在性别确认法洛普拉斯蒂的选择和指示
Blair R Peters1, Jaya Dhami2, Michelle Bonapace-Potvin3
1Transgender Health Program, Division of Plastic and Reconstructive Surgery, Oregon Health and Science University, Portland, OR, USA; Department of Surgery, Oregon Health and Science University, Portland, OR, USA; Department of Urology, Oregon Health and Science University, Portland, OR, USA.
对于跨男性个体的现代造术现在以患者为中心和个性化. 手术目标各不相同,可以选择尿道延长,单轴手术和多种捐赠地点,优先考虑共享决策.
科学领域:
- 确立性别的手术.
- 整形和重建外科手术 整形和重建手术
- 变性男性医学 变性男性医学
背景情况:
- 阴茎整形已经从二元理想演变为针对跨男性患者的个性化护理.
- 现代方法承认患者的不同目标超出了全面的重建.
- 在性别确认手术中,以患者为中心的护理至关重要.
研究的目的:
- 描述跨男性个体造术的演变和当前以患者为中心的方法.
- 突出个性化外科规划和共享决策的重要性.
- 概述现代造术技术和供体地点选项.
主要方法:
- 审查当前的造术技术和患者评估策略.
- 强调彻底的解剖评估和预期管理.
- 讨论分阶段的方法,只有轴的替代方案和捐赠地点的选择.
主要成果:
- 造术越来越个性化,能够适应各种患者的目标和风险概况.
- 存在多种不同的手术选择,包括分阶段的尿道延长和仅轴造术.
- 复合造术仅适用于特定的解剖情况.
结论:
- 当代造术强调以患者为中心,为跨男性个体提供个性化的护理.
- 共同决策对于实现多样化的结果目标和尽量减少并发症至关重要.
- 手术规划必须考虑解剖学,患者的期望,以及供体部位的适合性.
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