在性别肯定性阴道整形术后过度活跃的膀.
Patrick Ho1, Camille Torres1, Francisco Andrade2
1Department of Urology, Mount Sinai Hospital, New York, NY, 1 Gustave L. Levy Place, New York, NY 10029.
Urology
|February 8, 2026
概括
阴道整形可以加剧过活性膀 (OAB) 症状,并降低跨性别女性的生活质量,特别是在老年患者和接受腹膜阴道整形 (PFV) 的患者中. 对OAB症状的整体影响似乎有限.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 确立性别的手术.
- 患者报告的结果.
背景情况:
- 过度活跃的膀 (OAB) 是一种以排尿急迫为特征的疾病,通常与频率和夜尿有关.
- 阴道整形是跨性别女性性别确认手术的关键组成部分.
- 阴道整形对先前存在的OAB症状的影响需要进一步调查.
研究的目的:
- 在跨性别女性的阴道造形术后评估过度活跃膀症状的变化.
- 为了确定与手术后OAB症状恶化相关的潜在风险因素.
主要方法:
- 对53名经过阴道整形手术的跨性别女性进行了回顾性纵向研究.
- 使用过度活跃的膀问卷简短形式 (OAB-q SF) 在手术前和后.
- 分析了症状烦和与健康相关的生活质量 (HRQL) 评分的变化,按年龄和阴道整形手术类型分层.
主要成果:
- 在阴道造形术后观察到HRQL的统计学显著下降 (p=0.020).
- 年龄较大的患者 (44-71岁) 经历了最显著的症状不适 (p=0.020) 和HRQL (p=0.008) 的恶化.
- 腹膜阴道整形 (PFV) 与HRQL显著下降有关 (p=0.023).
结论:
- 阴道整形可以导致变性女性的OAB症状增加和生活质量降低.
- 老年和PFV被确定为症状恶化的危险因素.
- 这些变化的临床意义需要进一步研究,因为整体影响可能有限.
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