A narrative review of outcomes following metoidioplasty:complications and satisfaction
作者机构：Division of Plastic and Reconstructive SurgeryRush University Medical CenterChicagoIL 60612USA The Center for Gender Confirmation SurgeryWeiss Memorial HospitalThe University of Illinois at ChicagoChicagoIL 60640USA Division of UrologyDepartment of General SurgeryRush University Medical CenterChicagoIL 60612USA
出 版 物：《Plastic and Aesthetic Research》 (整形与美容研究（英文版）)
年 卷 期：2022年第9卷第1期
页 面：140-153页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Metoidioplasty stricture fistula gender-affirmation surgery transgender genital reconstruction complication satisfaction outcome
摘 要：Metoidioplasty consists of lengthening and straightening the hormonally hypertrophied *** goals of the procedure include masculinizing the external genitalia and enabling standing *** may be performed as a stand-alone procedure or an interval procedure prior to *** most often performed with urethral lengthening,metoidioplasty may also be performed as a“simple release(i.e.,without urethral lengthening).Secondary procedures typically include scrotoplasty and placement of testicular *** satisfaction with this procedure is high,complications can *** are commonly categorized as either urologic(i.e.,strictures and fistula)or wound healing(i.e.,wound disruption,infection,bleeding,etc.).This narrative review discusses postoperative outcomes,including both satisfaction and *** data on complications include fistula and stricture rates from 0%-50% and 0%-63%,*** satisfaction with appearance ranges from 48%-100%,and patient ability to void while standing ranges from 67%-100%.Metoidioplasty is a safe and effective procedure for transgender *** research regarding surgical techniques and outcomes will help reduce complications and improve overall patient satisfaction.
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