An Update on the Surgical Treatment for Transgender Patients

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• 作者：Britt Colebunders ; MD¹ ; Sam Brondeel ; MD¹ ; Salvatore D'Arpa ; MD ; PhD¹ ; Piet Hoebeke ; MD ; PhD² ; Stan Monstrey ; MD ; PhD¹ ; ^{stan.monstrey@ugent.be}
• 关键词：Gender Dysphoria ; Gender Reassignment Surgery ; Transsexualism
• 刊名：Sexual Medicine Reviews
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：5
• 期：1
• 页码：103-109
• 全文大小：221 K
• 卷排序：5

文摘

As gender dysphoria is becoming increasingly accepted in the general population, the number of patients seeking gender reassignment surgery is increasing. Although not every patient with gender dysphoria requires surgery, medical practitioners taking care of these individuals should be aware of the different surgical options.AimTo review current gender reassignment surgical techniques and update the clinician.MethodsA review of the literature was performed focusing on the most recent techniques of gender reassignment surgery.Main Outcome MeasuresMain outcomes included a historical review of gender confirmation surgery leading to the techniques of choice in different divisions. For the vaginal lining, penile-scrotal skin flaps remain the technique of choice, and the gold standard for a phalloplasty remains the radial forearm flap.ResultsSurgical techniques for male-to-female gender reassignment consist of facial feminization surgery, voice surgery, breast augmentation, orchiectomy, and vaginoplasty. Female-to-male gender reassignment surgery includes facial masculinization surgery, subcutaneous mastectomy, and phalloplasty procedures.ConclusionPenile-scrotal skin flaps remain the technique of choice for the vaginal lining, although indications for a vaginoplasty with intestinal transfer are becoming more common. The gold standard for a phalloplasty remains the free radial forearm flap.