) 上达成共识.
结论:
- 外科医生在性别肯定手术结果上达到了显著的共识.
- 外科医生经验和结果报告的影响定义的变化,特别是对于尿道并发症.
- 结果将为考虑这些手术的患者提供决策工具.
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