变性患者的骨盆底部功能障碍:一个广泛的审查
Livia Maria de Souza Santos Hatanaka1, Glaucia Miranda Varella Pereira1, Lucia Alves da Silva Lara2
1Department of Obstetrics and Gynecology, School of Medical Sciences, University of Campinas, Rua Alexander Fleming, 101, Cidade Universitária, Campinas, SP, 13083-881, Brazil.
变性人群经历高水平的骨盆底功能障碍,包括尿道,直肠和性问题. 需要进一步的研究来了解这些情况并改善护理.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 胃肠病学 胃肠病学
- 性健康 性的健康
- 跨性别者健康 跨性别者健康
背景情况:
- 关于跨性别个体的骨盆底功能障碍,有或没有性别确认手术 (GAS) 的有限的综合数据存在.
- 盆地疾病包括尿道,直肠和性功能障碍,以及GAS后的并发症.
研究的目的:
- 对跨性别人口的骨盆底功能障碍现有文献进行范围审查.
- 为了确定跨性别个体的骨盆底疾病的患病率和类型.
主要方法:
- 根据PRISMA-ScR指南进行了全面的范围审查.
- 在2024年6月搜索的主要数据库 (PubMed,EMBASE,Scopus,科学网,Cochrane,Lilacs).
- 研究了尿道/直肠功能障碍,骨盆器官脱落 (POP),性功能障碍和GAS后并发症.
主要成果:
- 尿失禁的患病率从15.4%到53%不等,受年龄,BMI和抑郁症的影响.
- 便秘是最常见的门病情 (22%-45.6%).
- 在新阴道造形术后的骨盆器官脱落为4%-7.5%. 变性男性的性功能障碍率很高 (54%-87.8%),而变性女性的欲望受到激素治疗和滑/疼痛问题的影响. 常见的并发症包括阴道狭窄 (跨性别女性) 和尿道狭窄/囊 (跨性别男性).
结论:
- 盆地功能障碍在跨性别人口中非常普遍.
- 为未来的研究,建议使用标准化仪器和骨盆检查.
- 需要进一步的队列研究,以更好地定义和管理这些条件.
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