性别确认手术后的术后泌尿外科并发症:叙述性审查
Zainab Yusufali Motiwala1, Sidharth Misra2, Arusha Desai3
1JNMCH, Aligarh Muslim University, Aligarh, Uttar Pradesh, India.
International urogynecology journal
|November 3, 2025
概括
性别确认手术 (GAS) 可以导致跨性别和非二进制 (TGNB) 个体的常见泌尿后科并发症. 解决知识差距和改善康复对于更好的外科手术结果至关重要.
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
- 肯定性别的护理.
背景情况:
- 在全球范围内,性别确认手术 (GAS) 的需求正在增加.
- 在跨性别和非二进制 (TGNB) 个体中,术后泌尿外科并发症未被充分认识到.
研究的目的:
- 根据GAS类型对泌尿后科并发症模式进行分类.
- 讨论这些并发症的管理策略.
- 确定TGNB术后护理中的知识差距.
主要方法:
- 在主要数据库 (PubMed,Embase,Cochrane,Web of Science) 进行了全面的文献审查.
- 综合了数据,以呈现GAS后泌尿外科并发症的叙述性综述.
- 专注于TGNB群体的模式,管理和知识差距.
主要成果:
- 变女性性阴道整形术:常见的并发症包括尿道狭窄 (10-18%),新阴道狭窄 (高达30%) 和失联症 (20-40%).
- 跨男性手术 (阴茎整形/胸膜整形):与尿道囊 (10-60%),收缩 (20-58%) 和尿路保留 (15-58%) 相关.
- 骨盆底功能障碍 (PFD) 影响高达94.1%的跨性别男性;骨盆底物理治疗 (PFPT) 在降低率方面显示出希望.
结论:
- 在GAS后的泌尿后科并发症很普遍,并影响TGNB的生活质量.
- 存在重大证据缺口,包括不一致的定义和缺乏TGNB特定的PROM.
- 改善,创伤信息化康复对于长期的TGNB结果至关重要.
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